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["疫情防控信息表"]
["报送单位：            联系人：             电话：                   "]
["姓名","来自城市","是否接种疫苗","是否入境未满28天、有中高风险地区旅居史、接触史","是否有发热\n干咳现象","京外低风险地区人员48小时内核酸情况","健康宝、行程码是否为绿码"]
[]
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["备注：10月15日前将此表电子版发送至tcsasac4@126.com,邮件主题：私募信息-单位名称x人。"]

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