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["附件2"]
["居家隔离日志"]
["    姓名：             地市：           单位：",null,null,null,"起始日期： 年  月  日—  年  月  日  "]
["日 期","体  温",null,"症    状\n（详细描写是否存在发热、感冒、咳嗽、乏力、咽喉疼等不适症状，包括较昨日有无加重/减轻）","是否到医院就诊\n（如有诊断结论，\n请写明）","是否外出及地点\n（详细到具体的街道、超市、菜市场等）","隔离期间是否接触过他人\n（姓名及与本人关系）"]
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["注：1.疫情防控的关键时期，为了您和他人健康，请务必配合、如实详细填报个人情况；\n    2.请发送至邮箱：68334710@qq.com。"]