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["附件1："]
["湖北省继续医学教育Ⅰ类学分审验表（2015年度）"]
[" 姓名：                         性别：                                   ",null," 出生年月："]
["身份证号：",null,"机构人员代码："]
["工作单位：",null,"所在科室："]
["现任专业技术职称：                    ",null,"拟申报专业技术职称："]
["年度","继续医学教育项目名称","项目编号","学分分值","年度总计","验证结果"]
[2010]
[]
[]
[2011]
[]
[]
[2012]
[]
[]
[2013]
[]
[]
[2014]
[]
[]
["审验结果：",null,"审验结果："]
[]
[]
[]
["  部、省直单位或市州继教管理部门（章）",null,"湖北省继续医学教育办公室（章）"]
["年   月   日",null,"年   月    日"]