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["河北省中医院\n护理人员进修申请表"]
["工作\n单位","名称",{"$nulls":4},"级别"]
[null,"通讯地址",{"$nulls":4},"邮编"]
[null,"联系人",{"$nulls":3},"联系电话"]
["进修\n护士","姓  名",null,"工作科室",{"$nulls":3},"证件照"]
[null,"民  族",null,"性  别"," ","年  龄"]
[null,"职  称",null,"职  务",null,"最后学历"]
[null,"健康状况",null,"身份证号"]
[null,"护士\n执业证书","证书编号"]
[null,null,"注册日期","年   月  日",null,"有效期至","年   月  日"]
[null,"手机电话",null,null,"科室电话"," （区号）      —"]
[null,"参加工作","        年",null,"E-mail"," "]
["主要工作\n简历","起止日期",null,"工作单位名称及科室",null,null,"职称","职务"]
[null,"年   月—   年   月"]
[null,"年   月—   年   月"]
[null,"年   月—   年   月"]
["申请进修专业\n（限选一科）",null," □针灸科护理 ",null," □骨科护理",null," □急诊抢救配合及护理"]
[null,null," □肿瘤科护理 ",null," □眼科护理",null," □血液净化科护理 "]
[null,null," □内分泌科护理 ",null," □肛肠科护理",null," □供应室护理工作 "]
[null,null," □心血管内科护理",null," □皮科护理",null," □手术配合及护理"]
[null,null," □其它（请注明）"]
["申请进修期限",null,"         个月",null,"申请进修时间        年   月—      年   月"]
["进修目的"]
["选派进修护士政治表现及业务能力：                \n\n\n\n\n\n\n\n                                        护理部主任签字："]
["选送单位审批意见："]
[]
[{"$nulls":5},"单 位 盖 章"]
[{"$nulls":3}," "]
[]
["结业考核鉴定"]
["个人总结","年    月   日"]
{"$rows_empty":11}
["科室鉴定意见","年    月   日"]
[]
[]
[]
[]
[]
["进修单位意见","年    月   日"]
[]
[]
[]
[]
[]
[]
["备注"]