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["哈工大校医院核酸检测申请表"]
["姓名","考生编号","身份证号","联系电话","申请核酸检测原因"]
[]
[]
[]
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["请将此表于12月19日中午12:00前发至hityzb@vip.126.com。"]
[]
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["申请核酸检测原因"]
["1. 考前14天有省外旅居史，以及有省内中高风险地区旅居史的考生。\n2. 考前从境外抵返的考生，要按照要求进行隔离和核酸检测。\n3. 考前14 天内有发烧（体温≥37.3℃）、咳嗽、乏力、肌肉痛、头痛等感冒样症状或憋喘、呼吸急促、恶心呕吐、腹泻、心慌、胸闷、结膜炎等与新冠病毒感染有关的症状。\n4. 龙江健康码为非绿码或国务院客户端防疫行程卡非绿码的考生。"]

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