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健康診断書 CERTIFICATE OF HEALTH (to be completed by the examining physician) 日本語又は英語により明瞭に記載すること。 Please fill out (PRINT/TYPE) in Japanese or English. 氏名 Name:
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Document Date: 2013-08-08 09:54:53


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File Size: 144,68 KB

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Country

Japan / /

MedicalCondition

Malaria / Epilepsy / Normal Color blindness / Drug allergy / Other communicable disease / Functional disorder / Heart disease / anemia / Disease / Diabetes / Kidney disease / Normal Cardiomegaly / Tuberculosis / /

Position

Physician / examining physician / /

Technology

X-ray / /

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