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(1)Outpatient 1A2A19618220210129100707
(2)Application for registration of special case for calculation of cancer of health insurance for patient identification
(3)Registration No. 43819039
(4)Issue No. 2021 뒷 Please refer to the precautions on the back and fill out the formThis document is issued to promote communication between the patient and the medical staff and is not valid as a certificatePlease check the contents of the certificate accurately and get it issued after receiving it at the Wonmu window Mark in the appropriate column
(5)- Short-term goods
(6)Gongdan gas fat
(7)Calculation special case number
(8)2 Subscriber’s head of household
(9)Health insurance card number
(10)④ Resident alien registration number
(11)Home phone number
(12)Sujinja’s ⑤ mobile phone number □ e-mail
(13)Registration result notification method JSMS
(14)1⑦ Email address
(15)Check box for nursing home
(16)2 New Arm □ Re-registration □ Duplicate
(17)④
(18)3 care classification □ outpatient diagnosis date
(19)※ a medical course
(20)Primary □ Jeon
(21)⑤ a benign neoplasm of the brain on the sickbed
(22)② a specific symbol
(23)16th Corporation Code
(24)※ Duplicate check available 1 Final confirmation method
(25)D 1 Histological Examination
(26)□ 2 cytological examination
(27)53 Imaging test 소 견 검사
(28)Other Sono
(29)□ a hematological examination
(30)4 □ Special biochemical test □ Immunological test
(31)□ 5 Diagnostic surgery without biopsy
(32)6 Produced cell testing only if the registration criteria are not met due to other impossible conditions
(33)Histological Cytological Testing Required Tissue in Wounded Diseases
(34)If the registration criteria for each sick person are not met, a specialist must issue an application after stating the patient’s condition and medical opinion in detail
(35)9-1 Reasons for not conducting histological cytological examination
(36)If the whole body condition is ECOG performance status 3 or higher □
(37)□ 2 High risk of bleeding
(38)□ 3 In case of inability to withstand general anesthesia and surgery for examination
(39)- 4 High risk of infection
(40)5 Other
(41)K-2 Specifically stated including patient conditions and opinions on treatment exhaustion
(42)In accordance with Article 17 (1) of the Medical Service Act, a new medical certificate can be issued only to the person himself/herself. ★ When issuing, bring your ID card and other required documents. ★
(43)> Issuance may be restricted if required documents are not included
(44)I am applying for the registration of special health insurance calculation on January 29, 2021 as aboveSignature or Win
(45)Relationship with the sufferer
(46)Mr. Chairman of the National Health Insurance Corporation
(47)For patient identification
(48)Samsung Medical Center
(49)This document is an asset External number
(50)M-WBC Blood Cell Test CBC Count in case of abnormalities in microscopic hematuria or proteinuria
(51)Disposition Date 20220224
(52)a four-year college graduation
(53)an abnormal examination subject bottle
(54)2022-02-24 Ministry of National Defense Decree No. 1061 240-2 Central Nervous System Tumor Cerebral Spinal Cord Level 3
(55)I’ll send you to the army at this rate
(56)A man born in Joseon, give up his dreams and hopes
(57)Comments 64 C
(1)General, thoracic,image text translation
(2)Otolaryngology
(3)urology
(4)Pemco times
(5)a microscopic examination
(6)Kim Dae-gong, Brain Gong 118235
(7)Ajou University Hospital
(8)Ministry of National Defense Decree No. 1043 240-3-A central nervous system tumor brain and spinal cord level 4
Even if you have a brain tumor, you are sending active duty and public interest. Just recruit a normal woman