JPH01169372U - - Google Patents

Info

Publication number
JPH01169372U
JPH01169372U JP6517888U JP6517888U JPH01169372U JP H01169372 U JPH01169372 U JP H01169372U JP 6517888 U JP6517888 U JP 6517888U JP 6517888 U JP6517888 U JP 6517888U JP H01169372 U JPH01169372 U JP H01169372U
Authority
JP
Japan
Prior art keywords
paper
patient information
pieces
transfer device
column
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP6517888U
Other languages
Japanese (ja)
Other versions
JPH0642868Y2 (en
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed filed Critical
Priority to JP1988065178U priority Critical patent/JPH0642868Y2/en
Publication of JPH01169372U publication Critical patent/JPH01169372U/ja
Application granted granted Critical
Publication of JPH0642868Y2 publication Critical patent/JPH0642868Y2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Description

【図面の簡単な説明】[Brief explanation of the drawing]

図面はこの考案の一実施例に係る検査依頼書を
示しており、第1図はラベル紙片の構成を示す平
面図、第2図は2枚目の紙片の構成を示す平面図
、第3図は3枚目の紙片の構成を示す平面図、第
4図は4枚目の紙片の構成を示す平面図、第5図
は診察券カードの表面図、第6図は転写装置の一
例を示す斜視図である。 符号の説明、10……ラベル紙片、11……窓
穴、12……バーコードラベル片、13……転写
装置、20……2枚目の紙片、30……3枚目の
紙片、40……2枚目の紙片。
The drawings show an inspection request form according to an embodiment of this invention, and FIG. 1 is a plan view showing the structure of the label paper strip, FIG. 2 is a plan view showing the structure of the second paper strip, and FIG. 3 is a plan view showing the structure of the second paper strip. is a plan view showing the structure of the third piece of paper, FIG. 4 is a plan view showing the structure of the fourth piece of paper, FIG. 5 is a front view of the medical examination card, and FIG. 6 is an example of the transfer device FIG. Explanation of symbols, 10...Label piece, 11...Window hole, 12...Barcode label piece, 13...Transfer device, 20...2nd piece of paper, 30...3rd piece of paper, 40... ...Second piece of paper.

補正 昭63.8.22 図面の簡単な説明を次のように補正する。 明細書中、第15頁第8行目に「40……2枚
目の紙片」とあるのを「40……4枚目の紙片」
と訂正する。
Amendment August 22, 1983 The brief description of the drawing is amended as follows. In the specification, on page 15, line 8, "40...2nd piece of paper" is replaced with "40...4th piece of paper."
I am corrected.

Claims (1)

【実用新案登録請求の範囲】[Scope of utility model registration request] 複数枚の紙片が一組として綴られてなり、最上
部に配置されるラベル紙片には、窓穴を開設し、
かつ、剥離可能な印刷された複数枚のバーコード
ラベル片を貼着すると共に、2枚目以降の紙片に
は、患者に関する情報が予め書き込まれた診察券
カードからの患者情報が転写装置を介して転写さ
れる患者情報欄と、この患者が受けるべき検査項
目が書き込まれる検査項目欄と、を形成し、上記
各バーコードラベル片と2枚目以降の紙片には、
予め同一の番号を印刷すると共に、上記転写装置
は、患者情報を2枚目以降の各紙片の患者情報欄
に印字するように構成したことを特徴とする検査
依頼書の構造。
Multiple pieces of paper are bound together as a set, and the label piece placed at the top has a window hole.
In addition, a plurality of removable printed barcode label pieces are pasted, and patient information from the consultation card, on which patient information is written in advance, is transferred to the second and subsequent pieces of paper via a transfer device. A patient information column to be transcribed and a test item column to write the test items that this patient should undergo are formed, and each barcode label piece and the second and subsequent pieces of paper have
A structure of an examination request form, characterized in that the same number is printed in advance, and the transfer device is configured to print patient information in the patient information column of each of the second and subsequent pieces of paper.
JP1988065178U 1988-05-19 1988-05-19 Inspection request structure Expired - Lifetime JPH0642868Y2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP1988065178U JPH0642868Y2 (en) 1988-05-19 1988-05-19 Inspection request structure

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP1988065178U JPH0642868Y2 (en) 1988-05-19 1988-05-19 Inspection request structure

Publications (2)

Publication Number Publication Date
JPH01169372U true JPH01169372U (en) 1989-11-29
JPH0642868Y2 JPH0642868Y2 (en) 1994-11-09

Family

ID=31290621

Family Applications (1)

Application Number Title Priority Date Filing Date
JP1988065178U Expired - Lifetime JPH0642868Y2 (en) 1988-05-19 1988-05-19 Inspection request structure

Country Status (1)

Country Link
JP (1) JPH0642868Y2 (en)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS56118673A (en) * 1980-02-26 1981-09-17 Olympus Optical Co Ltd Test application card for automatic analysis means
JPS6318274U (en) * 1986-07-19 1988-02-06

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS56118673A (en) * 1980-02-26 1981-09-17 Olympus Optical Co Ltd Test application card for automatic analysis means
JPS6318274U (en) * 1986-07-19 1988-02-06

Also Published As

Publication number Publication date
JPH0642868Y2 (en) 1994-11-09

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