JPH0241974U - - Google Patents

Info

Publication number
JPH0241974U
JPH0241974U JP11890088U JP11890088U JPH0241974U JP H0241974 U JPH0241974 U JP H0241974U JP 11890088 U JP11890088 U JP 11890088U JP 11890088 U JP11890088 U JP 11890088U JP H0241974 U JPH0241974 U JP H0241974U
Authority
JP
Japan
Prior art keywords
inspection
request form
items
field
paper
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
JP11890088U
Other languages
English (en)
Other versions
JPH0642870Y2 (ja
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 JP1988118900U priority Critical patent/JPH0642870Y2/ja
Publication of JPH0241974U publication Critical patent/JPH0241974U/ja
Application granted granted Critical
Publication of JPH0642870Y2 publication Critical patent/JPH0642870Y2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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  • Character Input (AREA)
  • Credit Cards Or The Like (AREA)

Description

【図面の簡単な説明】
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図はラベル紙片の横成を示す平
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
はチエツクマーク欄の構成を拡大して示す説明図
、第6図は診察券カードの表面図、第7図は転写
装置の一例を示す斜視図である。 〔符号の説明〕、20……2枚目の紙片、30
……3枚目の紙片、40……4枚目の紙片、23
……検査項目欄、23A,33A,43A……O
CR読取り用追加項目欄。

Claims (1)

    【実用新案登録請求の範囲】
  1. OMRで読取り可能なチエツクマーク欄を有す
    る検査項目欄が形成されてなる検査依頼書におい
    て、上記検査依頼書の一部には、予め印刷された
    上記検査項目以外の追加項目を記入するOCR読
    取り用項目追加欄が形成されていることを特徴と
    する検査依頼書。
JP1988118900U 1988-09-12 1988-09-12 検査依頼書 Expired - Lifetime JPH0642870Y2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP1988118900U JPH0642870Y2 (ja) 1988-09-12 1988-09-12 検査依頼書

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP1988118900U JPH0642870Y2 (ja) 1988-09-12 1988-09-12 検査依頼書

Publications (2)

Publication Number Publication Date
JPH0241974U true JPH0241974U (ja) 1990-03-22
JPH0642870Y2 JPH0642870Y2 (ja) 1994-11-09

Family

ID=31363657

Family Applications (1)

Application Number Title Priority Date Filing Date
JP1988118900U Expired - Lifetime JPH0642870Y2 (ja) 1988-09-12 1988-09-12 検査依頼書

Country Status (1)

Country Link
JP (1) JPH0642870Y2 (ja)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2023098790A (ja) * 2021-12-29 2023-07-11 賢治 藤井 検体検査依頼の支援システム

Citations (4)

* 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
JPS579563U (ja) * 1980-06-16 1982-01-19
JPS5812072A (ja) * 1981-07-13 1983-01-24 Fujitsu General Ltd 多種デ−タ形式の読取装置
JPS5968260U (ja) * 1982-10-28 1984-05-09 社団法人松山市医師会 臨床検査指示票

Patent Citations (4)

* 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
JPS579563U (ja) * 1980-06-16 1982-01-19
JPS5812072A (ja) * 1981-07-13 1983-01-24 Fujitsu General Ltd 多種デ−タ形式の読取装置
JPS5968260U (ja) * 1982-10-28 1984-05-09 社団法人松山市医師会 臨床検査指示票

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2023098790A (ja) * 2021-12-29 2023-07-11 賢治 藤井 検体検査依頼の支援システム

Also Published As

Publication number Publication date
JPH0642870Y2 (ja) 1994-11-09

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