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  • Don Xin Cap Lai The BHYT

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    tanminh_vt88
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    Don Xin Cap Lai the BHYT

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    Download as DOC, PDF, TXT or read online from Scribd
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    385 views1 page

    Don Xin Cap Lai The BHYT

    Uploaded by

    tanminh_vt88

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Mu 02/th

    CNG HO X HI CH NGHA VIT NAM


    c lp - T do - hnh phc
    ., ngy
    thng

    nm

    N NGH
    CP LI TH BO HIM Y T
    Knh gi: - Bo him x hi tnh Hng yn
    - ng knh gi:
    Tn ti l: Gii tnh:..Nm sinh:
    a ch x, th trn:..huyn..tnh Hng yn
    Th BHYT s:
    Thi gia s dng t ngy..n ngy..
    L do cp li th BHYT:

    .
    ngh c quan BHYT cp li th BHYT cho ti c thun tin khi i khm cha bnh theo ch
    bo him y t.

    XC NHN CA N V

    Ngy..thngnm .
    Ngi ngh
    (k, ghi r h tn)

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