| 姓名 | 性别 | 身份证号 | 常住地址 | 上报单位 | 死因系统死亡时间 | 死因系统录入时间 | |
| 1 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 2 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 3 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 4 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 5 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 6 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 7 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 8 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 9 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 10 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
1题 | 被引用0次