上班时间 Start Time
时________________________ ____________
分________________________ ____________
下班时间 End Time
时________________________ ____________
分________________________ ____________
下班体温 Temperature off duty
14天内是否途径中高风险地区 Travel through medium-high risk areas within 14 days
家属身体状况 Family members health condition
家属及本人抵离沪情况 Family members and yourself arrive or departure Shanghai
未离沪 Never departure Shanghai
其他 Other
核酸检测结果 NAT result
阴性Negative
阳性Positive
其他Others