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["基本医疗保险参保信息变更登记表"]
["单位名称（盖章）：\t                                                           单位编号：                                       \t"]
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["序号","身份证件号码","姓名","变更项目","变更前","变更后","签字","备注"]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
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[10]
["备注：灵活就业人员、居民医保参保人员无需单位盖章和填写单位信息。"]
[]
["单位经办人：                    移动电话：                      填报日期：        年    月    日"]