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["Coordonnées ou timbre de la société responsable du dispositif sanitaire sur site : ",{"$nulls":4},"Registre patients \n",{"$nulls":8},"№ utiles"]
[{"$nulls":5},"Page N°",{"$nulls":8},"144  Urgences Santé (ambulances, SMUR)"]
[{"$nulls":5},"Manifestation :",{"$nulls":8}," 0848 133 133  Centrale tél. des médecins de garde"]
[{"$nulls":14},"117  Police"]
[{"$nulls":5},"Registre rempli par (nom/prénom, fonction) :",{"$nulls":8},"118  Feu"]
[{"$nulls":14},"021.213.76.11  Urgences Santé - administratif"]
[null,"Année de naissance \ndu patient",null,"Date et heure de prise en charge +\nProblème principal\n(max. 3 lignes par case) ",{"$nulls":9},"Personnel en charge",null,"Orientation / Heure"]
[{"$nulls":13},"Samaritain, ambulancier/infirmier, médecin, autres (indiquer nom + fonction)\n(max. 3 lignes par case)",null,"Non Transport, VTP, VTS, SMUR, REGA + \nlieu de destination \n(max. 3 lignes par case)"]
[1," ","♂","Mal.  "]
[null,null,"♀","Acc."]
[2,null,"♂","Mal."]
[null,null,"♀","Acc."]
[3,null,"♂","Mal."]
[null,null,"♀","Acc."]
[4,null,"♂","Mal."]
[null,null,"♀","Acc."]
[5,null,"♂","Mal."]
[null,null,"♀","Acc."]
[6,null,"♂","Mal."]
[null,null,"♀","Acc."]
[7,null,"♂","Mal."]
[null,null,"♀","Acc."]
[8,null,"♂","Mal."]
[null,null,"♀","Acc."]
[9,null,"♂","Mal."]
[null,null,"♀","Acc."]
[10,null,"♂","Mal."]
[null,null,"♀","Acc."]
["\nCette liste complétée ainsi que les remarques au verso doivent être renvoyées au BuSaMa dans les 15 jours suivant la tenue de la manifestation (busama@busama.ch).\nSSP/MSU/nov. 2011"]
["Remarques, problèmes rencontrés, interaction partenaire, problème de dimensionnement, … (max. 4 lignes par case)"]
{"$rows_empty":11}
["Lieu et date :",{"$nulls":12},"Nom, prénom et signature :"]
[]
["Le BuSaMa vous remercie pour votre collaboration active qui permettra d'adapter au mieux les dimensionnements sanitaires relatifs aux manifestations."]

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