QUESTIONNAIRE STAMP

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United States of America Patent

SERIAL NO

15611758

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ATTORNEY / AGENT: (SPONSORED)

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Abstract

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A questionnaire stamp is disclosed which has: a question item indicating section that indicates at least one question item concerning a predetermined symptom that a patient may have; a check result entry section in which a check result as to whether the question item is applicable to the patient can be recorded; and an applicable item counting section in which the total number of applicable question items is entered, wherein the questionnaire stamp is affixed to a given location of the patient's medical record or an auxiliary record form of the medical record.

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Patent Owner(s)

Patent OwnerAddress
INSTITUTE OF NEUROPSYCHIATRY91 BENTEN-CHO SHINJUKU-KU TOKYO 151-0053

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
INOUE, Yuichi Tokyo, JP 218 2380
NARAHARA-ENO, Yukiko Tokyo, JP 1 0
TSUIKI, Satoru Tokyo, JP 2 17

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