%PDF-1.6
%
1 0 obj
<>/OCGs[6 0 R 28 0 R 49 0 R 70 0 R 91 0 R]>>/Pages 3 0 R/Type/Catalog>>
endobj
2 0 obj
<>stream
2020-12-18T12:15:37+09:00
Adobe Illustrator 24.2 (Windows)
2021-04-26T12:48:17+09:00
2021-04-26T12:48:17+09:00
208
256
JPEG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Adobe PDF library 15.00
application/pdf
医師同意書
1
False
False
209.902778
297.038889
Millimeters
KozGoPr6N-Regular
小塚ゴシック Pr6N
R
Open Type
Version 6.014;PS 6.005;hotconv 1.0.67;makeotf.lib2.5.33168
False
KozGoPr6N-Regular.otf
Black
初期設定のスウォッチグループ
0
xmp.did:3c8bec7a-769c-a242-a690-ea5813126ad8
uuid:78544504-6753-4b70-b4be-083fd1d05e7a
xmp.did:5595f5f1-65fc-4241-92da-ac14132cedea
proof:pdf
uuid:1d63d350-3dc8-47e5-8e73-9f757511aefe
xmp.did:5595f5f1-65fc-4241-92da-ac14132cedea
xmp.did:5595f5f1-65fc-4241-92da-ac14132cedea
proof:pdf
saved
xmp.iid:5595f5f1-65fc-4241-92da-ac14132cedea
2020-12-17T18:42:42+09:00
Adobe Illustrator 24.2 (Windows)
/
saved
xmp.iid:3c8bec7a-769c-a242-a690-ea5813126ad8
2020-12-18T12:15:37+09:00
Adobe Illustrator 24.2 (Windows)
/
Adobe Illustrator
endstream
endobj
3 0 obj
<>
endobj
8 0 obj
<>/Resources<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Thumb 96 0 R/TrimBox[0.0 0.0 595.0 842.0]/Type/Page>>
endobj
93 0 obj
<>stream
HUۊ9}[,ۂPK`aHBɲW6|4TJ:H/s_u1SL`ϙ_Ǐχ0?5x_.' d.iX-
`9 J\~ pz { pq'zW9Dܳ{nh"%`w|3Ao\տ]Ű eNi&pa<ݹOmhg߂=aU99RWj8u܉a8}s=O|JHzFUB{s|jI,JaVfLNB uQPs.LJE5H,lN۷揾h`HN
)T4%w,vO_RTM{rKhG+j"Mz g[ .GR}|[BgeT~/svbdH!s[v0%e LK>neG#:q2vu@3XnRPvքkfMp]Gf?QAV}