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ข้อมูลทั่วไป. วิสัยทัศน์จังหวัดกำแพงเพชร. “ ผู้นำการผลิตและแปรรูปเกษตรปลอดภัย และการท่องเที่ยวถิ่นมรดกโลก ”. Position การพัฒนา. เมืองเกษตรปลอดภัย อุตสาหกรรมแปรรูป ท่องเที่ยวถิ่นมรดกโลกและธรรมชาติ. ประเด็นยุทธศาสตร์. 1. ส่งเสริมและพัฒนาการผลิต การแปรรูป และการตลาดสินค้าเกษตร

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6985960


6985960

Position

  • 1.

  • 2.

  • 3.


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  • 2568

1.

2.

1.

2.

[GG]

[IP-OP]

3.

4.

[GG]

[PP]

3.

4.

E0 = 80

HALE = 72


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  • 11

  • 78

  • 956 /27

  • 25 (3 ./22 .)

  • 64 . /1 .

GPP 2 ( 55)

20% 52%

(20%)

11.7%

.

.

.

.

728,631 ( 1% POP ) 253,170

3

=13.73 %

8,600 .(1.7% )

60 %

22 %

18 %

.


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2556

2547

361,867 | 366,764

360,001 | 365,435

21.41% 67.10%

18.25 % 66.18%

9.93% 46.70%

13.73 % 48.32%


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(Life Expectancy)

E0 = 80 , HALE = 72


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3.85 %

14.52 %

0.41 %


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* 8 156

(410 ) 1

/

. 90 2

.. . 4

5

2

64

17

128

130

52

. 60 2

. 30 5

. 10 1

Ext.OPD 1

.. 25

.. 46

.2

.. 121


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  • 1 : 5,000

  • 3 1 : 5,717

  • 1 : 6,807

  • 1 : 5,000

  • 3 1 : 9,328

  • 1 : 11,561

  • 1 : 8,000

  • 3 1 : 13,884

  • 1 : 15,497

  • 1 : 951

  • 3 1 : 702

  • 1 : 730

99 - .8 , .20 - .. 71

. 11,957


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( FTE)

( .)


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10

E0 = 80 , HALE = 72


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,

,

,

/

25% 2568


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ICD10


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ICD10


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10 (.-..57)


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OP Visit

Operating Activity : Workload

()

NCD = 20-25%

10


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IP Visit

Operating Activity : Workload

  • 50% Admit .

  • 1/3 Refer

  • Acute Appendicitis

  • Labour Pain

  • UGIH

NCD = 20-25%

10


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MIS


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  • 123 Data Center (Monitoring Data)

  • 43 . 2557


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.. 2557

15 2557

4 : 95

:


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DHS

  • : 66.72

100 %


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PP(Service Plan)

215,661,173

Service Plan


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Service Plan

215,661,173

4 -> 25 -> 614

30 ..2557


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2557

  • 3

  • ER,EMS


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2557


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2557


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1


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12

60

ANC<12 = 68.3 %

ANC 5 = 65.0 %

  • 5 ( 38 wk 2)

  • 12 wk 1 (12 wk)

  • key

  • key


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2,500 7

LBW = 16.9 %

LBW 2557

2557

1. 60.0 %

2. 4.0 %

3.

3.1 40.4 %

3.2 (IUGR )38.2%

3.3 20 27.7 %

- ANC

-

-


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1 Hct < 33 10

Hct1 , Hct2 Hct


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  • 2 TSH

TSH 11.2 ./ 3

2556 - 2557

WHO: 3-19.9%


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6

Breast feeding = 35.0 %

6


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5

2557


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2556

25 1,000


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15

, N=8


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  • 12 wk

  • .

/

  • 18 3,537,565

  • .

  • ANC

  • LR

  • 14 628,770

  • SERVICE PLAN

  • Case conference

  • 2 187,670

  • 2 24,300


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  • 0-5

21 4,243,695


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/


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(3 ) 54

1.

2.

3.

4. 2


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(.6) 45

1.

2. 2

13 3,805,362


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6-12 15


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2554

IQ 95.2 (/ 68 )


Iq eq

IQ/EQ

.1 8 148


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/-

1. /// 1

2. (Individualized Educational Program)

3. .1 .6


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  • 13


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<20

1.

2.

3.


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-

2554-2557


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1.

2.

2557 11-20


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2553 5,302 1,259 4,043

92.09 %

4.73 %

1.56 %


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1.

2.


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TO BE NUMBER ONE

1. TO BE NUMBER ONE = 179,633 (98%)

2. TO BE NUMBER ONE = 263 ( 18%)

3. TO BE NUMBER ONE 39


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-

////// // / /

6,739,940

  • - 105

  • 56 (3,495,400 .)

  • . 45 (2,805,340 .)

  • ... 4

  • (439,00 .)

58.45 %


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(I20-I25)

2556-2557

23


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91.45%

85.97%


Dm ht

DM-HT


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32 -


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() 15

2557 DM 2,846 0.78%

2557 HT 8,200 2.24%


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///

+

  • -/DM/HT

  • -DM/HT 15

-Pre-DM/HT

-

  • -Clinic NCD

  • -

  • -


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6

(, , , , CKD, )

  • 3 . 2 . -

  • - .

  • -

Pre- DM

Pre-HT

3 . 2 .

/

Intervention

- /

( . )

- DPAC ()

- (MobileDPAC)


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- 6

70


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6

/ 50


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4 5

1.

2.

3.

4.

5.


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= 20,816,664

= 1,322,335

= 1,814,556

= 14,497,515

= 5,826,928


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30-70

30-60 2557


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(70)

1 2


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----

  • 100 %


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  • Buddha Based Learning (BBL)

Environmental

Health

Health Literacy

3. 3. 1.

.

///

+ + +


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1)

2) PRE DM HT

3) Re-admitt

4) Hb A1C

  • 7) Safe sex &Teenage pregnancy

    8) Depressive disorder

    9)

3 .

3 .

3 =234

5,000,000


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Health Social Setting

582

40

186

11

11 LTC

213

3


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Health Social Setting

Health social setting

(./..)

Clinic

......


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71

Human Approach .

/ .(/)

1. 7

2.

14

3. 50

- 35 - 5 - 10


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Clinic

Setting


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. .


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- (I60-I69)

190


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Ischemic Stroke

  • SFT (Stroke Fast Track)


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/


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4 52

1

2.

3.

13 780,771


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408


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()

2557 408 96.08


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-

1. 2,400,000.-

2. . 1,523,851

3. 45 846,958.43

4,770,809.43


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2556 = 5.11 2557 = 4.20


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49.26%


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  • (Service Plan)


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2557

6

15,595 24.13

18 0.12

571 78.63

1 0.18

2557 2556 5

2557 2556 5


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2557


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2557

280

957 (29.25%)

65

78

(83.33%)

18

27 (66.66%)


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2557

3

5

4

.7

.

.2

.

.3

.

.6

.7

.


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2557

GEN 2

9 8

.3

.

.5

.

.1 .

.4 .

.10 .

.11,.13

.

.5 .

.1 .


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Dengue Serotype, 2004-2014 (week 30)


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(.) .. - .. 2557

.. - .. 2557


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Public Health

  • War room (Web-conference) 1

  • ( Hotline , SFR online )/ ( MIS )

  • SRRT

  • Day 0-3-10 7 ( ) - HI , CI < 10 4

  • Big Cleaning Day /. (DHS)

  • ,


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Medicine

  • Monitor shock ./. Platelet

  • ./. PCR AFRIMS

  • .. 2557 : 5 2557

  • 2 .

  • Service Plan


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2550-2556 2557 (1 . 30 .57)


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(> 90%)


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(MDR TB)

2555 1 ( 1)

2556 5 ( 3 / 1/ 1)

2557 3 ( 2 / 1)


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= 90

=4

DOT


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( 90)

(DOT) .

(ARV)

5. (MDR-TB)

  • (DOT)


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2


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-


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2557 16


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A S 85


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./.

  • -

  • - 2 - .


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50

. .


Top tens pdx

3 2557

Top tens Pdx

Top tens Pdx


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  • 0.5 UGIH ,STEMI , Anemia ,Delivery , Appendic ( 5 Node ) SK , Case elective Node

  • Thai refer (2 )

  • 4. . Service plan


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(STEMI)

/ ( 70)


Stemi

(STEMI)

15%


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6.5 2556 10


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15

31

:


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(Psychosocial Clinic)

OSCC

70


Anc lr wcc 70

ANC - LR - WCC ( 70)


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70

9 755,580 , 11 1,415,763


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Mini MERT,MCATT,SRRT 80

Mini MERT

50

MCATT

18.18 ()

SRRT

100


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L.A.


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. . . +.( )


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Service Plan 2557


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Service Plan 2557


Cmi 2556 2557 57

CMI 2556-2557(.-.57)

1.2

0.8

0.6


Adjrw 2557 56 57 0 5 o800 z370 z380

AdjRW2557(56-57) (<0.5 O800 Z370 Z380 )


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.

2556

2557


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  • 10 AdjRW<0.5


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../.

45 . .. 67 132

/

1. Unit 28

2.

3.

7 2,104,522


Dm ht1

DM/HT ./..

> 50

= 55.42 %

= 56.11 %


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HbA1c


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57.3%

3.7%(413 )

Laser 154


E gfr

e-GFR

CKD Clinic


Ckd clinic f1

CKD clinic . F1

CKD Clinic .

NCD

- 100%

- 1-2,8 2557


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80


2 500 28

2,500 28

2,500 28


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DHS

  • Service Plan & Quality

  • 1. 2. . 3. -/

5 Node ,

.

25:46 /132

DHS

.

PCA 2 = 9 1 = 2

  • 3 -> 4

  • PMQA PCA HA.

  • ODOP 2.4 28

  • 1.Long term care, 2.Modified CKD Clinic

  • 3.Teenage Preg. 4.CA Liver : Liver fluke ,

  • 5. . 6.

  • DM&HT

  • 4.8 (4,865 )

  • HA 7 ( 5 )

  • 2557

  • . //

  • . , Re-opening OR

  • Referral system: 5 Labour,UGIH,

  • Apendicitiis, Anemia ,Colles' fracture

  • LAB LA 6

  • 4


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DHS

  • 100

  • 2 3

    - -

  • DHS-PCA Appreciation DHML

    -

DHS

  • 3 11

  • ODOP 28

  • 2,488,920


2 4 2557

7

2= 4 2557

.

.

.

.

.

.

.


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3


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(FTE / Population based Service based)

.

CHRO

Service Plan

Service Plan 3

( (Emergency Nurse Practitioner) )


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. 96.22 909 58 851 . 1 . 850 ( 99.88) 499 . 449 ( 89.98)


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  • (CFO)

  • -

  • FAI HGR


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7 3-57


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.


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/ 2557

3.4

80%


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MOC Per Productivity+Gov.Sp

(HGR)


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3 2557


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3 2557


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: 10

/

()

/ 56 10,995,486 3.66 %

16 587,517 0.74 % 34

. 2556 1.67

9.06


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2556/2557 ( 9 )

. 5.74 / . 9.06


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2556/2557 ( 9 )

10.84 / . 4.76


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2556/2557 ( 9 )

3.68


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: ED:NED -> .80:20 . 90:10

( ED )

. 80 / . 90


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: ED:NED -> .80:20 . 90:10

ED: . 85/ . 90


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Opd visit

:OPD VISIT


Opd visit1

: OPD VISIT


Opd visit2

: OPD VISIT


Opd visit3

: OPD VISIT


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/

20


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1.

2.

3.

4. 2556 2557

5. 2557


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- 1


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4


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= 5

1

2

3

4

5

  • -

  • - .

  • 2

  • 1.

  • 2.

  • 20 ( = 2,939,125 )

  • - 428 576 (74.31 %)

  • /


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2557


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5

  • 1.

  • 2.

3.

  • 4.

  • Primary GMP. 49 62 = 79.03 %

  • 1 () 100 %

  • CFGT 80.28 %

  • . 1

14 2,330,145

  • 715 ./ 704 .= 98.46 %

  • 2 104 = 90.43 %

  • 91.67 %

  • 5.


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2557


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60


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