时间:2009-03-15 03:54:09 作者:本站 文章分类:医疗案件法律文书
证 据 保 全 申 请 书
申请人:姓名,性别,年龄,民族,籍贯,职业或职务,单位或住址。
申请事项:请求人民法院依法对___________________________(证据名称)采取保全措施.
事 实 和 理 由
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证据线索和存放地址
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此致
_________人民法院
申请人:___________
(签名或盖章)
_____年____月____日
