时间：____年____月____日____时____分至____时____分。
地点：______________________________________________
合议庭成员：_______________ 书记员：______________
原告：_____________________ 委托代理人：__________
被告：_____________________ 委托代理人：__________
笔录内容：
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
