\documentclass[12pt,a4paper]{article}
\usepackage[utf8]{inputenc}
\usepackage[margin=0.25in]{geometry}
\usepackage{polski}
\usepackage{xcolor}
\usepackage{tikz}
\usepackage[absolute,overlay]{textpos}
\usepackage[%texcoord,grid,gridcolor=red!10,subgridcolor=green!10,
  gridunit=pt]{eso-pic}
\usepackage{pifont}
\usepackage{graphicx}
\usepackage{enumitem}
\usepackage{ifthen}
\usepackage{setspace}
\usepackage{url}
\colorlet{mygray}{black!6}

\newcommand{\titlebf}[1]{
  \center{#1{\textbf{\sheettitle}}}
}

\newcommand\tallyfive{
  \begin{tikzpicture}
    \draw[line width=1mm,mygray] (0,0.7) -- (0,0);
    \draw[line width=1mm,mygray] (0.3,0.7) -- (0.3,0);
    \draw[line width=1mm,mygray] (0.6,0.7) -- (0.6,0);
    \draw[line width=1mm,mygray] (0.9,0.7) -- (0.9,0);
    \draw[line width=1mm,mygray] (-0.2,0.62) -- (1.1,0.08);
  \end{tikzpicture}
}

\begin{document}

\thispagestyle{empty}
\titlebf{\Huge}

\vspace{0.7cm}
\begin{minipage}[t][1.847in][t]{\textwidth}
  \begin{flushleft}
    \text
  \end{flushleft}
\end{minipage}

\begin{textblock*}{\linewidth}(0.25in,184pt)

  \noindent\makebox[\linewidth]{\rule{\paperwidth}{0.4pt}}

  \begin{enumerate}[wide, labelwidth=!, labelindent=0pt]
    \newcounter{int1}
    \ifdefined\firstitem
    \begin{spacing}{-0.13}
    \item \makebox[5.69in][l]{\LARGE \firstitem} \tallyfive\tallyfive\tallyfive
    \end{spacing}
    \stepcounter{int1}
    \fi
    \makeatletter
    \@whilenum\value{int1}<7\do{
      \stepcounter{int1}
    \item \underline{\hspace{5.69in}} \tallyfive\tallyfive\tallyfive
    }
    \makeatother
  \end{enumerate}

  \noindent\makebox[\linewidth]{\rule{\paperwidth}{0.4pt}}
  \cutnote
  \noindent\makebox[\linewidth]{\rule{\paperwidth}{0.4pt}}

\end{textblock*}

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  \center{\rule{0.4pt}{353pt}}
\end{textblock*}

\begin{textblock*}{\paperwidth}(0pt,447pt)
  \center{
    \ding{34}
    \hspace{4.5in}
    \ding{34}
  }
\end{textblock*}

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  \center{
    \ding{34}
    \hspace{4.5in}
    \ding{34}
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\end{textblock*}

\begin{textblock*}{\paperwidth}(0pt,650pt)
  \center{\hspace{1pt}\rotatebox[origin=c]{90}{\ding{34}}}
\end{textblock*}

\begin{textblock*}{3.65in}(0.25in,490pt)
  \titlebf{\Large}
  \begin{enumerate}[wide, labelwidth=!, labelindent=0pt]
    \makeatletter
    \newcounter{int2}
    \@whilenum\value{int2}<11\do{
      \stepcounter{int2}
    \item
      \underline{
        \ifthenelse {\value{int2}<10} {\hspace{2.7in}} {\hspace{2.62in}}
      }
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    }
    \makeatother
  \end{enumerate}
\end{textblock*}

\begin{textblock*}{3.65in}(4.30in,490pt)
  \titlebf{\Large}
  \begin{enumerate}[wide, labelwidth=!, labelindent=0pt]
    \makeatletter
    \newcounter{int3}
    \@whilenum\value{int3}<11\do{
      \stepcounter{int3}
    \item
      \underline{
        \ifthenelse {\value{int3}<10} {\hspace{2.7in}} {\hspace{2.62in}}
      }
      \scalebox{0.6}{\tallyfive\tallyfive}
    }
    \makeatother
  \end{enumerate}
\end{textblock*}

\pagebreak

\begin{enumerate}[wide, labelwidth=!, labelindent=0pt]
  \setcounter{enumi}{7}
  \makeatletter
  \@whilenum\value{int1}<17\do{
    \stepcounter{int1}
  \item
    \underline{
      \ifthenelse {\value{int1}<10} {\hspace{5.69in}} {\hspace{5.61in}}
  } \tallyfive\tallyfive\tallyfive
  }
  \makeatother
\end{enumerate}

\begin{flushleft}
  \begin{spacing}{-0.2}
    \printnote
  \end{spacing}

  \vspace{1cm}
  \pdfurl
\end{flushleft}

\begin{textblock*}{0pt}(503pt,374pt)
  \includegraphics{\qrfile}
\end{textblock*}

 \begin{textblock*}{\paperwidth}(0.25in,425pt)
   \begin{flushleft}
   {\small \covidnote}
   \end{flushleft}
 \end{textblock*}

\begin{textblock*}{3.65in}(0.25in,490pt)
  \begin{flushleft}
    \text

    \begin{spacing}{-0.2}
      \printnote
    \end{spacing}
    \vspace{1cm}
    \begin{minipage}{6.5cm}
      \pdfurl
    \end{minipage}
  \end{flushleft}
\end{textblock*}

\begin{textblock*}{0pt}(204pt,700pt)
  \includegraphics{\qrfile}
\end{textblock*}

\begin{textblock*}{3.65in}(0.25in,780pt)
  \begin{flushleft}
    {\small \covidnote}
  \end{flushleft}
\end{textblock*}

\begin{textblock*}{3.65in}(4.3in,490pt)
  \begin{flushleft}
    \text

    \begin{spacing}{-0.2}
      \printnote
    \end{spacing}
    \vspace{1cm}
    \begin{minipage}{6.5cm}
      \pdfurl
    \end{minipage}
  \end{flushleft}
\end{textblock*}

\begin{textblock*}{0pt}(495pt,700pt)
  \includegraphics{\qrfile}
\end{textblock*}

\begin{textblock*}{3.65in}(4.3in,780pt)
  \begin{flushleft}
    {\small \covidnote}
  \end{flushleft}
\end{textblock*}

\end{document}
