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{"sheet":"共通部分マスター","index":0,"n_rows":32,"n_cols":5,"rows_kept":32,"cut":false,"hidden":false,"merged":[[1,2,1,3]]}
[]
[null,null,"医療機関入力欄"]
[null,null,"施設等区分","1:医療機関"]
[null,null,"医療機関等コード",1234567890]
[null,null,"医療機関名","厚労病院○○○○○○○○○○○○"]
[null,null,"請求年月","2025年3月分"]
[null,null,"請求年月日","令和○年○月○日"]
[null,null,"医院所在地","○○県○○市○○町○丁目○番○号"]
[null,null,"代表者氏名","労働次郎"]
[null,null,"電話番号","○○○ー○○○ー○○○○"]
[null,null,"金融コード","1234"]
[null,null,"振込先","○○銀行"]
[null,null,"支店名コード","123"]
[null,null,"支店名","○○支店"]
[null,null,"預金種目","１：普通　２：当座"]
[null,null,"口座番号","1234567"]
[null,null,"フリガナ","コウセイビョウイン○○○○"]
[null,null,"口座名義人","厚労病院○○○○○○○○○○○○"]
[]
[null,null,"消費税率","10","←消費税率改正時に修正"]
[]
[null,null,"【入力時の注意事項】"]
[null,null,"・医療機関コードは、半角10桁の番号で入力してください。"]
[null,null,"・医療機関名及び医師名は、１行あたり全角16文字以内におさめてください。"]
[null,null,"・市町村別の各請求書の欄外にて計算いただくと総括表まで仕上がる仕様です。"]
[]
[null,null,"①健診・HI法",1290]
[null,null,"②健診・EIA法",2680]
[null,null,"③HI法",4930]
[null,null,"④EIA法",6320]
[null,null,"⑤夜間休日・HI法",5430]
[null,null,"⑥夜間休日・EIA法",6820]

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[null,null,null,null,null,null,null,"風しん対策　市区町村別請求書"]
[]
[null,"（宛先） 安曇野市長",null,null,null,null,null,null,null,null,"請求年月日","　　 年　 月　 日"]
[null," 市区町村番号  202207"]
[]
[null,null,null,null,null,null,null,null,null,"住　所"]
[null,null,null,null,null,null,null,null,null,"医療機関名称"]
[null,null,null,null,null,null,null,null,null,"代表者氏名",null,null,"印 "]
[null,null,null,null,null,null,null,null,null,"電話番号"]
[]
[]
[null,null,null,null,null,null,null,null,"請求金額","　　　　　　　円"]
[null,null,null,null,null,null,null,null,"請求年月","　　2025年　3月分"]
[]
[]
[null,null,"風しんの追加的対策に係る費用の支払については、次の名義の預金口座に\n口座振替されるよう依頼します。"]
[null,null,"（金融コード）",null,null,null,null,null,null,"（支店名コード）"]
[null,null,"振込先",null,null,null,null,null,null,"支店名"]
[null,null,"預金種目",null,null,"１：普通　２：当座",null,null,null,"口座番号"]
[null,null,"（フリガナ）"]
[null,null,"口座名義人",null,null,null,null,null,null,null,null,null,null,null,null,"【計算スペース】※こちらに件数を記入すると請求書が埋まっていきます"]
[]
[null,null,null,null,null,null,null,null,null,"請求件数","請求金額\n（税抜）","請求金額\n（税込）",null,null,null,null,null,null,"請求件数","税抜き単価","税込み単価","請求総額（税抜き）\n※システムエラーのチェック用","請求総額（税込み）"]
[null,null,"抗体検査",null,null,"①健診・HI法",null,null,null,{"$f":"S24","v":0},{"$f":"V24","v":0},0,null,null,null,"抗体検査","①健診・HI法",null,null,{"$f":"共通部分マスター!D27","v":1290},{"$f":"ROUNDDOWN(T24*(1+(共通部分マスター!$D$20)/100),0)","v":1419},{"$f":"T24*S24","v":0},{"$f":"U24*S24","v":0}]
[null,null,null,null,null,"②健診・EIA法",null,null,null,0,0,0,null,null,null,null,"②健診・EIA法",null,null,{"$f":"共通部分マスター!D28","v":2680},{"$f":"ROUNDDOWN(T25*(1+(共通部分マスター!$D$20)/100),0)","v":2948},0,{"$f":"U25*S25","v":0}]
[null,null,null,null,null,"③HI法",null,null,null,0,0,0,null,null,null,null,"③HI法",null,null,{"$f":"共通部分マスター!D29","v":4930},{"$f":"ROUNDDOWN(T26*(1+(共通部分マスター!$D$20)/100),0)","v":5423},0,0]
[null,null,null,null,null,"④EIA法",null,null,null,0,0,0,null,null,null,null,"④EIA法",null,null,{"$f":"共通部分マスター!D30","v":6320},{"$f":"ROUNDDOWN(T27*(1+(共通部分マスター!$D$20)/100),0)","v":6952},0,0]
[null,null,null,null,null,"⑤夜間休日・HI法",null,null,null,0,0,0,null,null,null,null,"⑤夜間休日・HI法",null,null,{"$f":"共通部分マスター!D31","v":5430},{"$f":"ROUNDDOWN(T28*(1+(共通部分マスター!$D$20)/100),0)","v":5973},0,0]
[null,null,null,null,null,"⑥夜間休日・EIA法",null,null,null,0,0,0,null,null,null,null,"⑥夜間休日・EIA法",null,null,{"$f":"共通部分マスター!D32","v":6820},{"$f":"ROUNDDOWN(T29*(1+(共通部分マスター!$D$20)/100),0)","v":7502},0,0]
[null,null,null,null,null,"小計",null,null,null,0,0,0,null,null,null,null,"小計",null,{"$f":"SUM(S24:S29)","v":0},null,null,{"$f":"SUM(V24:V29)","v":0},{"$f":"SUM(W24:W29)","v":0}]
[null,null,"予防接種",null,null,"通常",null,null,null,0,0,0,null,null,null,"予防接種","通常",null,null,10000,{"$f":"ROUNDDOWN(T31*(1+(共通部分マスター!$D$20)/100),0)","v":11000},{"$f":"T31*S31","v":0},{"$f":"U31*S31","v":0},"←予防接種関係の価格は市区町村で決定いたします。クーポンの下５桁に記載の金額を記載ください。"]
[null,null,null,null,null,"予診のみ",null,null,null,0,0,0,null,null,null,null,"予診のみ",null,null,3620,{"$f":"ROUNDDOWN(T32*(1+(共通部分マスター!$D$20)/100),0)","v":3982},{"$f":"T32*S32","v":0},{"$f":"U32*S32","v":0},"  ※税込単価は、１円未満の端数は切り捨て"]
[null,null,null,null,null,"小計",null,null,null,0,{"$f":"SUM(K31:K32)","v":0},{"$f":"SUM(L31:L32)","v":0},null,null,null,null,"小計",null,{"$f":"SUM(S31:S32)","v":0},null,null,{"$f":"SUM(V31:V32)","v":0},{"$f":"SUM(W31:W32)","v":0},"　※予診のみの費用を市町村が設定していない場合（０円の場合）は、本請求書に計上しないこと。その場合、予診票の原本を国民健康保険団体連合会に送付しないこと。"]
[null,null,"合計",null,null,null,null,null,null,0,{"$f":"K33+K30","v":0},{"$f":"L33+L30","v":0},null,null,null,"合計",null,null,{"$f":"S33+S30","v":0},null,null,{"$f":"V33+V30","v":0},{"$f":"W33+W30","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,"消費税率",{"$f":"共通部分マスター!D20","v":"10"},"％"]

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[null,null,null,null,null,null,null,"風しん対策　市区町村別請求書"]
[]
[null,"（宛先） 安曇野市長",null,null,null,null,null,null,null,null,"請求年月日",null,"　令和７ 年 ４月 ２日"]
[null," 市区町村番号  202207"]
[]
[null,null,null,null,null,null,null,null,null,"　住　所","　安曇野市豊科6000番地"]
[null,null,null,null,null,null,null,null,null,"　医療機関名称　いろは内科クリニック"]
[null,null,null,null,null,null,null,null,null,"　代表者氏名","　 安曇野　太郎",null,"印 "]
[null,null,null,null,null,null,null,null,null,"　電話番号","　〇〇〇-〇〇〇-〇〇〇〇"]
[]
[]
[null,null,null,null,null,null,null,null,"請求金額","１６，８９６　　円"]
[null,null,null,null,null,null,null,null,"請求年月","　　２０２５年３月分"]
[]
[]
[null,null,"風しんの追加的対策に係る費用の支払については、次の名義の預金口座に\n口座振替されるよう依頼します。"]
[null,null,"（金融コード）",null,null,"１２３４",null,null,null,"（支店名コード）","１２３"]
[null,null,"振込先",null,null,"〇〇銀行",null,null,null,"支店名","〇〇支店"]
[null,null,"預金種目",null,null,{"$f":"共通部分マスター!D15","v":"１：普通　２：当座"},null,null,null,"口座番号","１２３４５６７"]
[null,null,"（フリガナ）",null,null,"イロハナイカクリニック　ダイヒョウ　アヅミノタロウ"]
[null,null,"口座名義人",null,null,"いろは内科クリニック　代表　安曇野太郎"]
[]
[null,null,null,null,null,null,null,null,null,"請求件数","請求金額\n（税抜）","請求金額\n（税込）"]
[null,null,"抗体検査",null,null,"①健診・HI法"]
[null,null,null,null,null,"②健診・EIA法",null,null,null,2,5360,5896]
[null,null,null,null,null,"③HI法"]
[null,null,null,null,null,"④EIA法"]
[null,null,null,null,null,"⑤夜間休日・HI法"]
[null,null,null,null,null,"⑥夜間休日・EIA法"]
[null,null,null,null,null,"小計",null,null,null,2,5360,5896]
[null,null,"予防接種",null,null,"通常",null,null,null,1,10000,11000]
[null,null,null,null,null,"予診のみ"]
[null,null,null,null,null,"小計",null,null,null,1,10000,11000]
[null,null,"合計",null,null,null,null,null,null,3,15360,16896]
[]
[null,null,null,null,null,null,null,null,null,null,"消費税率",{"$f":"共通部分マスター!D20","v":"10"},"％"]