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[]
[null,"那覇市長　様",null,null,null,null,null,null,null,"請求年月日","令和　　年　　月　　日"]
[null,"市区町村番号"]
[null,4,7,2,0,1,8]
[null,null,null,null,null,null,null,null,"〒"]
[null,null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,null,"医療機関名"]
[null,null,null,null,null,null,null,null,"代表者名",null,null,"印"]
[null,null,null,null,null,null,null,null,"電話番号",null,"FAX"]
[null,null,null,null,null,null,null,null,"担当者名"]
[]
[null,"成人風しん抗体検査・予防接種　請求書（令和７年３月分）"]
[]
[null,null,"請求額",null,null,null,null,{"$f":"K27","v":0}]
[]
[null,null,null,null,null,null,null,null,"請求件数","請求金額\n（税抜）","請求金額\n（税込）",null,null,null,null,null,null,"税抜き単価","税込み単価","請求総額（税抜き）\n※システムエラーのチェック用","請求総額（税込み）"]
[null,"抗体検査",null,null,"①健診・HI法",null,null,null,0,{"$f":"I17*R17","v":0},{"$f":"I17*S17","v":0},null,null,null,"抗体検査","①健診・HI法",null,1290,1419,{"$f":"R17*#REF!","v":{"$error":"#REF!"}},{"$f":"S17*#REF!","v":{"$error":"#REF!"}}]
[null,null,null,null,"②健診・EIA法",null,null,null,0,0,0,null,null,null,null,"②健診・EIA法",null,2680,2948,{"$f":"R18*#REF!","v":{"$error":"#REF!"}},{"$f":"S18*#REF!","v":{"$error":"#REF!"}}]
[null,null,null,null,"③HI法",null,null,null,0,0,0,null,null,null,null,"③HI法",null,4930,5423,{"$f":"R19*#REF!","v":{"$error":"#REF!"}},{"$f":"S19*#REF!","v":{"$error":"#REF!"}}]
[null,null,null,null,"④EIA法",null,null,null,0,0,0,null,null,null,null,"④EIA法",null,6320,6952,{"$f":"R20*#REF!","v":{"$error":"#REF!"}},{"$f":"S20*#REF!","v":{"$error":"#REF!"}}]
[null,null,null,null,"⑤夜間休日・HI法",null,null,null,0,0,0,null,null,null,null,"⑤夜間休日・HI法",null,5430,5973,{"$f":"R21*#REF!","v":{"$error":"#REF!"}},{"$f":"S21*#REF!","v":{"$error":"#REF!"}}]
[null,null,null,null,"⑥夜間休日・EIA法",null,null,null,0,0,0,null,null,null,null,"⑥夜間休日・EIA法",null,6820,7502,{"$f":"R22*#REF!","v":{"$error":"#REF!"}},{"$f":"S22*#REF!","v":{"$error":"#REF!"}}]
[null,null,null,null,"小計",null,null,null,{"$f":"SUM(I17:I22)","v":0},{"$f":"SUM(J17:J22)","v":0},{"$f":"SUM(K17:K22)","v":0},null,null,null,null,"小計",null,null,null,{"$f":"SUM(T17:T22)","v":{"$error":"#REF!"}},{"$f":"SUM(U17:U22)","v":{"$error":"#REF!"}}]
[null,"予防接種",null,null,"通常",null,null,null,0,{"$f":"I24*R24","v":0},{"$f":"I24*S24","v":0},null,null,null,"予防接種","通常",null,10730,11803,{"$f":"R24*#REF!","v":{"$error":"#REF!"}},{"$f":"S24*#REF!","v":{"$error":"#REF!"}}]
[null,null,null,null,"予診のみ",null,null,null,0,{"$f":"I25*R25","v":0},{"$f":"I25*S25","v":0},null,null,null,null,"予診のみ",null,1000,1100,{"$f":"R25*#REF!","v":{"$error":"#REF!"}},{"$f":"S25*#REF!","v":{"$error":"#REF!"}},"  ※税込単価は、１円未満の端数は切り捨て"]
[null,null,null,null,"小計",null,null,null,{"$f":"SUM(I24:I25)","v":0},{"$f":"SUM(J24:J25)","v":0},{"$f":"SUM(K24:K25)","v":0},null,null,null,null,"小計",null,null,null,{"$f":"SUM(T24:T25)","v":{"$error":"#REF!"}},{"$f":"SUM(U24:U25)","v":{"$error":"#REF!"}}]
[null,"合計",null,null,null,null,null,null,{"$f":"I23+I26","v":0},{"$f":"J26+J23","v":0},{"$f":"K26+K23","v":0},null,null,null,"合計",null,null,null,null,{"$f":"T26+T23","v":{"$error":"#REF!"}},{"$f":"U26+U23","v":{"$error":"#REF!"}}]
[]
[null,null,null,null,null,null,null,null,null,"消費税率",{"$f":"#REF!","v":{"$error":"#REF!"}},"％"]
[null,"（金融コード）",null,null,null,null,null,null,"（支店名コード）"]
[null,"振込先",null,null,null,null,null,null,"支店名"]
[null,"預金種目",null,null,null,null,null,null,"口座番号"]
[null,"（フリガナ）"]
[null,"口座名義人"]
[]
[null,"※請求書に受診票・予診票を添えて４月10日（必着）までに下記の送付先にご提出ください。"]
[null,"≪送付先≫　　那覇市保健所　健康増進課（予防接種グループ）"]
[null,null,null,null,"〒902-0076　那覇市与儀１丁目３番２１号"]
[null,null,null,null,"TEL（098）853-7961　　　FAX（098）853-7965"]