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{"sheet":"このシートに入力","index":0,"n_rows":24,"n_cols":5,"rows_kept":24,"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","○○○○"]
[null,null,"医療機関名","○○○○"]
[null,null,"請求年月","2025年3月分"]
[null,null,"請求年月日","令和７年３月３１日"]
[null,null,"医院所在地","○○○○"]
[null,null,"代表者氏名","○○○○"]
[null,null,"電話番号","○○○○"]
[]
[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,"出雲市長　様",null,null,null,null,null,null,null,"請求年月日",{"$f":"このシートに入力!D7","v":"令和７年３月３１日"}]
[null,"市区町村番号"]
[]
[null,3,2,2,0,3,2]
[null,null,null,null,null,null,null,null,{"$f":"このシートに入力!D8","v":"○○○○"}]
[null,null,null,null,null,null,null,null,"代表者氏名",{"$f":"このシートに入力!D9","v":"○○○○"}]
[null,null,null,null,null,null,null,null,"電話番号",{"$f":"このシートに入力!D10","v":"○○○○"}]
[]
[null,"風しん対策　市区町村別請求書"]
[]
[null,"医療機関・健診機関番号",null,null,null,null,null,null,{"$f":"このシートに入力!D4","v":"○○○○"}]
[null,"医療機関・健診機関名称",null,null,null,null,null,null,{"$f":"このシートに入力!D5","v":"○○○○"}]
[null,"請求年月",null,null,null,null,null,null,{"$f":"このシートに入力!D6","v":"2025年3月分"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【計算スペース】※こちらに件数を記入すると請求書が埋まっていきます"]
[null,null,null,null,null,null,null,null,"請求件数","請求金額\n（税抜）","請求金額\n（税込）",null,null,null,null,null,null,"請求件数","税抜き単価","税込み単価","請求総額（税抜き）\n※システムエラーのチェック用","請求総額（税込み）"]
[null,"抗体検査",null,null,"①健診・HI法",null,null,null,{"$f":"R18","v":0},{"$f":"U18","v":0},0,null,null,null,"抗体検査","①健診・HI法",null,null,{"$f":"このシートに入力!D19","v":1290},{"$f":"ROUNDDOWN(S18*(1+(このシートに入力!$D$12)/100),0)","v":1419},{"$f":"S18*R18","v":0},{"$f":"T18*R18","v":0}]
[null,null,null,null,"②健診・EIA法",null,null,null,0,0,0,null,null,null,null,"②健診・EIA法",null,null,{"$f":"このシートに入力!D20","v":2680},{"$f":"ROUNDDOWN(S19*(1+(このシートに入力!$D$12)/100),0)","v":2948},0,{"$f":"T19*R19","v":0}]
[null,null,null,null,"③HI法",null,null,null,0,0,0,null,null,null,null,"③HI法",null,null,{"$f":"このシートに入力!D21","v":4930},{"$f":"ROUNDDOWN(S20*(1+(このシートに入力!$D$12)/100),0)","v":5423},0,0]
[null,null,null,null,"④EIA法",null,null,null,0,0,0,null,null,null,null,"④EIA法",null,null,{"$f":"このシートに入力!D22","v":6320},{"$f":"ROUNDDOWN(S21*(1+(このシートに入力!$D$12)/100),0)","v":6952},0,0]
[null,null,null,null,"⑤夜間休日・HI法",null,null,null,0,0,0,null,null,null,null,"⑤夜間休日・HI法",null,null,{"$f":"このシートに入力!D23","v":5430},{"$f":"ROUNDDOWN(S22*(1+(このシートに入力!$D$12)/100),0)","v":5973},0,0]
[null,null,null,null,"⑥夜間休日・EIA法",null,null,null,0,0,0,null,null,null,null,"⑥夜間休日・EIA法",null,null,{"$f":"このシートに入力!D24","v":6820},{"$f":"ROUNDDOWN(S23*(1+(このシートに入力!$D$12)/100),0)","v":7502},0,0]
[null,null,null,null,"小計",null,null,null,0,0,0,null,null,null,null,"小計",null,{"$f":"SUM(R18:R23)","v":0},null,null,{"$f":"SUM(U18:U23)","v":0},{"$f":"SUM(V18:V23)","v":0}]
[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,null,{"$f":"ROUNDDOWN(S25*(1+(このシートに入力!$D$12)/100),0)","v":0},{"$f":"S25*R25","v":0},{"$f":"T25*R25","v":0},"←予防接種関係の価格は市区町村で決定いたします。クーポンの下５桁に記載の金額を記載ください。"]
[null,null,null,null,"予診のみ",null,null,null,0,0,0,null,null,null,null,"予診のみ",null,null,null,{"$f":"ROUNDDOWN(S26*(1+(このシートに入力!$D$12)/100),0)","v":0},{"$f":"S26*R26","v":0},{"$f":"T26*R26","v":0},"  ※税込単価は、１円未満の端数は切り捨て"]
[null,null,null,null,"小計",null,null,null,0,{"$f":"SUM(J25:J26)","v":0},{"$f":"SUM(K25:K26)","v":0},null,null,null,null,"小計",null,{"$f":"SUM(R25:R26)","v":0},null,null,{"$f":"SUM(U25:U26)","v":0},{"$f":"SUM(V25:V26)","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,"合計",null,null,null,null,null,null,0,{"$f":"J27+J24","v":0},{"$f":"K27+K24","v":0},null,null,null,"合計",null,null,{"$f":"R27+R24","v":0},null,null,{"$f":"U27+U24","v":0},{"$f":"V27+V24","v":0}]
[]
[null,null,null,null,null,null,null,null,null,"消費税率",{"$f":"このシートに入力!D12","v":"10"},"％"]
[null,"※予診のみの費用を市区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。"]

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[]
[null,"出雲市長　様",null,null,null,null,null,null,null,"請求年月日",{"$f":"このシートに入力!D7","v":"令和７年３月３１日"}]
[null,"市区町村番号"]
[]
[null,3,2,2,0,3,2]
[null,null,null,null,null,null,null,null,"住所",{"$f":"このシートに入力!D8","v":"○○○○"}]
[null,null,null,null,null,null,null,null,"医療機関名",{"$f":"このシートに入力!D5","v":"○○○○"}]
[null,null,null,null,null,null,null,null,"代表者氏名",{"$f":"このシートに入力!D9","v":"○○○○"}]
[null,null,null,null,null,null,null,null,"電話番号",{"$f":"このシートに入力!D10","v":"○○○○"}]
[]
[null,"風しんの追加的対策（抗体検査・予防接種）　委託料請求書"]
[]
[null,"医療機関・健診機関番号",null,null,null,null,null,null,{"$f":"このシートに入力!D4","v":"○○○○"}]
[null,"医療機関・健診機関名称",null,null,null,null,null,null,{"$f":"このシートに入力!D5","v":"○○○○"}]
[null,"請求年月",null,null,null,null,null,null,{"$f":"このシートに入力!D6","v":"2025年3月分"}]
[]
[null,null,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,"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,"抗体検査",null,null,"①健診・HI法",null,null,null,{"$f":"R19","v":0},{"$f":"U19","v":0},0,null,null,null,"抗体検査","①健診・HI法",null,null,{"$f":"このシートに入力!D19","v":1290},{"$f":"ROUNDDOWN(S19*(1+(このシートに入力!$D$12)/100),0)","v":1419},{"$f":"S19*R19","v":0},{"$f":"T19*R19","v":0}]
[null,null,null,null,"②健診・EIA法",null,null,null,0,0,0,null,null,null,null,"②健診・EIA法",null,null,{"$f":"このシートに入力!D20","v":2680},{"$f":"ROUNDDOWN(S20*(1+(このシートに入力!$D$12)/100),0)","v":2948},0,{"$f":"T20*R20","v":0}]
[null,null,null,null,"③HI法",null,null,null,0,0,0,null,null,null,null,"③HI法",null,null,{"$f":"このシートに入力!D21","v":4930},{"$f":"ROUNDDOWN(S21*(1+(このシートに入力!$D$12)/100),0)","v":5423},0,0]
[null,null,null,null,"④EIA法",null,null,null,0,0,0,null,null,null,null,"④EIA法",null,null,{"$f":"このシートに入力!D22","v":6320},{"$f":"ROUNDDOWN(S22*(1+(このシートに入力!$D$12)/100),0)","v":6952},0,0]
[null,null,null,null,"⑤夜間休日・HI法",null,null,null,0,0,0,null,null,null,null,"⑤夜間休日・HI法",null,null,{"$f":"このシートに入力!D23","v":5430},{"$f":"ROUNDDOWN(S23*(1+(このシートに入力!$D$12)/100),0)","v":5973},0,0]
[null,null,null,null,"⑥夜間休日・EIA法",null,null,null,0,0,0,null,null,null,null,"⑥夜間休日・EIA法",null,null,{"$f":"このシートに入力!D24","v":6820},{"$f":"ROUNDDOWN(S24*(1+(このシートに入力!$D$12)/100),0)","v":7502},0,0]
[null,null,null,null,"小計",null,null,null,0,0,0,null,null,null,null,"小計",null,{"$f":"SUM(R19:R24)","v":0},null,null,{"$f":"SUM(U19:U24)","v":0},{"$f":"SUM(V19:V24)","v":0}]
[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,10403,{"$f":"ROUNDDOWN(S26*(1+(このシートに入力!$D$12)/100),0)","v":11443},{"$f":"S26*R26","v":0},{"$f":"T26*R26","v":0},"←予防接種関係の価格は市区町村で決定いたします。クーポンの下５桁に記載の金額を記載ください。"]
[null,null,null,null,"予診のみ",null,null,null,0,0,0,null,null,null,null,"予診のみ",null,null,1852,{"$f":"ROUNDDOWN(S27*(1+(このシートに入力!$D$12)/100),0)","v":2037},{"$f":"S27*R27","v":0},{"$f":"T27*R27","v":0},"  ※税込単価は、１円未満の端数は切り捨て"]
[null,null,null,null,"小計",null,null,null,0,{"$f":"SUM(J26:J27)","v":0},{"$f":"SUM(K26:K27)","v":0},null,null,null,null,"小計",null,{"$f":"SUM(R26:R27)","v":0},null,null,{"$f":"SUM(U26:U27)","v":0},{"$f":"SUM(V26:V27)","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,"合計",null,null,null,null,null,null,0,{"$f":"J28+J25","v":0},{"$f":"K28+K25","v":0},null,null,null,"合計",null,null,{"$f":"R28+R25","v":0},null,null,{"$f":"U28+U25","v":0},{"$f":"V28+V25","v":0}]
[]
[null,null,null,null,null,null,null,null,null,"消費税率",{"$f":"このシートに入力!D12","v":"10"},"％"]
[null,"※予診のみの費用を市区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。"]