SS3
SD17
SW832
SL1440,30,C
SM0,21

BD14,18,818,21,O
BD14,18,17,1412,O
BD815,18,818,1412,O
BD818,1409,17,1412,O
BD14,80,814,82,O
BD15,111,815,113,O
T41,84,b,1,1,0,0,N,B,'환자등록번호'
BD15,142,815,144,O
BD15,175,815,177,O
BD14,209,814,211,O
BD14,240,814,242,O
BD207,82,209,1138,O
BD385,82,387,1138,O
BD587,80,589,208,O
BD475,145,477,209,O
T242,85,b,1,1,0,0,N,B,'환자성명'
T433,85,b,1,1,0,0,N,B,'진료기간'
T605,85,b,1,1,0,0,N,B,'야간(공휴일)진료'
T102,25,b,1,2,0,0,N,B,'ㅁ외래 ㅁ입원(ㅁ퇴원ㅁ중간) 진료비 계산서.영수증'
T57,149,b,1,1,0,0,N,B,'진료과목'
T222,154,a,1,1,0,0,N,B,'질병군(DRG)번호'
T402,149,b,1,1,0,0,N,B,'병실'
T485,149,b,1,1,0,0,N,B,'환자구분'
T602,154,a,1,1,0,0,N,B,'영수증번호(연월-일련번호)'
BD47,242,49,978,O
BD527,209,529,1137,O
BD670,242,672,498,O
T48,214,b,1,1,0,0,N,B,'항     목'
T209,214,b,1,1,0,0,N,B,'요양급여(1+2)'
T394,214,b,1,1,0,0,N,B,'비급여(3)'
T603,214,b,1,1,0,0,N,B,'금액산정내역'
T20,285,b,1,1,0,0,N,B,'필'
T20,371,b,1,1,0,0,N,B,'수'
T20,466,b,1,1,0,0,N,B,'항'
T20,562,b,1,1,0,0,N,B,'목'
BD46,271,526,273,O
BD46,305,814,307,O
BD46,335,526,337,O
BD47,369,815,371,O
BD46,400,526,402,O
BD47,431,815,433,O
BD46,465,526,467,O
BD46,495,814,497,O
BD46,560,526,562,O
BD46,591,526,593,O
BD16,625,528,627,O
T75,245,b,1,1,0,0,N,B,'진 찰 료'
T75,275,b,1,1,0,0,N,B,'입 원 료'
T75,309,b,1,1,0,0,N,B,'식   대'
T58,340,b,1,1,0,0,N,B,'투약및조제료'
T60,371,b,1,1,0,0,N,B,'주  사  료'
T60,405,b,1,1,0,0,N,B,'마  취  료'
T60,435,b,1,1,0,0,N,B,'처치및수술료'
T60,502,b,1,1,0,0,N,B,'영상진단 및'
T58,530,b,1,1,0,0,N,B,'방사선치료료'
T60,469,b,1,1,0,0,N,B,'검  사  료'
T66,562,b,1,1,0,0,N,B,'치료재료대'
T57,598,b,1,1,0,0,N,B,'전액본인부담'
T546,251,a,1,1,0,0,N,B,'진료비총액(4)'
T566,278,a,1,1,0,0,N,B,'(1+2+3)'
T538,318,a,1,1,0,0,N,B,'환자부담총액(5)'
T575,342,a,1,1,0,0,N,B,'(1+3)'
T529,394,a,1,1,0,0,N,B,'이미납부한금액(6)'
T551,446,a,1,1,0,0,N,B,'수납금액(7)'
T575,469,a,1,1,0,0,N,B,'(5+6)'
BD46,655,526,657,O
BD46,689,526,691,O
BD47,720,527,722,O
BD46,751,526,753,O
BD46,784,526,786,O
BD46,815,526,817,O
BD46,849,526,851,O
BD46,880,526,882,O
BD46,911,526,913,O
BD49,945,529,947,O
BD16,975,528,977,O
T64,634,a,1,1,0,0,N,B,'재활및물리치료료'
T65,662,b,1,1,0,0,N,B,'정신요법료'
T67,694,b,1,1,0,0,N,B,'CT진단료'
T65,725,b,1,1,0,0,N,B,'MRI진단료'
T58,755,b,1,1,0,0,N,B,'초음파진단료'
T58,789,b,1,1,0,0,N,B,'보철.교정료'
T60,822,b,1,1,0,0,N,B,'수  혈  료'
T68,854,b,1,1,0,0,N,B,'선택진료료'
T20,665,b,1,1,0,0,N,B,'선'
T20,734,b,1,1,0,0,N,B,'택'
T20,809,b,1,1,0,0,N,B,'항'
T20,885,b,1,1,0,0,N,B,'목'
BD18,1009,530,1011,O
BD15,1040,527,1042,O
BD16,1071,816,1073,O
BD15,1105,815,1107,O
BD17,1135,817,1137,O
T93,982,b,1,1,0,0,N,B,'계'
T27,1014,b,1,1,0,0,N,B,'본인부담금(1)'
T18,1046,b,1,1,0,0,N,B,'보험자부담금(2)'
T26,1078,b,1,1,0,0,N,B,'사업자등록번호'
T37,1109,b,1,1,0,0,N,B,'사업장소재지'
BD440,606,464,608,O
BD446,1025,470,1027,O
BD446,1054,470,1056,O
BD15,1193,815,1195,O
BD18,1360,818,1362,O
T409,1078,b,1,1,0,0,N,B,'상   호'
T411,1109,b,1,1,0,0,N,B,'성   명'
T755,1109,b,1,1,0,0,N,B,'(인)'
T299,1154,b,1,1,0,0,N,B,'2003년 08월 20일'
T22,1209,b,1,1,0,0,N,B,'* 이 계산서.영수증은 소득세법상 의료비 공제신청에 필요합니다.'
T22,1245,b,1,1,0,0,N,B,'* 이 계산서.영수증에 대한 세부내역을 요구할 수 있습니다.'
T20,1280,b,1,1,0,0,N,B,'* 전액본인부담이란 국민건강보험법시행규칙 별표5의 규정에 의한'
T20,1374,b,1,1,0,0,N,B,'주:선택항목은 요양기관의 특성에 따라 추가 또는 생략 가능합니다.'
T49,1315,b,1,1,0,0,N,B,'요양급여비용의 본인전액부담항목 비용을 말합니다.'
T535,522,b,1,1,0,0,N,B,'*요양기관 임의활용공간'
T402,120,a,1,1,0,0,N,B,'030818부터030826까지'
T602,115,b,1,1,0,0,N,B,'()야간 ()공휴일'
T457,244,1,1,1,0,0,N,N,'1,001'
T314,247,1,1,1,0,0,N,N,'1,000'
T314,280,1,1,1,0,0,N,N,'1,002'
T458,278,1,1,1,0,0,N,N,'1,003'
T314,311,1,1,1,0,0,N,N,'1,004'
T458,311,1,1,1,0,0,N,N,'1,005'
T314,345,1,1,1,0,0,N,N,'1,006'
T458,342,1,1,1,0,0,N,N,'1,007'
T314,376,1,1,1,0,0,N,N,'1,000'
T458,375,1,1,1,0,0,N,N,'1,000'
T314,409,1,1,1,0,0,N,N,'1,008'
T458,406,1,1,1,0,0,N,N,'1,009'
T314,438,1,1,1,0,0,N,N,'1,010'
T458,438,1,1,1,0,0,N,N,'1,011'
T314,471,1,1,1,0,0,N,N,'1,012'
T458,471,1,1,1,0,0,N,N,'1,013'
T314,520,1,1,1,0,0,N,N,'1,014'
T457,522,1,1,1,0,0,N,N,'1,015'
T314,566,1,1,1,0,0,N,N,'1,016'
T458,566,1,1,1,0,0,N,N,'1,017'
T314,600,1,1,1,0,0,N,N,'1,018'
T314,629,1,1,1,0,0,N,N,'1,019'
T457,631,1,1,1,0,0,N,N,'1,020'
T314,660,1,1,1,0,0,N,N,'1,021'
T457,662,1,1,1,0,0,N,N,'1,022'
T314,696,1,1,1,0,0,N,N,'1,023'
T457,695,1,1,1,0,0,N,N,'1,024'
T314,727,1,1,1,0,0,N,N,'1,025'
T457,726,1,1,1,0,0,N,N,'1,026'
T314,758,1,1,1,0,0,N,N,'1,027'
T457,758,1,1,1,0,0,N,N,'1,028'
T314,789,1,1,1,0,0,N,N,'1,029'
T457,793,1,1,1,0,0,N,N,'1,030'
T314,822,1,1,1,0,0,N,N,'1,031'
T457,822,1,1,1,0,0,N,N,'1,032'
T314,855,1,1,1,0,0,N,N,'1,033'
T457,856,1,1,1,0,0,N,N,'1,034'
T314,1018,1,1,1,0,0,N,N,'1,035'
T314,1046,1,1,1,0,0,N,N,'1,036'
T740,266,1,1,1,0,0,N,N,'1,037'
T740,326,1,1,1,0,0,N,N,'1,038'
T740,390,1,1,1,0,0,N,N,'1,039'
T740,454,1,1,1,0,0,N,N,'1,040'
T58,120,1,1,1,0,0,N,N,'000000123'
T236,115,b,1,1,0,0,N,B,'홍 길 동'
T54,180,b,1,1,0,0,N,B,'소 아 과'
T249,185,1,1,1,0,0,N,N,'123456'
T421,185,2,1,1,0,0,N,N,'X'
T500,182,b,1,1,0,0,N,B,'외래'
T622,185,1,1,1,0,0,N,N,'123456-123456'
T218,1080,1,1,1,0,0,N,N,'654321-654321'
T557,1075,b,1,1,0,0,N,B,'한 국 병 원'
T218,1109,b,1,1,0,0,N,B,'수원 팔달구'
T578,1109,b,1,1,0,0,N,B,'손 오 공'
P1