TD*
TS'Receipt1'

SW816
SM0,21
SL1300,30,C

BD11,11,802,15,O
BD11,11,15,1245,O
BD798,11,802,1245,O
BD802,1241,15,1245,O
BD14,114,800,118,O
BD303,118,307,192,O
BD14,189,800,193,O
BD202,194,204,354,O
BD398,194,400,964,O
BD600,194,602,354,O
BD14,266,800,268,O
BD627,302,638,304,O
BD627,302,629,318,O
BD636,302,638,318,O
BD638,316,629,318,O
BD699,302,710,304,O
BD699,302,701,318,O
BD708,302,710,318,O
BD710,316,701,318,O
BD628,304,639,310,O
BD628,304,634,318,O
BD633,304,639,318,O
BD639,312,634,318,O
BD14,349,800,353,O
BD13,429,799,431,O
BD14,506,800,508,O
BD14,585,800,587,O
BD14,740,800,744,O
BD14,818,800,822,O
BD200,820,202,964,O
BD600,820,602,964,O
BD14,889,800,891,O
BD748,908,781,910,O
BD748,908,750,942,O
BD779,908,781,942,O
BD781,940,750,942,O
BD14,962,800,964,O
BD14,1034,800,1036,O
BD14,658,800,660,O

T242,49,a,2,2,0,0,N,B,'약제비 계산서.영수증'
T50,136,a,1,2,0,0,N,B,'영수증 번호(연월-일련번호)'
T74,215,a,1,2,0,0,N,B,'환자성명'
T264,215,a,1,2,0,0,N,B,'조제일자'
T463,215,a,1,2,0,0,N,B,'투약일수'
T631,215,a,1,2,0,0,N,B,'야간(공휴일) 조제 '
T646,294,a,1,2,0,0,N,B,'야간'
T724,294,a,1,2,0,0,N,B,'공휴일'
T142,376,a,1,2,0,0,N,B,'항          목'
T541,378,a,1,2,0,0,N,B,'금          액'
T133,455,a,1,2,0,0,N,B,'약제비 총액(1+2+3)'
T132,529,a,1,2,0,0,N,B,'본 인 부 담 금 (1)'
T119,610,a,1,2,0,0,N,B,'보 험 자 부 담 금 (2)'
T97,685,a,1,2,0,0,N,B,'비급여 및 전액본인부담 (3)'
T138,762,a,1,2,0,0,N,B,'총수납금액(1+3)'
T465,842,a,1,2,0,0,N,B,'상     호'
T42,843,a,1,2,0,0,N,B,'사업자등록번호'
T465,906,a,1,2,0,0,N,B,'성     명'
T50,910,a,1,2,0,0,N,B,'사업장 소재지'
T751,914,b,1,1,0,0,N,B,'인'
T29,1050,a,1,2,0,0,N,B,'* 이 계산서.영수증은 소득세법상 의료비 공제신청에 필요합니다.'
T30,1098,a,1,2,0,0,N,B,'* 이 계산서.영수증에 대한 세부내역을 요구할 수 있습니다.'
T30,1143,a,1,2,0,0,N,B,'* 전액본인부담금이란 국민건강보험법 시행규칙 별표 5의 규정에 의한 요양급여'
T46,1186,a,1,2,0,0,N,B,'비용의 본인전액부담항목 비용을 말합니다.'

SV01,20,N,'일련번호'
SV02,10,N,'환자성명'
SV03,10,N,'조제일자'
SV04,5,N,'투약일수'
SV05,10,R,'약제비총액'
SV06,10,R,'본인부담'
SV07,10,R,'보험자부담'
SV08,10,R,'비급여'
SV09,10,R,'총수납액'
SV10,20,N,'사업자등록'
SV11,20,N,'상호'
SV12,20,N,'소재지'
SV13,20,N,'성명'
SV14,20,N,'일자'

T406,138,3,1,1,0,0,N,N,V01
T80,293,a,1,2,0,0,N,B,V02
T221,298,2,1,1,0,0,N,N,V03
T486,291,3,1,1,0,0,N,N,V04
T575,451,3,1,1,0,0,N,N,V05
T575,530,3,1,1,0,0,N,N,V06
T575,606,3,1,1,0,0,N,N,V07
T575,682,3,1,1,0,0,N,N,V08
T575,764,3,1,1,0,0,N,N,V09
T215,846,2,1,1,0,0,N,N,V10
T655,842,a,1,2,0,0,N,B,V11
T239,910,a,1,2,0,0,N,B,V12
T646,908,a,1,2,0,0,N,B,V13
T330,980,a,1,2,0,0,N,B,V14

T20,1250,a,1,1,0,0,N,B,'별지제8호서식                                     100 mm X 150 mm(보존용지(2종) 70 g/m2)'

TE

TR'Receipt1'
?
20030807-0000001
홍길동
2003.08.07
3
13,000
3,000
7,000
3,000
6,000
123-123456
한 국 약 국
서울 청담동
전 지 현
2003년  08월  07일
P1