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[null,null,null,null,null,null,null,null,null,null,null,null,"医療機関番号",null,3800000001]
[null,null,null,null,null,null,null,null,null,null,null,null,"請求機関所在地",null,"愛媛県松山市"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請求機関名称",null,"愛媛診療所"]
[null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,"愛媛　太郎"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請求年月日",null,20231201]
[]
["削除","診療年月",null,"種別","前期高齢者","一部負担割合","保険者番号","記号","番号","福祉公費番号","福祉受給者番号","患者氏名","性別","生年月日","他公費","所得区分","特記事項","入外","診察\n日数","総診療報酬\n（点または円）","請求金額\n（円）"]

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