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{"sheet":"報告書","index":0,"n_rows":88,"n_cols":72,"rows_kept":88,"cut":false,"hidden":false,"merged":[[85,0,86,71],[87,0,89,71],[26,30,27,35],[26,26,27,29],[7,35,12,71],[13,35,15,45],[13,46,15,53],[13,54,15,55],[13,56,15,68],[13,69,15,71],[16,35,18,45],[16,46,18,47],[16,48,18,53],[16,54,18,55],[16,56,18,61],[16,62,18,63],[36,19,37,71],[36,0,37,4],[20,18,24,20],[20,21,24,23],[20,24,24,26],[84,0,84,71],[20,33,24,33],[19,35,21,45],[0,65,3,67],[0,68,3,70],[0,0,3,14],[0,15,3,44],[16,64,18,71],[20,0,24,5],[20,7,24,11],[20,12,24,14],[20,15,24,17],[5,35,6,54],[5,55,6,71],[0,46,3,52],[0,53,3,55],[0,56,3,58],[0,59,3,61],[0,62,3,64],[19,48,21,53],[19,54,21,55],[19,56,21,61],[19,62,21,63],[19,64,21,71],[20,27,24,29],[20,30,24,30],[20,31,24,32],[28,0,31,7],[26,0,27,7],[26,8,27,25],[19,46,21,47],[28,8,31,25],[22,35,24,45],[22,46,24,71],[36,5,37,7],[36,8,37,11],[36,12,37,13],[36,14,37,18],[34,8,35,14],[34,27,35,30],[32,22,33,23],[32,24,33,28],[32,29,33,30],[32,31,33,35],[32,36,33,37],[32,38,33,41],[32,0,35,7],[30,30,31,32],[30,33,31,35],[30,36,31,38],[30,39,31,41],[30,42,31,43],[30,44,31,71],[32,8,33,9],[32,10,33,14],[32,15,33,16],[32,17,33,21],[28,26,31,29],[5,0,9,33],[26,36,27,41],[26,42,27,71],[28,30,29,32],[28,33,29,35],[28,36,29,38],[28,39,29,41],[28,42,29,43],[28,44,29,71],[18,0,19,33],[10,0,13,12],[10,13,13,18],[10,19,13,27],[10,28,13,33],[14,0,17,12],[14,13,17,18],[14,19,17,27],[41,42,42,47],[41,48,42,48],[41,49,42,54],[41,55,42,56],[41,57,42,62],[41,63,42,71],[32,42,33,43],[32,44,33,71],[34,15,35,17],[34,18,35,22],[34,23,35,25],[34,31,35,33],[34,34,35,38],[34,39,35,41],[34,42,35,43],[34,44,35,48],[34,49,35,50],[34,51,35,69],[34,70,35,71],[41,6,42,6],[41,7,42,12],[41,13,42,13],[41,14,42,19],[41,20,42,21],[41,22,42,27],[41,28,42,34],[41,35,42,40],[41,41,42,41],[14,28,17,33],[48,0,49,50],[48,51,49,70],[51,1,71,70],[73,0,74,71],[75,1,80,70],[81,0,81,71],[82,0,83,7],[82,8,83,12],[82,13,83,20],[82,21,83,27],[82,28,83,38],[82,39,83,47],[82,48,83,57],[82,58,83,67],[82,68,83,68],[82,69,83,70],[82,71,83,71],[43,0,47,7],[43,8,47,35],[43,36,47,43],[43,44,47,71],[38,0,40,71],[41,0,42,5]]}
["報告書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（返書）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,null,null,null,null,null,null,null,"年",null,null,null,null,null,"月",null,null,null,null,null,"日"]
[]
[]
[]
[]
["北播磨総合医療センター",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元医療機関名及び所在地：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※改行は　「Altキー ＋ Enterキー」"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当医師名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"科",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"科",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"先生"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号：",null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,")",null,null,null,null,null,null,null,"-"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ番号：",null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,")",null,null,null,null,null,null,null,"-"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申込担当者："]
[]
[]
[]
["フ リ ガ ナ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"旧姓",null,null,null,null,null,null,null,null,null,"性別"]
[]
["患者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受診歴",null,null,null,null,null,null,"有",null,null,null,null,null,"男"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"無",null,null,null,null,null,"女"]
[]
["生年月日",null,null,null,null,null,null,null,null,null,"明治",null,null,null,null,null,null,"大正",null,null,null,null,null,null,"昭和",null,null,null,null,null,null,"平成",null,null,null,null,null,null,"令和"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,null,null,null,"月",null,null,null,null,null,null,null,"日",null,null,null,null,null,null,null,"歳"]
[]
["住所",null,null,null,null,"〒",null,null,null,null,null,null,"-"]
[]
[]
[]
[]
["自　宅",null,null,null,null,null,"(",null,null,null,null,null,null,")",null,null,null,null,null,null,"-",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡先",null,null,null,null,null,"(",null,null,null,null,null,null,")",null,null,null,null,null,null,"-"]
[]
["主訴または病名･症状",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"既往歴および家族歴"]
[]
[]
[]
[]
["①現病歴　②現症　③検査所見　④治療経過　⑤現在の処方　⑥その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※改行は　「Altキー　＋　Enterキー」"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["患者に関する留意事項、薬剤アレルギー、嗜好"]
[]
[]
[]
[]
[]
[]
[]
[]
["添付資料",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,")"]
[]
[]
["※ FAX予約受付時間（月～金　9:00～18:30　土　9:00～11:30　（祝祭日・年末年始は除く））　（FAX受信は24時間可能です）"]
[]
["北播磨総合医療センター地域医療連携室　  FAX：0794-62-9911　TEL：0794-88-8800㈹"]