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[null,null,null,null,null,null,null,null,null,null,null,"令和７年　３月３１日"]
[null,"福岡市長　様"]
[null,"市区町村番号"]
[]
[null,4,0,1,3,0,7]
[null,null,null,null,null,null,null,null,"所在地"]
[null,null,null,null,null,null,null,null,"医療機関名"]
[null,"　　　　",null,null,null,null,null,null,"代表者氏名"]
[null,null,null,null,null,null,null,null,"電話番号"]
[null,null,null,null,null,null,null,null,"医療機関・健診機関番号"]
[]
[null,"風しん追加的対策　実施報告書（令和7年3月分）"]
[]
[null,"添付予診票のとおり、実施いたしましたので、下記のとおり報告します。"]
[]
[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左記の実績報告書が埋まっていきます"]
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[null,null,null,null,"③HI法",null,null,null,0,0,0,null,null,null,null,"③HI法",null,null,4930,{"$f":"ROUNDDOWN(S22*(1+(K33)/100),0)","v":5423},0,0]
[null,null,null,null,"④EIA法",null,null,null,0,0,0,null,null,null,null,"④EIA法",null,null,6320,{"$f":"ROUNDDOWN(S23*(1+(K33)/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,5430,{"$f":"ROUNDDOWN(S24*(1+(K33)/100),0)","v":5973},0,0]
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[null,null,null,null,"小計",null,null,null,0,0,0,null,null,null,null,"小計",null,{"$f":"SUM(R20:R25)","v":0},null,null,{"$f":"SUM(U20:U25)","v":0},{"$f":"SUM(V20:V25)","v":0}]
[null,"予防接種",null,null,"通常（MRワクチン）",null,null,null,0,0,0,null,null,null,"予防接種","通常（ＭＲワクチン）",null,null,9260,{"$f":"ROUNDDOWN(S27*(1+(K33)/100),0)","v":10186},{"$f":"S27*R27","v":0},{"$f":"T27*R27","v":0}]
[null,null,null,null,"通常（単独ワクチン）",null,null,null,{"$f":"R28","v":0},{"$f":"U28","v":0},{"$f":"V28","v":0},null,null,null,null,"通常（単独ワクチン）",null,null,5985,{"$f":"ROUNDDOWN(S28*(1+(K33)/100),0)","v":6583},{"$f":"S28*R28","v":0},{"$f":"T28*R28","v":0}]
[null,null,null,null,"予診のみ",null,null,null,0,0,0,null,null,null,null,"予診のみ",null,null,2778,{"$f":"ROUNDDOWN(S29*(1+(K33)/100),0)","v":3055},{"$f":"S29*R29","v":0},{"$f":"T29*R29","v":0}]
[null,null,null,null,"小計",null,null,null,0,{"$f":"SUM(J27:J29)","v":0},{"$f":"SUM(K27:K29)","v":0},null,null,null,null,"小計",null,{"$f":"SUM(R27:R29)","v":0},null,null,{"$f":"SUM(U27:U29)","v":0},{"$f":"SUM(V27:V29)","v":0},"  ※税込単価は、１円未満の端数は切り捨て"]
[null,"合計",null,null,null,null,null,null,0,{"$f":"J30+J26","v":0},{"$f":"K30+K26","v":0},null,null,null,"合計",null,null,{"$f":"R30+R26","v":0},null,null,{"$f":"U30+U26","v":0},{"$f":"V30+V26","v":0}]
[]
[null,null,null,null,null,null,null,null,null,"消費税率",10,"％"]
[]
[]
["（提出期限：令和７年４月１０日）"]

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[null,"福岡市長　様"]
[null,"市区町村番号"]
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[null,"風しん追加的対策　実施報告書（令和7年3月分）"]
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[null,"添付予診票のとおり、実施いたしましたので、下記のとおり報告します。"]
[]
[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左記の実績報告書が埋まっていきます"]
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[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,2680,{"$f":"ROUNDDOWN(S19*(1+(K31)/100),0)","v":2948},0,{"$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,4930,{"$f":"ROUNDDOWN(S20*(1+(K31)/100),0)","v":5423},0,0]
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[null,null,null,null,"⑤夜間休日・HI法",null,null,null,0,0,0,null,null,null,null,"⑤夜間休日・HI法",null,null,5430,{"$f":"ROUNDDOWN(S22*(1+(K31)/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,6820,{"$f":"ROUNDDOWN(S23*(1+(K31)/100),0)","v":7502},0,0]
[null,null,null,null,"小計",null,null,null,0,0,0,null,null,null,null,"小計",null,{"$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（MRワクチン）",null,null,null,0,0,0,null,null,null,"予防接種","通常（ＭＲワクチン）",null,null,9260,{"$f":"ROUNDDOWN(S25*(1+(K31)/100),0)","v":10186},{"$f":"S25*R25","v":0},{"$f":"T25*R25","v":0}]
[null,null,null,null,"通常（単独ワクチン）",null,null,null,0,0,0,null,null,null,null,"通常（単独ワクチン）",null,null,5985,{"$f":"ROUNDDOWN(S26*(1+(K31)/100),0)","v":6583},{"$f":"S26*R26","v":0},{"$f":"T26*R26","v":0}]
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[null,"合計",null,null,null,null,null,null,0,{"$f":"J28+J24","v":0},{"$f":"K28+K24","v":0},null,null,null,"合計",null,null,{"$f":"R28+R24","v":0},null,null,{"$f":"U28+U24","v":0},{"$f":"V28+V24","v":0}]
[]
[null,null,null,null,null,null,null,null,null,"消費税率",10,"％"]