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- 및
- 사본
- 발급
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RowSpan="1" ColSpan="2" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="5" LeftMargin="5" BottomMargin="0" RightMargin="0" FontName="돋움체" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="6"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="8" BaseCellColIndex="1"/></Row><Row Size="351"><Cell CellType="1" BaseCellRowIndex="8" BaseCellColIndex="0"/><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="0" CanGrow="0" CanShrink="0" DataType="0" Text="사본을 발급 받으려는 내용 및 사유" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="2" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="5" LeftMargin="5" BottomMargin="0" RightMargin="0" FontName="돋움체" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="6"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="9" BaseCellColIndex="1"/></Row></Rows><Cols><Col Size="235"/><Col Size="820"/><Col Size="820"/></Cols><ConditionalStyles/></Control></ListControls><ConditionalStyles/><Script><![CDATA[]]></Script></Section><Section Type="2" Name="보고서바닥글" Height="600" Visible="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" CanGrow="0" CanShrink="0" ColumnWidth="0" ColumnDirection="0" ColumnSpacing="0" ColumnLayout="0" Repeat="0" UnderlayNext="0" DetailIteration="0" ForcedGH="0" KeepTogether="1" NewColumn="0" NewPage="0" PrintAtBottom="0" PageReset="0" SuppressBlankSection="0" SuppressRepeatedBlankSection="0" FillBlank="0" Exportable="1" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0" GroupFieldID="-1" GroupFieldIndex="-1" GroupSortingFieldID="-1" GroupSortingFieldIndex="-1" GroupTOCFieldID="-1" GroupTOCFieldIndex="-1"><ListControls Type="0"/><ListControls Type="1"><Control Type="Control.Table" Name="표2" Visible="0" X1="63" Y1="0" Width="1875" Height="600" FitSection="0" LinkIndex="2" RoundLeftTopEdge="0" RoundRightTopEdge="0" RoundRightBottomEdge="0" RoundLeftBottomEdge="0" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0"><CellStyles><CellStyle LeftLineStyle="0" RightLineStyle="0" TopLineStyle="0" BottomLineStyle="0" FDiagonalLineStyle="0" BDiagonalLineStyle="0" LeftLineWidth="0" RightLineWidth="0" TopLineWidth="0" BottomLineWidth="0" FDiagonalLineWidth="0.75" BDiagonalLineWidth="0.75" LeftLineColor="0" RightLineColor="0" TopLineColor="0" BottomLineColor="0" FDiagonalLineColor="0" BDiagonalLineColor="0"/><CellStyle LeftLineStyle="0" RightLineStyle="0" TopLineStyle="0" BottomLineStyle="1" FDiagonalLineStyle="0" BDiagonalLineStyle="0" LeftLineWidth="0" RightLineWidth="0" TopLineWidth="0" BottomLineWidth="0.75" FDiagonalLineWidth="0.75" BDiagonalLineWidth="0.75" LeftLineColor="0" RightLineColor="0" TopLineColor="0" BottomLineColor="0" FDiagonalLineColor="0" BDiagonalLineColor="0"/><CellStyle LeftLineStyle="0" RightLineStyle="0" TopLineStyle="1" BottomLineStyle="0" FDiagonalLineStyle="0" BDiagonalLineStyle="0" LeftLineWidth="0" RightLineWidth="0" TopLineWidth="0.75" BottomLineWidth="0" FDiagonalLineWidth="0.75" BDiagonalLineWidth="0.75" LeftLineColor="0" RightLineColor="0" TopLineColor="0" BottomLineColor="0" FDiagonalLineColor="0" BDiagonalLineColor="0"/></CellStyles><Rows><Row Size="175"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="본인(또는 법정대리인)은 상기 신청인( )이 「의료법」제21조 제2항 및 같은 법 시행규칙 제13조의2에 따라 본인의 진료기록 등을 열람하거나 사본을 발급받는 것에 대하여 동의합니다." MultiLine="1" WordWrap="1" WordSpace="1" LineSpace="3" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="2" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="돋움체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="0" BaseCellColIndex="0"/></Row><Row Size="175"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="년 월 일" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="2" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="30" LeftMargin="0" BottomMargin="0" RightMargin="20" FontName="돋움체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="1" BaseCellColIndex="0"/></Row><Row Size="175"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="본인(또는 법정대리인) " MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="돋움체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="1"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="-32640" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="(자필서명)" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="9" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="8421504" FieldID="-1" FieldIndex="-1" StyleIndex="1"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell></Row><Row Size="75"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="비고 : 환자 본인이 만 14세 미만의 경우에는 법정대리인이 작성합니다." MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="돋움체" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="2"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="-32640" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="9" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="8421504" FieldID="-1" FieldIndex="-1" StyleIndex="2"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell></Row></Rows><Cols><Col Size="1700"/><Col Size="175"/></Cols><ConditionalStyles/></Control></ListControls><ConditionalStyles/><Script><![CDATA[]]></Script></Section><Section Type="8" Name="페이지바닥글" Height="135" Visible="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" CanGrow="0" CanShrink="0" ColumnWidth="0" ColumnDirection="0" ColumnSpacing="0" ColumnLayout="0" Repeat="0" UnderlayNext="0" DetailIteration="0" ForcedGH="0" KeepTogether="1" NewColumn="0" NewPage="0" PrintAtBottom="0" PageReset="0" SuppressBlankSection="0" SuppressRepeatedBlankSection="0" FillBlank="0" Exportable="1" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0" GroupFieldID="-1" GroupFieldIndex="-1" GroupSortingFieldID="-1" GroupSortingFieldIndex="-1" GroupTOCFieldID="-1" GroupTOCFieldIndex="-1"><ListControls Type="0"/><ListControls Type="1"/><ConditionalStyles/><Script><![CDATA[]]></Script></Section></Page><Page Gutter="0" MirrorMargin="0" Orientation="1" PaperSize="2" PaperWidth="2100" PaperHeight="2970" ReportWidth="2100" TopMargin="50" LeftMargin="50" BottomMargin="50" RightMargin="50"/></Report>
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