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RPPMI02701_선택진료변경신청서(의정부).rex

RPPMI02701_선택진료변경신청서(의정부).rex 68 KB
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  1. <?xml version="1.0"?>
    2. 

  2. <Report Title="" Author="" Company="" Category="" Description="" CreatedDate="2007-09-03 11:45:24" LastSavedDate="2009-08-17 15:20:08" Version="2.5.1.93"><FieldInfo><FieldSet ID="1"><Field Name="pid" Type="8" Size="0" Xpath="../../hidden/original/icdr/icdr_pid "/><Field Name="hngnm" Type="8" Size="0" Xpath="../../send/hngnm"/><Field Name="age" Type="8" Size="0" Xpath="prninfo/age"/><Field Name="sex" Type="8" Size="0" Xpath="prninfo/sex"/><Field Name="regist1" Type="8" Size="0" Xpath="rrgstno1"/><Field Name="regist2" Type="8" Size="0" Xpath="../../dschcareinfo/regist2"/><Field Name="orddeptnm" Type="8" Size="0" Xpath="../../dschcareinfo/orddeptnm"/><Field Name="wardnm" Type="8" Size="0" Xpath="../../dschcareinfo/wardnm"/><Field Name="actscope" Type="8" Size="0" Xpath="../../dschcareinfo/actscope"/><Field Name="diet" Type="8" Size="0" Xpath="../../dschcareinfo/diet"/><Field Name="bath" Type="8" Size="0" Xpath="../../dschcareinfo/bath"/><Field Name="healmngt" Type="8" Size="0" Xpath="../../dschcareinfo/healmngt"/><Field Name="mngtaftdsch" Type="8" Size="0" Xpath="../../dschcareinfo/mngtaftdsch"/><Field Name="dschmeditmedguidyn" Type="8" Size="0" Xpath="../../dschcareinfo/dschmeditmedguidyn"/><Field Name="dschseqeduc" Type="8" Size="0" Xpath="../../dschcareinfo/dschseqeduc"/><Field Name="spcffact" Type="8" Size="0" Xpath="../../dschcareinfo/spcffact"/><Field Name="tel" Type="8" Size="0" Xpath="../../dschcareinfo/tel"/><Field Name="stat" Type="8" Size="0" Xpath="stat"/><Field Name="rsrvdt" Type="8" Size="0" Xpath="rsrvdt"/><Field Name="orddeptcd" Type="8" Size="0" Xpath="orddeptcd"/><Field Name="orddeptnm_1" Type="8" Size="0" Xpath="orddeptnm"/><Field Name="orddrid" Type="8" Size="0" Xpath="orddrid"/><Field Name="orddrnm" Type="8" Size="0" Xpath="orddrnm"/><Field Name="stat_1" Type="8" Size="0" Xpath="../testrsrvinfo/stat"/><Field Name="rsrvdt_1" Type="8" Size="0" Xpath="../testrsrvinfo/rsrvdt"/><Field Name="testnm" Type="8" Size="0" Xpath="../testrsrvinfo/testnm"/><Field Name="testplacnm" Type="8" Size="0" Xpath="../testrsrvinfo/testplacnm"/><Field Name="orddeptcd_1" Type="8" Size="0" Xpath="../testrsrvinfo/orddeptcd"/><Field Name="calcscorcd" Type="8" Size="0" Xpath="../testrsrvinfo/calcscorcd"/><Field Name="stat_2" Type="8" Size="0" Xpath="../dschdrugfactinfo/stat"/><Field Name="prcpno" Type="8" Size="0" Xpath="../dschdrugfactinfo/prcpno"/><Field Name="drugcd" Type="8" Size="0" Xpath="../dschdrugfactinfo/drugcd"/><Field Name="drugnm" Type="8" Size="0" Xpath="../dschdrugfactinfo/drugnm"/><Field Name="vol" Type="8" Size="0" Xpath="../dschdrugfactinfo/vol"/><Field Name="direc" Type="8" Size="0" Xpath="../dschdrugfactinfo/direc"/><Field Name="qty" Type="8" Size="0" Xpath="../dschdrugfactinfo/qty"/><Field Name="prcpdayno" Type="8" Size="0" Xpath="../dschdrugfactinfo/prcpdayno"/><Field Name="caucnts" Type="8" Size="0" Xpath="../dschdrugfactinfo/caucnts"/><Field Name="seq" Type="8" Size="0" Xpath="seq"/><Field Name="usernm" Type="8" Size="0" Xpath="../../send/req/usernm"/><Field Name="logurl" Type="8" Size="0" Xpath="../../dschcareinfo/logurl"/><Field Name="curdd" Type="8" Size="0" Xpath="../../send/req/curdate"/><Field Name="curtm" Type="8" Size="0" Xpath="../../send/req/curtm"/><Field Name="orddeptabbr" Type="8" Size="0" Xpath="orddeptabbr"/><Field Name="indd" Type="8" Size="0" Xpath="../../send/req/orddd"/><Field Name="centnm" Type="8" Size="0" Xpath="centnm"/><Field Name="subdeptnm" Type="8" Size="0" Xpath="subdeptnm"/><Field Name="dschcatestat" Type="8" Size="0" Xpath="../../dschcareinfo/dschcatestat"/><Field Name="formfromdt" Type="8" Size="0" Xpath="formfromdt"/><Field Name="curdept" Type="8" Size="0" Xpath="../../hidden/original/icdr/icdr_deptnm"/><Field Name="chadept" Type="8" Size="0" Xpath="../../hidden/original/cdcr/cdcr_deptnm"/><Field Name="addr" Type="8" Size="0" Xpath="../../send/req/address"/><Field Name="telno" Type="8" Size="0" Xpath="../../send/req/telno"/><Field Name="medispclnm" Type="8" Size="0" Xpath="../../hidden/original/icdr/icdr_medispclnm"/><Field Name="chngmedispclnm" Type="8" Size="0" Xpath="../../hidden/original/cdcr/cdcr_chngmedispclnm"/><Field Name="cdcr_chngprestrem" Type="8" Size="0" Xpath="../cdcr/cdcr_chngprestremrl"/></FieldSet><FieldSet ID="2"/><FieldSet ID="3"><Field Name="sexage" ScriptType="0"><![CDATA[formula = "{@sex}" + " / " + "{@age}"
    3. 

  3. 

  4. 

  5. ]]></Field><Field Name="regstid" ScriptType="1"><![CDATA[return "{@regist1}" + "-" + "{@regist2}".substring(0,1) + "XXXXXX"
    6. 

  6. ]]></Field><Field Name="deptward" ScriptType="0"><![CDATA[formula = "{@orddeptnm}" + " / " + "{@wardnm}"]]></Field><Field Name="rsrvdt" ScriptType="1"><![CDATA[if("{@rsrvdt}" != "") {
    7. 

  7. 	return "{@rsrvdt}".substr(0,4) + "-" + "{@rsrvdt}".substr(4,2) + "-" + "{@rsrvdt}".substr(6,2) + " " + "{@rsrvdt}".substr(8,2) + ":" + "{@rsrvdt}".substr(10,2)
    8. 

  8. }
    9. 

  9. ]]></Field><Field Name="barcode" ScriptType="1"><![CDATA[if ("{%PageNumber}".length < 2){
    10. 

  10. return "{@seq}" + "0" + "{%PageNumber}"
    11. 

  11. }else{
    12. 

  12. return "{@seq}" + "{%PageNumber}"
    13. 

  13. }
    14. 

  14. ]]></Field><Field Name="seq" ScriptType="1"><![CDATA[return "+" + "{@seq}" + "+"]]></Field><Field Name="pid" ScriptType="1"><![CDATA[var pidLen = "{@pid}".length;
    15. 

  15. 

  16. var str = "";
    17. 

  17. 

  18. switch(pidLen) {
    19. 

  19. 	case 1 :
    20. 

  20. 		str = "000 00 00-" + "{@pid}";
    21. 

  21. 	  break;
    22. 

  22. 	case 2 :
    23. 

  23. 		str = "000 00 0" + "{@pid}".substr(0,1) + "-" + "{@pid}".substr(1,1); 
    24. 

  24. 	  break;
    25. 

  25. 	case 3 : 
    26. 

  26. 		str = "000 00 " +  "{@pid}".substr(0,2) + "-" +  "{@pid}".substr(2,1);
    27. 

  27. 	  break;
    28. 

  28. 	case 4 :
    29. 

  29. 	   str = "000 0" + "{@pid}".substr(0,1) + " " + "{@pid}".substr(1,2) + "-" + "{@pid}".substr(3,1);
    30. 

  30. 	  break;
    31. 

  31. 	case 5 :
    32. 

  32. 	   str = "000 " + "{@pid}".substr(0,2) + " " + "{@pid}".substr(2,2) + "-" + "{@pid}".substr(4,1); 
    33. 

  33. 	  break;
    34. 

  34. 	case 6 :
    35. 

  35. 	   str = "00" + "{@pid}".substr(0,1) + " " + "{@pid}".substr(1,2) + " " + "{@pid}".substr(3,2) + "-" + "{@pid}".substr(5,1) ; 
    36. 

  36. 	  break;
    37. 

  37. 	case 7 :
    38. 

  38. 	   str = "0" + "{@pid}".substr(0,2) + " " + "{@pid}".substr(2,2) + " " + "{@pid}".substr(4,2) + "-" + "{@pid}".substr(6,1) ;  
    39. 

  39. 	  break;
    40. 

  40. 	case 8 :
    41. 

  41. 	   str = "{@pid}".substr(0,3) + " " + "{@pid}".substr(3,2) + " " + "{@pid}".substr(5,2) + "-" + "{@pid}".substr(7,1) ;
    42. 

  42. 	  break;
    43. 

  43. 	
    44. 

  44. }
    45. 

  45. 

  46. return str;]]></Field><Field Name="printdt" ScriptType="1"><![CDATA[return "{@curdd}"]]></Field><Field Name="printdt2" ScriptType="1"><![CDATA[return "{@curdd}".substr(0,4) + "/" + "{@curdd}".substr(4,2) + "/" + "{@curdd}".substr(6,2) + " " + "{@curtm}".substr(0,2) + ":" + "{@curtm}".substr(2,2) + ":" + "{@curtm}".substr(4,2)]]></Field><Field Name="pagenum" ScriptType="1"><![CDATA[return {%PageNumber}]]></Field></FieldSet><FieldSet ID="4"/></FieldInfo><DataSetting EncryptSQL="1" ConnectionString="" DynamicSQL="0" SQLScriptType="1" RecordType="2" DataPath="D:\CMCOracle\application\webapps\pam\ipatmngtweb\rex\RPPMI02700.xml" DataRoot="root/main/prnpatinfo" XslPath="" XsdPath="" CsvPath="" CsvRowSeparator="" CsvColumnSeparator=""><OrderInfos/><FilterInfos/><SPInfo FunctionName=""/><SQL></SQL><ServerConnection URL="" DataType=""/></DataSetting><GlobalStyleManager><GlobalStyle Name="숨김"><PropertySetting Name="Visible" Value="3"/></GlobalStyle><GlobalStyle 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GroupFieldIndex="-1" GroupSortingFieldID="-1" GroupSortingFieldIndex="-1" GroupTOCFieldID="-1" GroupTOCFieldIndex="-1"><ListControls Type="0"><Control Type="Control.Line" Name="선5" Visible="0" X1="0" Y1="384" X2="1850" Y2="384" EndSectionIndex="0" LineStyle="1" LineWidth="1.5" LineColor="0" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0"><ConditionalStyles/></Control></ListControls><ListControls Type="1"><Control Type="Control.Image" Name="그림3" Visible="0" X1="0" Y1="0" Width="600" Height="150" LineStyle="0" LineWidth="0.75" LineColor="0" RoundRate="0" SquareRound="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" SizeMode="4" SourceType="2" Embedding="0" Path="" Frame="0" ImageFormat="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0" DataFieldID="1" DataFieldIndex="40"><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/></Control><Control Type="Control.Table" Name="표13" Visible="0" X1="150" Y1="200" Width="900" Height="100" FitSection="0" LinkIndex="8" 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"/></CellStyles><Rows><Row Size="100"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="선택진료변경(해지)신청서" MultiLine="1" WordWrap="1" WordSpace="10" 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="HY울릉도M" FontSize="18" FontBold="1" 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></Row></Rows><Cols><Col Size="900"/></Cols><ConditionalStyles/></Control><Control Type="Control.Table" Name="표15" Visible="0" X1="1100" Y1="82" Width="750" Height="300" FitSection="0" LinkIndex="9" RoundLeftTopEdge="0" RoundRightTopEdge="0" RoundRightBottomEdge="0" 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    47. 

  47. 1. 환자 또는 그 보호자는 진료과목별로 선택 또는 비선택여부를 결정(비선택진료일 경우 &quot;비선택진료&quot; 란에 V표시)할 수 있으며, 선택진료를 신청한 경우에 주진료과목은 1명, 진료지원과목은 진료과목 1~3명 까지의 선택진료 의사 치과의사 또는 한의사를 선택할 수 있습니다.
    48. 

  48. 2. 환자가 주진료과 의사에게 진료지원과 의사선택을 위임할 경우 신청서 하단에 추가서명을 하여야 합니다.
    49. 

  49. 3. 환자 또는 그 보호자가 추가비용을 징수할 수 있는 선택진료를 담당하는 의사 치과의사 또는 한의사를 선택한 경우의 추가비용은 전액 본인이 부담합니다. 다만, 추가비용을 징수할 수 있는 선택진료를 담당하는 의사 치과 의사 또는 한의사가 아닌 의사 치과의사 또는 한의사를 선택한 경우에는 추가비용을 부담하지 아니합니다.
    50. 

  50. 4. 환자 또는 그 보호자는 선택진료를 변경 또는 해지할 수 있습니다.
    51. 

  51. 5. 추가비용을 징수할 수 있는 선택진료의 항목과 추가비용은 「선택 진료에 관한 규칙」 제 6조에 따라 선택진료 의료기관의 장이 정하여 게시, 비치 또는 안내한 것에 의합니다.
    52. 

  52. 6. 동일 환자가 동일 질환으로 동일한 병원에서 한번 선택진료 신청서를 작성하고 진료를 받은 후, 선택진료를 해지하거나 변경하지 않고 그 진료행위가 계속 이어지는 경우에는 이후 진료행위에 대하여도 선택진료를 신청한 것으로 봅니다." 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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="5" BaseCellColIndex="6"/></Row><Row Size="100"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="해지사항" 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="HY견고딕" FontSize="13" 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="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="1" Text="@cdcr_chngprestrem" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="7" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="10" BottomMargin="0" RightMargin="0" FontName="HY중고딕" FontSize="13" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="1" FieldIndex="55" 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="6" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="6" BaseCellColIndex="1"/></Row></Rows><Cols><Col Size="300"/><Col Size="500"/><Col Size="275"/><Col Size="175"/><Col Size="166"/><Col Size="127"/><Col Size="256"/><Col Size="51"/></Cols><ConditionalStyles/></Control><Control Type="Control.Table" Name="표4" Visible="0" X1="0" Y1="1812" Width="1850" Height="520" FitSection="0" LinkIndex="13" RoundLeftTopEdge="0" RoundRightTopEdge="0" RoundRightBottomEdge="0" RoundLeftBottomEdge="0" ExportLeft="0" ExportTop="0" ExportRight="0" ExportBottom="0"><CellStyles><CellStyle LeftLineStyle="1" RightLineStyle="1" TopLineStyle="1" BottomLineStyle="0" FDiagonalLineStyle="0" BDiagonalLineStyle="0" LeftLineWidth="0.75" RightLineWidth="0.75" TopLineWidth="0.75" BottomLineWidth="0" FDiagonalLineWidth="0.75" BDiagonalLineWidth="0.75" LeftLineColor="0" RightLineColor="0" TopLineColor="0" BottomLineColor="0" FDiagonalLineColor="0" BDiagonalLineColor="0"/><CellStyle LeftLineStyle="1" RightLineStyle="1" TopLineStyle="0" BottomLineStyle="0" FDiagonalLineStyle="0" BDiagonalLineStyle="0" LeftLineWidth="0.75" RightLineWidth="0.75" TopLineWidth="0" BottomLineWidth="0" FDiagonalLineWidth="0.75" BDiagonalLineWidth="0.75" LeftLineColor="0" RightLineColor="0" TopLineColor="0" BottomLineColor="0" FDiagonalLineColor="0" BDiagonalLineColor="0"/><CellStyle LeftLineStyle="1" RightLineStyle="1" TopLineStyle="0" BottomLineStyle="1" FDiagonalLineStyle="0" BDiagonalLineStyle="0" LeftLineWidth="0.75" RightLineWidth="0.75" TopLineWidth="0" BottomLineWidth="0.75" FDiagonalLineWidth="0.75" BDiagonalLineWidth="0.75" LeftLineColor="0" RightLineColor="0" TopLineColor="0" BottomLineColor="0" FDiagonalLineColor="0" BDiagonalLineColor="0"/></CellStyles><Rows><Row Size="220"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="  신청인이 주진료과 의사로 하여금 진료지원과 의사를 선택하여 진료를 의뢰할 경우 의사선택에 동의하며, 진료지원과 의사가 실시한 진료(검사, 영상진단, 방사선치료, 마취, 정신요법 등)에 부과되는 추가비용을 부담하겠습니다.
    53. 

  53.  ※주진료과 의사에게 진료지원과의 선택진료 의사선택을 위임하는 경우에만 작성" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="3" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="5" LeftMargin="5" BottomMargin="0" RightMargin="5" FontName="HY견고딕" 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></Row><Row Size="75"><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="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="30" FontName="HY견고딕" FontSize="13" 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></Row><Row Size="75"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="신청인 :                         (인)" 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="10" LeftMargin="30" BottomMargin="10" RightMargin="30" FontName="HY견고딕" FontSize="12" FontBold="0" FontUnderline="1" 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></Row><Row Size="75"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="(환자와의 관계 :                          )" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" 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    54.