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- 1. 본인은 위 기간을 반드시 준수하겠습니다.
- 2. 본인은 외출 외박 기간 중 발생한 모든 내용에 대해서 환자 본인이
- 책임 지겠으며 귀 병원에 그 책임을 묻거나 이의를 제기하지 않겠습니다.
- 3. 본인이 이를 준수하지 않을 경우 귀 병원의 어떠한 조치에도 응하겠으며,
- 치료비 전액은 본인(연대보증인)의 책임하에 즉시 납부하겠습니다.
- 2 0 년 월 일
- 환 자 성 명 : (인)
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SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="9" 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/></Cell><Cell CellType="1" BaseCellRowIndex="8" BaseCellColIndex="14"/><Cell CellType="1" BaseCellRowIndex="8" BaseCellColIndex="14"/></Row><Row Size="160"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="※ 외출 및 외박을 원하신 분은 치료비(본인 일부 부담액) 전액을 사전 납부하셔야 합니다.
- ※ 외출 및 외박 기간에도 1일당의 입원료는 산정 됩니다." 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