RPPMC00700_성인암환자의료비지원신청서.xml 737 B

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  1. <?xml version="1.0" encoding="utf-8"?>
  2. <root>
  3. <main>
  4. <cner_print>
  5. <pat_pid/>
  6. <pat_hngnm/>
  7. <pat_rrgstno/>
  8. <pat_addr/>
  9. <pat_hometel/>
  10. <pat_mpphontel/>
  11. <minst_name/>
  12. <minst_prsd/>
  13. <minst_bizmngrgstno/>
  14. <minst_addr/>
  15. <minst_phone/>
  16. <minst_yearfrom/>
  17. <minst_monthfrom/>
  18. <minst_dayfrom/>
  19. <minst_yearto/>
  20. <minst_monthto/>
  21. <minst_dayto/>
  22. <minst_i_yearfrom/>
  23. <minst_i_monthfrom/>
  24. <minst_i_dayfrom/>
  25. <claimamt/>
  26. <bank_name/>
  27. <bank_acount/>
  28. <bank_owner/>
  29. <ctrt_year/>
  30. <ctrt_month/>
  31. <ctrt_day/>
  32. <ctrt_name/>
  33. <ctrt_inst_name/>
  34. <ctrt_inst_prsd/>
  35. <ctrt_to/>
  36. <ctrt_lastyear/>
  37. <ctrt_nextyear/>
  38. </cner_print>
  39. </main>
  40. </root>