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{"sheet":"报销单","index":0,"n_rows":21,"n_cols":4,"rows_kept":21,"merged":[[0,0,0,4],[1,1,1,4],[2,0,3,0],[4,0,6,0],[4,1,4,4],[5,1,5,4],[6,1,6,4],[7,0,12,0],[7,1,7,4],[8,1,8,4],[9,1,9,4],[10,1,10,4],[11,1,11,4],[12,1,12,4],[13,0,17,0],[13,1,13,4],[14,1,14,4],[15,1,15,4],[16,1,16,4],[17,1,17,4],[18,0,18,4],[19,0,20,0]]}
["合肥物质院职工医疗补助报销单"]
["姓名"]
["个人自付（报销人填写）","门诊自付金额",null,"门诊发票张数"]
[null,"住院自付金额",null,"住院发票张数"]
["个人自付金额计算"]
[null,"门诊：门诊发票上“个人账户+个人现金支付金额”合计"]
[null,"住院：出院结算单上的“个人账户+个人现金支付金额”合计"]
["报销资料（发票不要粘贴，用夹子夹住即可）","报销单后附资料：（其余资料清单、病例等资料给人事备查，不附在报销单后面）"]
[null,"发票内容清晰，完整，否则重新打印后方可报销"]
[null,"发票不要粘贴，用夹子夹住即可"]
[null,"1.门诊：仅需门诊发票，电子发票在前，普通发票在后；"]
[null,"2.住院：住院发票+出院结算单，电子发票在前，普通发票在后，缺少出院结算单无法报销。"]
[null,"3.电子发票重复自查：按时间顺序整理，剔除发票号码重复的发票"]
["报销承诺","承诺：本人确认已对发票内容进行核实，并对以下主要内容作出承诺，如果后期发现存在发票不实、重复报销或发票信息不全等其他不能报销的情况，产生的一切后果由本人自行承担。"]
[null,"1. 发票均为就诊人本人；"]
[null,"2. 就诊年度：仅限当年 ；"]
[null,"3. 发票真实、内容清晰、完整，发票章齐全；"]
[null,"4. 电子发票仅报销一次，不存在重复报销。"]
["                                                             报销人：签名"]
["财务审核（财务填写）","门诊自付金额",null,"门诊发票张数"]
[null,"住院自付金额",null,"住院发票张数"]