{"text_format":"2","workbook":"xls","n_sheets":1,"sheets":["ドック申込書"],"not_rendered":{"charts":0,"images":0,"macros":0,"external_links":1,"defined_names":1,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"run_cost":"one","rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"ドック申込書","index":0,"n_rows":73,"n_cols":30,"rows_kept":73,"cut":false,"hidden":false,"merged":[[2,21,4,29],[6,4,7,11],[6,12,7,20],[8,4,9,16],[8,17,8,29],[52,7,53,14],[2,0,5,3],[5,4,5,6],[5,12,5,13],[5,20,5,21],[6,0,9,3],[19,0,23,3],[19,4,20,14],[2,4,4,11],[2,12,4,20],[10,0,10,3],[11,0,11,3],[11,15,13,16],[11,17,13,18],[11,19,11,29],[12,0,13,3],[12,19,13,20],[12,23,13,23],[12,26,13,26],[12,29,13,29],[14,0,14,3],[15,0,18,3],[15,4,16,4],[15,18,16,29],[17,18,18,29],[19,18,20,29],[21,4,22,4],[24,12,24,14],[24,24,24,26],[24,27,24,29],[25,24,27,26],[26,0,27,11],[28,0,30,0],[28,1,30,4],[28,5,30,6],[28,7,30,14],[28,15,30,15],[28,16,30,19],[28,20,30,21],[28,22,30,29],[31,0,33,0],[31,1,33,4],[31,5,33,6],[31,7,33,14],[31,16,32,19],[31,20,32,21],[31,22,32,29],[33,15,34,15],[33,16,34,19],[33,20,34,21],[33,22,34,29],[34,0,36,0],[34,1,36,4],[34,5,36,6],[34,7,36,14],[35,15,36,15],[35,16,36,19],[35,20,36,21],[35,22,36,29],[37,0,39,0],[37,1,39,4],[37,5,39,6],[37,7,39,14],[37,15,38,15],[37,16,38,19],[37,20,38,21],[37,22,38,29],[40,0,42,0],[40,1,42,4],[40,5,42,6],[40,7,42,14],[41,15,42,15],[41,16,42,19],[43,16,45,19],[43,20,45,21],[39,15,40,15],[39,16,40,19],[39,20,40,21],[39,22,40,29],[46,7,48,14],[46,15,48,15],[46,16,48,19],[41,20,42,21],[41,22,42,29],[43,0,45,0],[43,1,45,4],[43,5,45,6],[43,7,45,14],[43,15,45,15],[46,20,48,21],[49,0,53,0],[49,1,53,4],[49,5,53,6],[49,7,51,14],[49,16,50,19],[49,20,50,21],[46,0,48,0],[46,1,48,4],[46,5,48,6],[49,22,50,29],[51,16,52,19],[51,20,52,21],[53,15,54,15],[53,16,54,19],[53,20,54,21],[53,22,54,29],[54,0,55,0],[54,1,55,4],[54,5,55,6],[54,7,55,14],[55,15,56,15],[55,16,56,19],[55,20,56,21],[55,22,56,29],[56,0,57,0],[56,1,57,4],[56,5,59,6],[56,7,59,14],[57,16,58,19],[57,20,58,21],[57,22,58,29],[58,0,59,0],[58,1,59,4],[59,16,60,19],[59,20,60,21],[59,22,60,29],[60,1,61,4],[60,5,61,6],[61,16,62,19],[61,20,62,21],[61,22,62,29],[62,1,63,4],[62,5,63,6],[63,15,65,15],[63,16,65,19],[63,20,65,21],[63,22,65,26],[63,27,67,29],[66,20,67,21],[64,1,65,4],[64,5,65,6],[64,7,65,14],[66,1,67,4],[66,5,67,6],[66,16,67,19],[68,1,69,4],[68,5,69,6],[68,7,69,14],[68,16,69,19],[68,20,69,21],[68,22,69,29],[70,16,71,19],[70,20,71,21],[70,22,71,29],[72,0,74,3],[72,12,74,14],[72,15,74,29],[70,1,71,4],[70,5,71,6],[25,27,27,29],[6,21,7,29],[26,12,27,14],[26,15,27,17],[26,18,27,20],[26,21,27,23]],"flags":["formulas_cached_only"]}
["人間ドック申込書",{"$nulls":22},"予約NO."]
[]
["保　険　証",null,null,null,"　□ 国　保\n　　　　（　　　　　　　　　　　　）",{"$nulls":7},"　□ 社　保\n　　　　（　　　　　　　　　　　　　　）",{"$nulls":8},"　□ 共　済\n　　　　（　　　　　　　　　　　　　　）"]
[]
[]
[{"$nulls":4},"保険者番号",{"$nulls":7},"記　号",{"$nulls":7},"番  号"]
["コ　 ー　 ス",null,null,null,"□ 基本コース　\n　　　　　　　４０，７００円",{"$nulls":7},"□ 脳ドックコース　\n　　　　　　　　　３５，９７０円",{"$nulls":8},"□ 肺ドックコース　\n　　　　　　　　　２６，９５０円"]
[]
[{"$nulls":4},"□ 体幹部MRIコース\n　　　　　　　　　　　　　　　８９，９８０円",{"$nulls":12},"□ 婦人科コース （子宮 ・マンモ ・ 乳エコー）"]
[{"$nulls":19},"検査項目料金　+　問診・判断料１，６５０円"]
["受  診  日",null,null,null,"　　　　年　　　　　　月　　　　　　日  （　　　　　　）　　　　　　　　　時　　　　　　分  ～"]
["フリガナ",{"$nulls":14},"男",null,"女",null,"生　　年　　月　　日"]
["氏 　　  名",{"$nulls":18},"S ・ H",null,null,null,"年",null,null,"月",null,null,"日"]
[]
["資料送付先",null,null,null,"□　自宅　　　　　　　　　□　勤務先　　　　　　　　　□　病院"]
["自宅住所",null,null,null,"〒",{"$nulls":13},"TEL：　　　　　　　－　　　　　　　－"]
[]
[]
[]
["勤 務 先",null,null,null,"会社名",{"$nulls":13},"TEL：　　　　　　　－　　　　　　　－"]
[]
[{"$nulls":4},"〒"]
[]
[]
[{"$nulls":24},"予約画面",null,null,"資料発送"]
[]
["  身長　：　　　　　　㎝　　　体重　：　　　　　　　ｋｇ"]
[]
[null,"胸部CT",null,null,null,13970,{"$nulls":10},"胃ｶﾒﾗ　　",null,null,null,2200]
[]
[]
[null,"肺ドック",null,null,null,19800]
[]
[{"$nulls":16},"前立腺検診",null,null,null,2200,null," 前立腺特異抗原 ／ ＰＳＡ"]
[null,"喀痰細胞診",null,null,null,3300]
[{"$nulls":16},"腫瘍ﾏｰｶｰ",null,null,null,3960,null," ＣＥＡ  \n ＡＦＰ "]
[]
[null,"内臓脂肪面積\n　測定（ＣＴ）",null,null,null,4070,{"$nulls":10},"膵臓検診",null,null,null,3960,null," ＣＡ１９－９・エラスターゼ1"]
[]
[{"$nulls":16},"肝臓検診",null,null,null,3960,null,"ＡＦＰ  \n ＰＩＶＫＡ-Ⅱ"]
[null,"脳ドック",null,null,null,29480]
[{"$nulls":16},"卵巣検診",null,null,null,2200,null,"ＣＡ125"]
[]
[null,"VSRAD\n早期ｱﾙﾂﾊｲﾏｰ診断",null,null,null,3410,{"$nulls":10},"腫瘍ﾏｰｶｰｾｯﾄ\n　　　男性用",null,null,null,9900,null,"ＰＳＡ ・ ＡＦＰ ・ ＰＩＶＫＡ-Ⅱ"]
[{"$nulls":22},"ＣＥＡ ・ ＣＡ１９－９ ・ エラスターゼ1"]
[{"$nulls":22}," （前立腺・腫瘍ﾏｰｶｰ・膵臓・肝臓）"]
[null,"血圧脈波検査\n　（CAVI）",null,null,null,2200,{"$nulls":10},"腫瘍ﾏｰｶｰｾｯﾄ\n　　　女性用",null,null,null,9900,null,"ＣＡ125 ・ ＡＦＰ ・ ＰＩＶＫＡ-Ⅱ  "]
[{"$nulls":22},"ＣＥＡ ・ ＣＡ１９－９ ・ エラスターゼ1 "]
[{"$nulls":22}," （卵巣・腫瘍ﾏｰｶｰ・膵臓・肝臓）"]
[null,"体幹部MRI",null,null,null,62480,{"$nulls":10},"ｱﾐﾉｲﾝﾃﾞｯｸｽ",null,null,null,27500]
[]
[{"$nulls":16},"LOX-index\n  (ﾛｯｸｽｲﾝﾃﾞｯｸｽ)",null,null,null,13200]
[]
[{"$nulls":16},"甲状腺機能検査",null,null,null,2200,null,"ＴＳＨ "]
[null,"膵臓MRI",null,null,null,30250]
[{"$nulls":16},"胃健診",null,null,null,3300,null,"ペプシノーゲン"]
[null,"前立腺MRI",null,null,null,28050]
[{"$nulls":16},"心臓検診",null,null,null,2200,null,"ＮＴ－proＢＮＰ"]
[null,"卵巣MRI"]
[{"$nulls":16},"骨量（DEXA）",null,null,null,3850]
[null,"頚動脈エコー",null,null,null,4400]
[{"$nulls":16},"推定1日食塩摂取量",null,null,null,660]
[null,"甲状腺エコー",null,null,null,3410]
[{"$nulls":16},"マンモグラフィ",null,null,null,5830,{"$nulls":6},"両方実施は\n9,130円"]
[null,"健康年齢測定",null,null,null,1210]
[]
[null,"もの忘れﾁｪｯｸﾃｽﾄ",null,null,null,1760,{"$nulls":10},"乳房超音波検査",null,null,null,4400]
[]
[null,"ロコモ検診",null,null,null,1430,{"$nulls":10},"子宮がん検診",null,null,null,3960,null,"水のAM　　／　　月・水・金のPM"]
[]
[null,"肝脂肪化・肝硬度測定\n（ATT）",null,null,null,1650,{"$nulls":10},"ＨＰＶ検査",null,null,null,4950,null,"子宮がん検診必須！"]
[]
["健診料金",{"$nulls":11},"円（税込）",null,null,"　支払い　　　　当日　　　　後日（　　　　　　　　　　　　　　）"]