| その他 | ,,,,,,,,"171,420",,,,,,,,,,,"26,500",,"144,920"
,,,,,,,,,,,,,,,,,,,,,
受診年月,受診者名,医療機関名等,内容,日数,医療費総額,健保支払額等,窓口支払額,負担額,,支払年月日,給付種目,支払額,受診者氏名,続柄,受診年月,銀行名,支店コード,口座番号,,,
H24/ 9,岡村 孝彦,豊洲パークシティ皮膚科,外来,1日,"2,920円","2,040円",880円,880,,平成24年10月19日,療養費払戻金,"1,600",岡村 孝彦,本人,平成24年 7月,ﾐｽﾞﾎ,001,2365500,1600,,
H24/ 9,岡村 孝彦,タカラ薬局 豊洲店,調剤,1日,"7,090円","4,960円","2,130円",2130,,平成24年 9月20日,療養費払戻金,"24,900",岡村 孝彦,本人,平成24年 6月,ﾐｽﾞﾎ,001,2365500,24900,,
H24/ 9,岡村 芳枝,人見クリニック,外来,1日,"4,360円","3,050円","1,310円",1310,,,,,,,,,,,,,
H24/ 9,岡村 芳枝,西野薬局,調剤,1日,"5,980円","4,190円","1,790円",1790,,,,,,,,,,,,,
H24/ 9,岡村 菜央,根子眼科,外来,1日,"1,260円",880円,380円,380,,,,,,,,,,,,,
H24/ 8,岡村 孝彦,中島歯科医院,歯科,2日,"7,600円","5,320円","2,280円",2280,,,,,,,,,,,,,
H24/ 8,岡村 芳枝,人見クリニック,外来,2日,"15,670円","10,970円","4,700円",4700,,,,,,,,,,,,,
H24/ 8,岡村 芳枝,グラム薬局 浜田山店,調剤,1日,"6,080円","4,260円","1,820円",1820,,,,,,,,,,,,,
H24/ 7,岡村 孝彦,地方独立行政法人病院機構山梨県立中央病院,入院,2日,"88,750円","62,120円","26,630円",26630,,,,,,,,,,,,,
H24/ 7,岡村 孝彦,豊洲パークシティ皮膚科,外来,1日,"2,920円","2,040円",880円,880,,,,,,,,,,,,,
H24/ 7,岡村 孝彦,タカラ薬局 豊洲店,調剤,1日,"7,090円","4,960円","2,130円",2130,,,,,,,,,,,,,
H24/ 7,岡村 孝彦,セントラル薬局,調剤,1日,"1,300円",910円,390円,390,,,,,,,,,,,,,
H24/ 7,岡村 孝彦,ＮＴＴ東日本関東病院,外来,4日,"20,520円","14,360円","6,160円",6160,,,,,,,,,,,,,
H24/ 7,岡村 孝彦,中島歯科医院,歯科,2日,"15,790円","11,050円","4,740円",4740,,,,,,,,,,,,,
H24/ 7,岡村 芳枝,接骨院,外来,2日,"1,210円",850円,360円,360,,,,,,,,,,,,,
H24/ 7,岡村 芳枝,人見クリニック,外来,3日,"11,170円","7,820円","3,350円",3350,,,,,,,,,,,,,
H24/ 7,岡村 芳枝,はまだやま耳鼻咽喉科・めまいクリニック,外来,2日,"12,110円","8,480円","3,630円",3630,,,,,,,,,,,,,
H24/ 7,岡村 芳枝,西野薬局,調剤,3日,"12,520円","8,760円","3,760円",3760,,,,,,,,,,,,,
H24/ 7,岡村 芳枝,西野薬局,調剤,2日,"7,630円","5,340円","2,290円",2290,,,,,,,,,,,,,
H24/ 6,岡村 孝彦,地方独立行政法人病院機構山梨県立中央病院,入院,1日,"166,620円","116,630円","49,990円",49990,,,,,,,,,,,,,
H24/ 6,岡村 孝彦,中島歯科医院,歯科,1日,"2,460円","1,720円",740円,740,,,,,,,,,,,,,
H24/ 6,岡村 芳枝,接骨院,外来,2日,"2,178円","1,528円",650円,650,,,,,,,,,,,,,
H24/ 6,岡村 芳枝,人見クリニック,外来,3日,"11,300円","7,910円","3,390円",3390,,,,,,,,,,,,,
H24/ 6,岡村 芳枝,西野薬局,調剤,3日,"10,760円","7,530円","3,230円",3230,,,,,,,,,,,,,
H24/ 6,岡村 菜央,はまだやま耳鼻咽喉科・めまいクリニック,外来,1日,"4,340円","3,040円","1,300円",1300,,,,,,,,,,,,,
H24/ 6,岡村 菜央,西野薬局,調剤,1日,"3,530円","2,470円","1,060円",1060,,,,,,,,,,,,,
H24/ 5,岡村 孝彦,豊洲パークシティ皮膚科,外来,1日,"3,380円","2,370円","1,010円",1010,,,,,,,,,,,,,
H24/ 5,岡村 孝彦,タカラ薬局 豊洲店,調剤,1日,"7,090円","4,960円","2,130円",2130,,,,,,,,,,,,,
H24/ 5,岡村 芳枝,接骨院,外来,3日,"3,267円","2,287円",980円,980,,,,,,,,,,,,,
H24/ 5,岡村 芳枝,人見クリニック,外来,2日,"10,390円","7,270円","3,120円",3120,,,,,,,,,,,,,
H24/ 5,岡村 芳枝,西野薬局,調剤,1日,"2,000円","1,400円",600円,600,,,,,,,,,,,,,
H24/ 5,岡村 芳枝,医療法人鉄蕉会亀田クリニック,外来,1日,750円,520円,230円,230,,,,,,,,,,,,,
H24/ 5,岡村 菜央,高井戸東診療所,外来,1日,"3,400円","2,380円","1,020円",1020,,,,,,,,,,,,,
H24/ 5,岡村 菜央,西野薬局,調剤,1日,"1,460円","1,020円",440円,440,,,,,,,,,,,,,
H24/ 5,岡村 菜央,根子眼科,外来,1日,"1,260円",880円,380円,380,,,,,,,,,,,,,
H24/ 4,岡村 孝彦,中島歯科医院,歯科,1日,"2,620円","1,830円",790円,790,,,,,,,,,,,,,
H24/ 4,岡村 芳枝,接骨院,外来,3日,"2,797円","1,957円",840円,840,,,,,,,,,,,,,
H24/ 4,岡村 芳枝,高井戸東診療所,外来,1日,"1,900円","1,330円",570円,570,,,,,,,,,,,,,
H24/ 4,岡村 芳枝,西野薬局,調剤,1日,"4,700円","3,290円","1,410円",1410,,,,,,,,,,,,,
H24/ 4,岡村 芳枝,西野薬局,調剤,1日,"1,290円",900円,390円,390,,,,,,,,,,,,,
H24/ 4,岡村 芳枝,美夏クリニック,外来,1日,"3,380円","2,370円","1,010円",1010,,,,,,,,,,,,,
H24/ 4,岡村 芳枝,医療法人鉄蕉会亀田クリニック,外来,1日,"6,690円","4,680円","2,010円",2010,,,,,,,,,,,,,
H24/ 3,岡村 孝彦,豊洲パークシティ皮膚科,外来,1日,"2,900円","2,030円",870円,870,,,,,,,,,,,,,
H24/ 3,岡村 孝彦,タカラ薬局 豊洲店,調剤,1日,"7,470円","5,230円","2,240円",2240,,,,,,,,,,,,,
H24/ 3,岡村 孝彦,西野薬局,調剤,1日,"1,540円","1,080円",460円,460,,,,,,,,,,,,,
H24/ 3,岡村 孝彦,中島歯科医院,歯科,2日,"16,230円","11,360円","4,870円",4870,,,,,,,,,,,,,
H24/ 3,岡村 芳枝,接骨院,外来,2日,"1,936円","1,356円",580円,580,,,,,,,,,,,,,
H24/ 3,岡村 芳枝,高井戸東診療所,外来,1日,"3,380円","2,370円","1,010円",1010,,,,,,,,,,,,,
H24/ 3,岡村 芳枝,西野薬局,調剤,1日,"5,020円","3,510円","1,510円",1510,,,,,,,,,,,,,
H24/ 3,岡村 菜央,中島歯科医院,歯科,2日,"2,040円","1,430円",610円,610,,,,,,,,,,,,,
H24/ 2,岡村 芳枝,接骨院,外来,3日,"2,904円","2,034円",870円,870,,,,,,,,,,,,,
H24/ 2,岡村 菜央,中島歯科医院,歯科,1日,"2,300円","1,610円",690円,690,,,,,,,,,,,,,
H24/ 1,岡村 孝彦,豊洲パークシティ皮膚科,外来,1日,"3,380円","2,370円","1,010円",1010,,,,,,,,,,,,,
H24/ 1,岡村 孝彦,タカラ薬局 豊洲店,調剤,1日,"7,470円","5,230円","2,240円",2240,,,,,,,,,,,,,
H24/ 1,岡村 芳枝,接骨院,外来,3日,"2,904円","2,034円",870円,870,,,,,,,,,,,,,
H24/ 1,岡村 芳枝,中島歯科医院,歯科,1日,"9,320円","6,520円","2,800円",2800,,,,,,,,,,,,,
H24/ 1,岡村 菜央,中島歯科医院,歯科,2日,"12,960円","9,070円","3,890円",3890,,,,,,,,,,,,,
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