{"text_format":"3","workbook":"xls","n_sheets":3,"sheets":["机关事业审批表","企业职工审批表","女职工特病补助申请表"],"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"机关事业审批表","index":0,"n_rows":20,"n_cols":15,"rows_kept":20,"merged":[[0,0,0,18],[1,0,1,18],[2,0,2,2],[2,3,2,7],[2,8,2,10],[2,11,2,13],[2,14,2,16],[2,17,2,18],[4,1,4,9],[4,11,4,12],[4,13,4,14],[4,15,4,18],[5,1,5,12],[5,13,5,15],[5,16,5,18],[6,1,6,18],[7,0,11,1],[7,2,11,11],[7,12,7,18],[9,12,9,18],[10,12,10,18],[11,12,11,18],[12,0,16,1],[12,2,16,11],[12,12,13,18],[14,12,14,18],[15,12,15,18],[16,12,16,18],[18,1,18,18],[19,1,19,18],[21,7,21,8],[21,12,21,14]],"flags":["formulas_cached_only"]}
["泉州市机关、事业单位在职职工住院"]
["医疗互助活动补助申请审批表"]
["申请人姓名",{"$nulls":7},"性别",{"$nulls":5},"年龄"]
["身份证号"]
["申请人所在单位",{"$nulls":9},"籍贯",null,null,"联系电话"]
["住院医院",{"$nulls":12},"附单据张数"]
["住院时间","       年                月               日至                   年             月               日"]
["所在单位         工会意见        （签章）"]
[]
[{"$nulls":12},"审核人："]
[{"$nulls":12},"年     月     日"]
[]
["县（市、区）医疗互助                办事处                                            意见            （签章）"]
[]
[{"$nulls":12},"审核人："]
[{"$nulls":12},"年     月     日"]
[]
["附注："]
[null,"1、此表一式二份上报办事处。"]
[null,"2、空白表可复印使用，复印时使用A4纸。"]

{"sheet":"企业职工审批表","index":1,"n_rows":23,"n_cols":15,"rows_kept":23,"merged":[[0,0,0,18],[1,0,1,18],[2,0,2,2],[2,3,2,7],[2,8,2,10],[2,11,2,13],[2,14,2,16],[2,17,2,18],[4,1,4,9],[4,11,4,12],[4,13,4,14],[4,15,4,18],[5,1,5,12],[5,13,5,15],[5,16,5,18],[6,1,6,18],[7,0,9,0],[7,1,9,5],[7,6,7,13],[7,14,9,18],[8,6,8,13],[9,6,9,13],[10,0,14,1],[10,2,14,11],[10,12,10,18],[12,12,12,18],[13,12,13,18],[14,12,14,18],[15,0,19,1],[15,2,19,11],[15,12,16,18],[17,12,17,18],[18,12,18,18],[19,12,19,18],[21,1,21,18],[22,1,22,18],[23,1,23,18],[24,1,24,18],[26,7,26,8],[26,12,26,14]],"flags":["formulas_cached_only"]}
["泉州市企业在职职工和外来工、农民工住院"]
["医疗互助活动补助申请审批表"]
["申请人姓名",{"$nulls":7},"性别",{"$nulls":5},"年龄"]
["身份证号"]
["申请人所在单位",{"$nulls":9},"籍贯",null,null,"联系电话"]
["住院医院",{"$nulls":12},"附单据张数"]
["住院时间","       年                     月                   日至                年                  月                 日"]
["参保情况","□参加城镇职工基本医疗保险         (医保缴费为工资总额的9.5%或7.5%)",{"$nulls":4},"□参加外来工、农民工住院保险",{"$nulls":7},"□未参加任何保险"]
[{"$nulls":6},"□参加城镇居民住院保险"]
[{"$nulls":6},"□参加新型农村合作医疗保险"]
["所在单位         工会意见        （签章）"]
[]
[{"$nulls":12},"审核人："]
[{"$nulls":12},"年     月     日"]
[]
["县（市、区）医疗互助                办事处                                            意见            （签章）"]
[]
[{"$nulls":12},"审核人："]
[{"$nulls":12},"年     月     日"]
[]
["附注："]
[null,"1、此表一式二份上报办事处。"]
[null,"2、空白表可复印使用，复印时使用A4纸。"]

{"sheet":"女职工特病补助申请表","index":2,"n_rows":23,"n_cols":5,"rows_kept":23,"merged":[[0,0,0,5],[1,0,1,5],[2,1,2,5],[3,1,3,2],[3,4,3,5],[4,1,4,5],[5,1,5,2],[5,4,5,5],[6,0,10,0],[6,1,6,5],[7,1,7,5],[8,1,8,5],[9,1,9,5],[10,1,10,5],[11,0,15,0],[11,1,15,3],[11,4,11,5],[14,4,14,5],[16,0,19,0],[16,1,16,2],[16,3,19,3],[16,4,16,5],[17,1,17,2],[17,4,17,5],[18,1,18,2],[18,4,18,5],[19,1,19,2],[19,4,19,5],[21,1,21,18],[22,1,22,18],[23,0,23,5],[24,0,24,5],[25,0,25,5]],"flags":["formulas_cached_only"]}
["泉  州  市  总  工  会"]
["女职工特病医疗互助金（慰问金）补助申请表"]
["所在单位全称"]
["申请人姓名",null,null,"申请人电话"]
["申请人身份证"]
["住院医院",null,null,"首次确诊时间"]
["申  请 原  因","一、（  ）原发性乳腺癌、卵巢癌、宫体癌、宫颈癌、阴道癌、子宫内膜癌；"]
[null,"二、（     ）乳腺原位癌、卵巢原位癌、宫体原位癌、宫颈原位癌、阴道原"]
[null,"                     位癌、子宫内膜原位癌；"]
[null,"三、（     ）子宫或卵巢全摘除手术；"]
[null,"四、（     ）子宫肌瘤或卵巢囊肿摘除手术。"]
["所在单位             工会意见        （签章）"]
[{"$nulls":4},"审核人："]
[]
[{"$nulls":4},"年      月      日"]
[]
["县(市、区)            医疗互助                  办事处                                   意见                      （签章）"]
[{"$nulls":4},"审核人："]
[{"$nulls":4},"年       月      日"]
[]
["附注："]
[null,"1、此表一式二份上报办事处。"]
[null,"2、空白表可复印使用，复印时使用A4纸。"]