DocuBench / labels /M66HZlWT.json
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{
"patientName": "游 詠",
"medicalRecordNumber": "4226770",
"idNumber": "C22117****",
"date": "105/02/24",
"visitSequenceNumber": "0002",
"visitDate": "105/02/24",
"department": "27200產科",
"registrationFee": 100.0,
"basicCopay": 140.0,
"rehabCopay": 0.0,
"drugCopay": 0.0,
"selfPayTotal": 240.0,
"amountDue": 240.0,
"receiptAmount": 240.0,
"consultationPoints": 267.0,
"drugFeePoints": 31.0,
"treatmentPoints": 91.0,
"pharmacyServicePoints": 50.0,
"insuranceReportedTotalPoints": 439.0
}