• {{inPaymentData.INP_NO}} / >
  • {{inPaymentData.HOSPITAL_NAME}}
    {{inPaymentData.DEPT_NAME}}
  • {{inPaymentData.PATIENT_NAME}} / {{convertSex(inPaymentData.SEX)}} /{{inPaymentData.AGE}}
  • {{convertDate(inPaymentData.INHOSPITAL_DATE)}}
  • ¥ {{convertMoney(inPaymentData.SHOULD_PAY_FEE)}}
  • ¥ {{convertMoney(inPaymentData.EXPENSE_FEE)}}

{{emptyText}}