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["市场调节价项目价格备案表"]
["医疗机构名称：（盖章）                             联系人：                                联系方式：                                   报送时间："]
["序号","财务\n分类","项目编码","项目名称","服务产出","价格构成","计价单位","说明","备案价格\n（元）","备注"]