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["エグゼクティブドック　お申込書　V"]
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["お昼間の\nご連絡先"]
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["受診日",null,null,null,null,null,"1日目",null,null,null,null,null,null,null,null,null,null,null,null,null,"2日目"]
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["受診前日の宿泊(有料)"]
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["オプション検査の\nご希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G34=\"\",\"\",IF(G34=1,\"希望しない（総合検診のみ）\",\"希望する\"))","v":""}]
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[null,null,null,null,null,null,null,null,null,"　脳健康度ＡＩ検査　　　　【脳画像検査を受けた方のみ】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11000]
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[null,null,null,null,null,null,null,null,null,"　ＢＮＰ検査（採血）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3300]
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[null,null,null,null,null,null,null,null,null,"　膵臓がん 胆管がん検査　（ＭＲ胆管膵管撮影）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,33000]
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[null,null,null,null,null,null,null,null,null,"　内臓脂肪ＣＴ検査 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5500]
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[null,null,null,null,null,null,null,null,null,"　肺気腫評価ＣＴ　　　　　【肺ＣＴ検査を受けた方のみ】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5500]
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[null,null,null,null,null,null,null,null,null,"　胃がんリスク検診（採血:ピロリ菌検査／ペプシノゲン）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4400]
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[null,null,null,null,null,null,null,null,null,"　ピロリ菌検査（呼気採取法）　　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5500]
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[null,null,null,null,null,null,null,null,null,"　喀痰細胞診検査",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5500]
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[null,null,null,null,null,null,"　",null,null,"　骨密度検査（デキサ法　X線）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5500]
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[null,null,null,null,null,null,null,null,null,"　網膜黄斑断層検査（３次元眼底像撮影検査） ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3300]
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[null,null,null,null,null,null,null,null,null,"　卵巣がん子宮体がん検査　（骨盤部ＭＲＩ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"★",null,null,33000]
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["★女性の方のみ",null,null,null,null,null,null,null,null,"　子宮頚がん検査（頸部細胞診・頸腟超音波・ＨＰＶ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"★",null,null,22000]
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[null,null,null,null,null,null,null,null,null,"　トモシンセシス（３Ｄマンモグラフィ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"★",null,null,4400]
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["案内書送付先",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(G72=\"\",\"\",IF(G72=1,\"自宅\",\"勤務先\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"※事前に必ず受取可能な送付先"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※マクロが有効の場合はメールソフトが立ち上がります。\n内容を確認してメール送信をお願いいたします。\nこのファイルはダウンロードフォルダにありますので\n手動で添付送信可能です。"]