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["附表2"]
["疾病应急救助基金汇总表                                                                 （统计期间：制度建立-2017年11月30日）"]
["  省份：（盖章）               填报人：",{"$nulls":4},"                      填报时间：    年   月   日"]
["筹集基金",null,null,"申请基金",null,"支付基金",null,"追回基金"]
[]
["来源渠道","金额",null,"身份不明","无力支付","身份不明","无力支付"]
[]
["中央财政",null,"人次"]
["省级财政"]
["市级财政",null,"金额"]
["社会捐款"]
[]
["填表说明： \n1.本表统计期间是自疾病应急救助制度建立至今，累计的数据。                                                                                                                    2.金额单位:元，精确到小数点后2位。                                                                                                                                           3.追回基金:是指基金支付后，又查明患者身份或有支付能力的，医疗机构和经办机构追回的资金。                                                                                      "]