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["附件：3"]
["工伤职工住院伙食补助费补差申请表"]
["申报单位代码："]
["申报单位名称（签章）："]
["序号","姓名","身份证号码","用人单位","医疗机构名称","医疗机构所在地","原待遇申报时间","住院期间伙食补助费补差"]
[null,null,"身份证号",null,"医疗机构","就医地点",null,"入院时间","出院时间","2021年1月1日后住院天数","补差金额"]
[]
[1]
[2]
[3]
["用人单位经办人：",{"$nulls":5},"单位负责人："]
[]
["填报说明："]
["1、","单位地点栏填写单位所在地省辖市。"]
["2、","就医地点栏填写就医所在地省、市。"]
["3、","补差金额=2021年1月1日后住院天数*1元。"]
["4、","此表一式两份。"]

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