Copayment
| Tag | 1 | 2 | Valor |
|---|---|---|---|
| LDR | 00000nzm a2200000o 4500 | ||
| 001 | MAPA20110030223 | ||
| 003 | MAPA | ||
| 005 | 20111125095234.0 | ||
| 008 | 111125 n aiznnaban|||||||||| n|ana|||| d | ||
| 040 | $aMAP$bspa | ||
| 150 | $aCopayment | ||
| 750 | 0 | $0MAPA20110030216$aCopago |
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