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B_TxGCode:<input type="text" name="B_TxGCode" value="200"><br>
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B_Token:<input type="text" name="B_Token" value="DOSAPI2148665741Nzc3Nzc=201811281543384373296"><br>
B_IxDx:<input type="text" name="B_IxDx" value="77777"><br>
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B_Date:<input type="text" name="B_Date" value="20180123"><br>
B_MaxIdx:<input type="text" name="B_MaxIdx" value=""><br>
<input type="hidden" name="action" value="A">
<input type="submit" value=" 확 인 ">
</form>

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