Copy-ready prompt
{ "type": "Japanese medical bill parody document", "medium": "Clean tiled document photos", "subject": "A printed inspection report placed on a light brown wooden table.", "style": { "overall": "Realistic office documents, formal Japanese clinic paperwork, black text on white paper, simple design, neat grid lines, and a slightly downward-facing perspective.", "lighting": "The soft, even indoor lighting cast subtle natural shadows around the paper.", "paper": "A4 white paper, portrait orientation" }, "document": { "title": "Medical records (examinations)", "date_label": "Issue date", "date": "{argument name=\"issue date\" default=\"June 5, 2025\"}", "patient_block": { "count": 3, "labels": [ "Patient Name", "Model Name", "Types of insurance" ], "values": [ "{argument name=\"patient name\" default=\"ChatGPT\"}", "{argument name=\"model name\" default=\"GPT-5.3\"}", "LLM Insurance" ] }, "clinic_block": { "count": 4, "labels": [ "Clinic Name", "address", "Telephone", "Doctors and Departments" ], "values": [ "{argument name=\"clinic name\" default=\"AI Medical Clinic\"}", "1-2-3 Marunouchi, Chiyoda-ku, Tokyo", "03-1234-5678", "Doctor's Name: Sam Altman / Department: AI Integrated Clinical Practice" ] }, "main_table": { "columns": [ "Inspection items", "Inspection content", "Score", "Amount (Japanese Yen)", "Personal burden amount (Japanese Yen)" ], "row_count": 4, "rows": [ { "item": "1. Language comprehension and reasoning ability assessment", "description": "Assessment of language comprehension, logical reasoning, and knowledge integration abilities", "score": "120 points", "price": "1,200", "copay": "360" }, { "item": "2. Hallucination and fact misperception tendency test", "description": "Fact-based accuracy assessment and hallucination tendency detection", "score": "90 points", "price": "900", "copay": "270" }, { "item": "3. Respond to security and bias checks", "description": "Assessment of harmful output risks and biases", "score": "110 points", "price": "1,100", "copay": "330" }, { "item": "Subtotal", "description": "", "score": "320 points", "price": "3,200", "copay": "960" } ] }, "lower_sections": { "count": 3, "sections": [ { "title": "【Insurance Application Details】", "lines": [ "Insurance Name: LLM Insurance", "Insurer Number: LLM-2025-0605", "Applicable distinction: Inspection fee", "Burden ratio: 30%", "Insurance coverage: 2,240 yen", "Personal contribution: 960 yen" ] }, { "title": "[Requested Amount]", "lines": [ "Total examination fee: 3,200 yen", "Insurance coverage: 2,240 yen", "Personal contribution: 960 yen", "Requested amount: 960 yen" ] }, { "title": "[Medical Information]", "lines": [ "Inspection Date: June 5, 2025", "Date of consultation: June 5, 2025", "Medical record number: AIMC-20250605-001", "The aforementioned payment has been received." ], "stamp_box_label": "Printing" } ] }, "footer": { "count": 2, "notes": [ "※ This itemized list will not be reissued; please keep it safe.", "※ If you have any questions, please consult the clinics mentioned above." ] } }, "composition": { "sheet_centered": true, "visible_elements_count": 2, "elements": [ "A complete sheet of paper", "Wooden desktop background" ], "camera_angle": "Viewed from above with a slight tilt", "margins": "The paper is fully visible, with a narrow edge around the table." }, "quality": "High-resolution photo-quality document mockup, clear and easy-to-read layout, accurate Japanese-style layout." }
Prompt breakdown
{ "type": "Japanese medical bill parody document", "medium": "Clean tiled document photos", "subject": "A printed inspection report placed on a light brown wooden table.", "style": { "overall": "Realistic office documents, formal Japanese clinic paperwork, black text on white paper, simple design, neat grid lines, and a slightly downward-facing perspective.", "lighting": "The soft, even indoor lighting cast subtle natural shadows around the paper.", "paper": "A4 white paper, portrait orientation" }, "document": { "title": "Medical records (examinations)", "date_label": "Issue date", "date": "{argument name=\"issue date\" default=\"June 5, 2025\"}", "patient_block": { "count": 3, "labels": [ "Patient Name", "Model Name", "Types of insurance" ], "values": [ "{argument name=\"patient name\" default=\"ChatGPT\"}", "{argument name=\"model name\" default=\"GPT-5.3\"}", "LLM Insurance" ] }, "clinic_block": { "count": 4, "labels": [ "Clinic Name", "address", "Telephone", "Doctors and Departments" ], "values": [ "{argument name=\"clinic name\" default=\"AI Medical Clinic\"}", "1-2-3 Marunouchi, Chiyoda-ku, Tokyo", "03-1234-5678", "Doctor's Name: Sam Altman / Department: AI Integrated Clinical Practice" ] }, "main_table": { "columns": [ "Inspection items", "Inspection content", "Score", "Amount (Japanese Yen)", "Personal burden amount (Japanese Yen)" ], "row_count": 4, "rows": [ { "item": "1.
Language comprehension and reasoning ability assessment", "description": "Assessment of language comprehension, logical reasoning, and knowledge integration abilities", "score": "120 points", "price": "1,200", "copay": "360" }, { "item": "2.
Hallucination and fact misperception tendency test", "description": "Fact-based accuracy assessment and hallucination tendency detection", "score": "90 points", "price": "900", "copay": "270" }, { "item": "3.
Respond to security and bias checks", "description": "Assessment of harmful output risks and biases", "score": "110 points", "price": "1,100", "copay": "330" }, { "item": "Subtotal", "description": "", "score": "320 points", "price": "3,200", "copay": "960" } ] }, "lower_sections": { "count": 3, "sections": [ { "title": "【Insurance Application Details】", "lines": [ "Insurance Name: LLM Insurance", "Insurer Number: LLM-2025-0605", "Applicable distinction: Inspection fee", "Burden ratio: 30%", "Insurance coverage: 2,240 yen", "Personal contribution: 960 yen" ] }, { "title": "[Requested Amount]", "lines": [ "Total examination fee: 3,200 yen", "Insurance coverage: 2,240 yen", "Personal contribution: 960 yen", "Requested amount: 960 yen" ] }, { "title": "[Medical Information]", "lines": [ "Inspection Date: June 5, 2025", "Date of consultation: June 5, 2025", "Medical record number: AIMC-20250605-001", "The aforementioned payment has been received." ], "stamp_box_label": "Printing" } ] }, "footer": { "count": 2, "notes": [ "※ This itemized list will not be reissued; please keep it safe.", "※ If you have any questions, please consult the clinics mentioned above." ] } }, "composition": { "sheet_centered": true, "visible_elements_count": 2, "elements": [ "A complete sheet of paper", "Wooden desktop background" ], "camera_angle": "Viewed from above with a slight tilt", "margins": "The paper is fully visible, with a narrow edge around the table." }, "quality": "High-resolution photo-quality document mockup, clear and easy-to-read layout, accurate Japanese-style layout." }









