绩效抽取新增列时，起始index+1

performance/Performance.Services/ExtractExcelService/ExtractHelper/WriteDataHelper.cs

@@ -53,6 +53,7 @@ public static void WriteSheetHeader(ISheet sheet, PerSheetPoint point, SheetType
                 : style.SetBgkColorAndFormat(style.GetCellStyle(), StyleType.系数, CellFormat.百分比);
             var columnStyle = style.SetBgkColorAndFormat(style.GetCellStyle(), StyleType.列头);
 
+            headerFirstCellNum += 1;
             // 补充excel中不存在的列
             foreach (var item in columns)
             {

performance/Performance.Services/ExtractExcelService/SheetDataWrite/IncomeDataWrite.cs

@@ -44,9 +44,10 @@ public void WriteSheetData(ISheet sheet, PerSheetPoint point, SheetType sheetTyp
 
             if (data is List<ExtractTransDto> extractDto && extractDto.Any())
             {
-                var headers = extractDto.Select(t => new ExcelHeader
+                var headers = extractDto.Select(t => t.Category.Trim()).Distinct()
+                    .Select(t => new ExcelHeader
                     {
-                    ColumnName = t.Category.Trim(),
+                        ColumnName = t,
                         DoctorFactor = 0,
                         NurseFactor = 0,
                         TechnicianFactor = 0