kljk
/
klhis
5
0
Fork 0
Code Issues Pull Requests Packages Projects Releases Wiki Activity
You can not select more than 25 topics Topics must start with a letter or number, can include dashes ('-') and can be up to 35 characters long.
100 Commits
45 Branches
0 Tags
201 MiB
Tag: Branch: Tree: 0812804bc8
Branches Tags
${ item.name }
Create tag ${ searchTerm }
Create branch ${ searchTerm }
from '0812804bc8'
${ noResults }
klhis/file/reporttemplate/DE3C9D58-C91A-459E-74D0-589.../住院收费发票打印/0cfe7575d454bb37275d2838487...

245 lines
30 KiB
Raw Normal View History Unescape

初版提交
3 months ago
<?xml version="1.0" encoding="UTF-8"?>
<emr>
<page styleline="false" height="148" width="210" lineheight="1.5" letterspace="0.0" paddingleft="10.0" paddingright="10.0" paddingtop="5.0" paddingbottom="5.0" portrait="0" />
<headercontent>
<![CDATA[
]]>
</headercontent>
<content>
<![CDATA[
<P align=center><FONT style="FONT-SIZE: 7.8mm"><STRONG style="FONT-SIZE: 7.8mm">结算单</STRONG></FONT></P>
<P>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; BORDER-TOP: #000 1px solid; FONT-FAMILY: 宋体; BORDER-RIGHT: #000 1px solid; WIDTH: 100%; BORDER-COLLAPSE: collapse; BORDER-BOTTOM: #000 1px solid; BORDER-LEFT: #000 1px solid; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 colSpan=2 class="Emr_table_dotted"> 住院号：<SPAN id=CB78ECFC-ECB2-7F56-1D7D-09227CE8266D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="ZYNO" watid="CB78ECFC-ECB2-7F56-1D7D-09227CE8266D">$ZYNO$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 colSpan=2 class="Emr_table_dotted">姓名：<SPAN id=70F2D8D9-4CAD-E56E-A71E-37DF9D0E3126 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XM" watid="70F2D8D9-4CAD-E56E-A71E-37DF9D0E3126">$XM$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 colSpan=2 class="Emr_table_dotted">费别：<SPAN id=14E8AC09-B313-3A18-E9AB-E663D57FE867 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医保类型" watid="14E8AC09-B313-3A18-E9AB-E663D57FE867">$医保类型$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 colSpan=2 class="Emr_table_dotted"> 入院：<SPAN id=1A0C63A5-4C93-D0FC-9854-DB7357D5F504 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJRQ*yyyy-MM-dd" watid="1A0C63A5-4C93-D0FC-9854-DB7357D5F504">$JJRQ*yyyy-MM-dd$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 colSpan=2 class="Emr_table_dotted">出院：<SPAN id=C7C66D13-DF73-CA2A-8C21-CF5AB277FACE class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="CYRQ*yyyy-MM-dd" watid="C7C66D13-DF73-CA2A-8C21-CF5AB277FACE">$CYRQ*yyyy-MM-dd$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 colSpan=2 class="Emr_table_dotted">共：<SPAN id=9C786869-7DCE-FD6B-220A-D58C663399AE class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="ZYTS" watid="9C786869-7DCE-FD6B-220A-D58C663399AE">$ZYTS$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=39 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted"><SPAN id=B33DF4AA-EBC4-5770-F4DE-680599E38D5E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别1" watid="B33DF4AA-EBC4-5770-F4DE-680599E38D5E">$费用类别1$</SPAN> <SPAN id=AED4F851-2B70-818E-D980-B3B77D1E2AF3 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额1" watid="AED4F851-2B70-818E-D980-B3B77D1E2AF3">$金额1$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=F7C99A69-038E-DA6E-143A-0C16105C7981 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别2" watid="F7C99A69-038E-DA6E-143A-0C16105C7981">$费用类别2$</SPAN> <SPAN id=03E625A1-A6AD-A1DF-57A3-D54A28BE1A0E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额2" watid="03E625A1-A6AD-A1DF-57A3-D54A28BE1A0E">$金额2$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=39 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=E713454B-C0C0-A2F5-242F-18F1BD9EEA49 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别3" watid="E713454B-C0C0-A2F5-242F-18F1BD9EEA49">$费用类别3$</SPAN> <SPAN id=12E1DE69-393A-6927-1D20-3D1DC8CC2F0F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额3" watid="12E1DE69-393A-6927-1D20-3D1DC8CC2F0F">$金额3$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted"><SPAN id=34942C76-561C-1DE2-3B50-9F0C31EE683E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别4" watid="34942C76-561C-1DE2-3B50-9F0C31EE683E">$费用类别4$</SPAN> <SPAN id=1BE45496-1583-C36B-1228-CE8E8064B9F3 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额4" watid="1BE45496-1583-C36B-1228-CE8E8064B9F3">$金额4$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=CBEE9642-AE92-F2D8-7130-8D5B3B90B92D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别5" watid="CBEE9642-AE92-F2D8-7130-8D5B3B90B92D">$费用类别5$</SPAN> <SPAN id=00FB114E-76AD-7824-D103-F3E7C515139D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额5" watid="00FB114E-76AD-7824-D103-F3E7C515139D">$金额5$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=39 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=296F03EE-1AFB-3DB7-7CA9-2E2B6BEE1814 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别6" watid="296F03EE-1AFB-3DB7-7CA9-2E2B6BEE1814">$费用类别6$</SPAN> <SPAN id=59914292-F117-3671-1CAE-1D7A716B4CA3 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额6" watid="59914292-F117-3671-1CAE-1D7A716B4CA3">$金额6$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted"><SPAN id=C695F702-E058-B699-F0BE-DED282AC2BD2 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别7" watid="C695F702-E058-B699-F0BE-DED282AC2BD2">$费用类别7$</SPAN> <SPAN id=74041E90-A800-A9E5-C8CC-60BE4C1FCA71 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额7" watid="74041E90-A800-A9E5-C8CC-60BE4C1FCA71">$金额7$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=B08C8255-DF10-9108-8F9D-C575537696E1 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别8" watid="B08C8255-DF10-9108-8F9D-C575537696E1">$费用类别8$</SPAN><SPAN> <SPAN id=DCDC6CE7-F82A-51B9-4889-5CDA583B47AA class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额8" watid="DCDC6CE7-F82A-51B9-4889-5CDA583B47AA">$金额8$</SPAN></SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=39 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=B617B72C-68E1-9DCB-28BA-336E8FB9C0D4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别9" watid="B617B72C-68E1-9DCB-28BA-336E8FB9C0D4">$费用类别9$</SPAN><SPAN> </SPAN><SPAN id=3B91DD70-2DC8-8A19-819A-BCEF70AE06A1 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额9" watid="3B91DD70-2DC8-8A19-819A-BCEF70AE06A1">$金额9$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted"><SPAN id=78097477-C296-AE97-4EC4-CAB3D5810CD4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别10" watid="78097477-C296-AE97-4EC4-CAB3D5810CD4">$费用类别10$</SPAN> <SPAN id=FA6C882D-EF80-11BC-548A-4301689865F8 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额10" watid="FA6C882D-EF80-11BC-548A-4301689865F8">$金额10$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=D27311C3-2969-5F9C-99AC-AE411724D352 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别11" watid="D27311C3-2969-5F9C-99AC-AE411724D352">$费用类别11$</SPAN> <SPAN id=C2645593-E4E6-FC85-864F-99B1028B9C19 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额11" watid="C2645593-E4E6-FC85-864F-99B1028B9C19">$金额11$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=39 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=EF32E1F3-4039-7E24-C441-E2728EDD67D9 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别12" watid="EF32E1F3-4039-7E24-C441-E2728EDD67D9">$费用类别12$</SPAN> <SPAN id=7A6A6BA6-B196-92A7-5964-DB074DDAB892 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额12" watid="7A6A6BA6-B196-92A7-5964-DB074DDAB892">$金额12$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted"><SPAN id=2729457D-01C6-7583-D8A2-8B78B363FA56 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别13" watid="2729457D-01C6-7583-D8A2-8B78B363FA56">$费用类别13$</SPAN> <SPAN id=2AEB98D7-D58A-59EF-4990-8686AB87F3D4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额13" watid="2AEB98D7-D58A-59EF-4990-8686AB87F3D4">$金额13$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=66A0DEBB-AC30-4049-C274-A6ECCA68A54F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别14" watid="66A0DEBB-AC30-4049-C274-A6ECCA68A54F">$费用类别14$</SPAN> <SPAN id=558810E9-8F75-F406-7139-1D40E3E50D00 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额14" watid="558810E9-8F75-F406-7139-1D40E3E50D00">$金额14$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=39 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"><SPAN id=1BE549C7-4548-1DC1-2960-F31E1CF4025E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别15" watid="1BE549C7-4548-1DC1-2960-F31E1CF4025E">$费用类别15$</SPAN><SPAN> <SPAN id=1651F9F7-59EB-10F9-C293-44800D381818 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额15" watid="1651F9F7-59EB-10F9-C293-44800D381818">$金额15$</SPAN></SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=635BAD91-7670-C4FB-48ED-B1ADA1680EFC class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别16" watid="635BAD91-7670-C4FB-48ED-B1ADA1680EFC">$费用类别16$</SPAN> <SPAN id=2FEF180F-1274-7730-506D-282421AEA90A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额16" watid="2FEF180F-1274-7730-506D-282421AEA90A">$金额16$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=5BCFB9F2-9F56-ABC0-9533-F2A93575135E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别17" watid="5BCFB9F2-9F56-ABC0-9533-F2A93575135E">$费用类别17$</SPAN> <SPAN id=C9198D73-1C88-0DEE-7F7A-2D144BBA1953 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额17" watid="C9198D73-1C88-0DEE-7F7A-2D144BBA1953">$金额17$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=C48EDD08-A8D9-4BA8-9582-7C887A3D0DB5 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别18" watid="C48EDD08-A8D9-4BA8-9582-7C887A3D0DB5">$费用类别18$</SPAN> <SPAN id=AF73C409-C17E-E271-42D1-3076D9292961 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额18" watid="AF73C409-C17E-E271-42D1-3076D9292961">$金额18$</SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=2F672E1F-62F5-0300-02D3-14BDA603CE0E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别19" watid="2F672E1F-62F5-0300-02D3-14BDA603CE0E">$费用类别19$</SPAN> <SPAN id=73C71B84-19D7-2F4B-9057-8083E1C8F6C3 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额19" watid="73C71B84-19D7-2F4B-9057-8083E1C8F6C3">$金额19$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=1922F078-7A85-4353-F1CC-B25FAC207AB2 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别20" watid="1922F078-7A85-4353-F1CC-B25FAC207AB2">$费用类别20$</SPAN> <SPAN id=28870F85-F227-9C05-FA9A-B7F0720C0BBE class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额20" watid="28870F85-F227-9C05-FA9A-B7F0720C0BBE">$金额20$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=3B0FF5E0-07C0-AFA4-6A59-FAC40823144B class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别21" watid="3B0FF5E0-07C0-AFA4-6A59-FAC40823144B">$费用类别21$</SPAN><SPAN id=327E5F62-06E1-7F4C-85A8-C88E1DA61EF9 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额21" watid="327E5F62-06E1-7F4C-85A8-C88E1DA61EF9">$金额21$</SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=7AFA3F70-A8AC-DBD5-7CD0-1FF56FFF0AF6 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别22" watid="7AFA3F70-A8AC-DBD5-7CD0-1FF56FFF0AF6">$费用类别22$</SPAN><SPAN id=1BB23648-6ADA-E4E3-64FF-DE1B6C1ABC4F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额22" watid="1BB23648-6ADA-E4E3-64FF-DE1B6C1ABC4F">$金额22$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=B50E2417-9C8F-7C11-4B96-6E60DAE6011F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别23" watid="B50E2417-9C8F-7C11-4B96-6E60DAE6011F">$费用类别23$</SPAN><SPAN id=7DC3312F-25CD-8690-0AE6-EA4FBC238CED class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额23" watid="7DC3312F-25CD-8690-0AE6-EA4FBC238CED">$金额23$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=96796EC8-9B02-EDAF-AA3F-9616E2409ED9 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别24" watid="96796EC8-9B02-EDAF-AA3F-9616E2409ED9">$费用类别24$</SPAN><SPAN id=69302ECC-5093-D790-91FD-DAB5E6835B03 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额24" watid="69302ECC-5093-D790-91FD-DAB5E6835B03">$金额24$</SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=F6D57588-9432-1D33-93B0-4D6B7586AA96 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别25" watid="F6D57588-9432-1D33-93B0-4D6B7586AA96">$费用类别25$</SPAN><SPAN id=BA60C330-8F7A-48A6-8F79-F8020A7A441F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额25" watid="BA60C330-8F7A-48A6-8F79-F8020A7A441F">$金额25$</SPAN></TD>
<TD class=Emr_table_dotted class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=9B1A459A-2B07-01B0-27B9-B993B7A6094B class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别26" watid="9B1A459A-2B07-01B0-27B9-B993B7A6094B">$费用类别26$</SPAN><SPAN id=F51D8E87-9B47-F7EB-CF9A-7E36867DE4D3 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额26" watid="F51D8E87-9B47-F7EB-CF9A-7E36867DE4D3">$金额26$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=9AFDC5E7-7AE7-C63C-B3A8-4163DE0481D9 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别27" watid="9AFDC5E7-7AE7-C63C-B3A8-4163DE0481D9">$费用类别27$</SPAN><SPAN id=7B6DC9DB-46BA-FB6C-330E-61C3EB2EF607 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额27" watid="7B6DC9DB-46BA-FB6C-330E-61C3EB2EF607">$金额27$</SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"><SPAN id=CDD05230-DF2F-32D2-C497-34D60F024508 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别28" watid="CDD05230-DF2F-32D2-C497-34D60F024508">$费用类别28$</SPAN><SPAN id=56DE7F90-B4CA-E0ED-2319-61F8328D8EF4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额28" watid="56DE7F90-B4CA-E0ED-2319-61F8328D8EF4">$金额28$</SPAN></TD>
<TD class=Emr_table_dotted class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted">民政救助：</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted">现金支付：<SPAN id=69C50D74-AB9F-A97D-D7EA-2C7359332F01 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="自费" watid="69C50D74-AB9F-A97D-D7EA-2C7359332F01">$自费$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=239 colSpan=2 class="Emr_table_dotted">统筹支付：<SPAN id=BDFB2ADD-EBE4-221E-E3E5-6719BB522E70 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="基金支付总额" watid="BDFB2ADD-EBE4-221E-E3E5-6719BB522E70">$基金支付总额$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted">总额：<SPAN id=FBFA3EFD-2824-CCD5-29A7-69F40EE0FBC0 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医疗费总额大写" watid="FBFA3EFD-2824-CCD5-29A7-69F40EE0FBC0">$医疗费总额大写$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=239 colSpan=2 class="Emr_table_dotted">总费用 (小写)：<SPAN id=76DEB165-2B30-DDB3-0863-7EF2C56128C6 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医疗费总额" watid="76DEB165-2B30-DDB3-0863-7EF2C56128C6">$医疗费总额$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted">预交款：<SPAN id=E706D655-92ED-0900-DA1E-C98D2899E16C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="预交款大写" watid="E706D655-92ED-0900-DA1E-C98D2899E16C">$预交款大写$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 colSpan=2 class="Emr_table_dotted">小写合计：<SPAN id=37D2B1C6-68C1-70A5-75D9-32C1F87AF416 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="预交款" watid="37D2B1C6-68C1-70A5-75D9-32C1F87AF416">$预交款$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=239 colSpan=2 class="Emr_table_dotted">应退金额：<SPAN id=41B5FD13-5596-F50F-EC5D-1ABE7A8A2F10 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="退款" watid="41B5FD13-5596-F50F-EC5D-1ABE7A8A2F10">$退款$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=51 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=183 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=198 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=239 colSpan=2 class="Emr_table_dotted">补交金额：<SPAN id=E94246B8-C125-9F9C-53A9-6D30FE85F19D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="合计自费金额" watid="E94246B8-C125-9F9C-53A9-6D30FE85F19D">$合计自费金额$</SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" width=38 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" width=198 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD></TR></TBODY></TABLE></P>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=359 class="Emr_table_dotted">结账时间：<SPAN id=25146522-D498-3ABF-69DE-8463C928DCB4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="结算日期*yyyy-MM-dd HH:mm:ss" watid="25146522-D498-3ABF-69DE-8463C928DCB4">$结算日期*yyyy-MM-dd HH:mm:ss$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=359 class="Emr_table_dotted">收款人：<SPAN id=9A42C661-7156-FF11-673C-6F8DB4D48621 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="收款人" watid="9A42C661-7156-FF11-673C-6F8DB4D48621">$收款人$</SPAN></TD></TR></TBODY></TABLE>
]]>
</content>
<footercontent>
<![CDATA[
]]>
</footercontent>
</emr>