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klhis/file/reporttemplate/34D5F563-F591-8D63-96E9-160.../住院患者费用明细分类汇总打印/12c4420de91bde4c253a9d7d026...

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<![CDATA[
<P align=center><FONT style="FONT-SIZE: 5.23mm"><STRONG>住院项目费用分类汇总清单</STRONG></FONT></P><STRONG></STRONG>
<P align=left>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=422 class>就诊机构:<SPAN id=F0F95B27-2F3E-EB02-41D7-D6F8084DA868 class=Emr_hdy wattype="static" watid="F0F95B27-2F3E-EB02-41D7-D6F8084DA868" watvalue="COMPANYID" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$COMPANYID$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=292 class>打印日期:<SPAN id=FC04B64B-D293-1853-5FB1-6F63A41B85B9 class=Emr_hdy wattype="static" watid="FC04B64B-D293-1853-5FB1-6F63A41B85B9" watvalue="打印日期*yyyy-MM-dd HH:mm" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$打印日期*yyyy-MM-dd HH:mm$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=422 class>病人姓名:<SPAN id=9012AEC0-52B6-7C46-5E06-1619B2F02358 class=Emr_hdy wattype="static" watid="9012AEC0-52B6-7C46-5E06-1619B2F02358" watvalue="XM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XM$</SPAN><SPAN> </SPAN></TD>
<TD style="CURSOR: default" height=23 width=292 class>住院号:<SPAN id=4AD52742-582A-DC38-1F83-9659D387256C class=Emr_hdy wattype="static" watid="4AD52742-582A-DC38-1F83-9659D387256C" watvalue="ZYNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYNO$</SPAN><SPAN> 住院天数:<SPAN id=CC6E7FA3-3AC8-D4CD-5460-1AE1A13E858D class=Emr_hdy wattype="static" watid="CC6E7FA3-3AC8-D4CD-5460-1AE1A13E858D" watvalue="住院天数" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$住院天数$</SPAN></SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" class>就诊科室:<SPAN id=BC28B232-680C-8A0E-15FA-28F2AA3E8762 class=Emr_hdy wattype="static" watid="BC28B232-680C-8A0E-15FA-28F2AA3E8762" watvalue="JJKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJKS$</SPAN><SPAN>   </SPAN>床位:<SPAN id=0BAD7E96-E1E1-1A11-243F-7EE4EE387333 class=Emr_hdy wattype="static" watid="0BAD7E96-E1E1-1A11-243F-7EE4EE387333" watvalue="床位" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$床位$</SPAN></TD>
<TD style="CURSOR: default" class>住院天数:<SPAN id=8BABF79D-F6BF-FFCB-876C-4E625FD0071E class=Emr_hdy wattype="static" watid="8BABF79D-F6BF-FFCB-876C-4E625FD0071E" watvalue="住院天数" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$住院天数$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=422 class>入院时间:<SPAN id=F8BFAD30-C02A-7ADF-BBF1-C9C7F6F3ACAC class=Emr_hdy wattype="static" watid="F8BFAD30-C02A-7ADF-BBF1-C9C7F6F3ACAC" watvalue="JJRQ*yyyy-MM-dd HH:mm" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJRQ*yyyy-MM-dd HH:mm$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=292 class>费用日期:<SPAN id=6679C4B9-F989-1F7F-A61C-FFE8ECFE64B8 class=Emr_hdy wattype="static" watid="6679C4B9-F989-1F7F-A61C-FFE8ECFE64B8" watvalue="费用开始日期*yyyy-MM-dd" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用开始日期*yyyy-MM-dd$</SPAN><SPAN> 至<SPAN id=FF247D68-FA49-B395-726F-E0CC32C76479 class=Emr_hdy wattype="static" watid="FF247D68-FA49-B395-726F-E0CC32C76479" watvalue="费用结束日期*yyyy-MM-dd" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用结束日期*yyyy-MM-dd$</SPAN></SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" class>诊断:<SPAN id=47734B42-E43C-E556-A47F-F59EF50D8402 class=Emr_hdy wattype="static" watid="47734B42-E43C-E556-A47F-F59EF50D8402" watvalue="诊断" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$诊断$</SPAN></TD>
<TD style="CURSOR: default" class>主管医生:<SPAN id=D6EAC351-B16F-5AE5-1E79-0D6F19E3EF30 class=Emr_hdy wattype="static" watid="D6EAC351-B16F-5AE5-1E79-0D6F19E3EF30" watvalue="JJYS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJYS$</SPAN></TD></TR></TBODY></TABLE></P>
<P align=left>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=715 colSpan=6 align=center class>费用汇总(单位:元)</TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center class>费用名称</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center class>费用金额</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center class>费用名称</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center class>费用金额</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center class>费用名称</TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=119 align=center class>费用金额</TD></TR>
<TR style="HEIGHT: 22px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=center class>
<TD style="CURSOR: default" height=22 class><SPAN id=1E8B1190-C609-FE58-9645-694962F0D490 class=Emr_hdy wattype="static" watid="1E8B1190-C609-FE58-9645-694962F0D490" watvalue="费用类别1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别1$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=AB446D18-D50C-9545-1A7D-70B28AB6B564 class=Emr_hdy wattype="static" watid="AB446D18-D50C-9545-1A7D-70B28AB6B564" watvalue="金额1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额1$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=E07CDE4B-AA17-62B0-7910-EE2CD2B8E09D class=Emr_hdy wattype="static" watid="E07CDE4B-AA17-62B0-7910-EE2CD2B8E09D" watvalue="费用类别2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别2$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=172B8F3C-B13B-279D-F62C-3CAF2AA7E154 class=Emr_hdy wattype="static" watid="172B8F3C-B13B-279D-F62C-3CAF2AA7E154" watvalue="金额2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额2$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=62B47A6B-3AAC-4412-AA6F-4111270F6DD7 class=Emr_hdy wattype="static" watid="62B47A6B-3AAC-4412-AA6F-4111270F6DD7" watvalue="费用类别3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别3$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=4D8B2C77-5F44-B895-2E25-45794720AB7C class=Emr_hdy wattype="static" watid="4D8B2C77-5F44-B895-2E25-45794720AB7C" watvalue="金额3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额3$</SPAN></TD></TR>
<TR style="HEIGHT: 23px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=center class>
<TD style="CURSOR: default" height=23 class><SPAN id=9C972F20-9BDD-B3D8-5A2C-9E49425B2508 class=Emr_hdy wattype="static" watid="9C972F20-9BDD-B3D8-5A2C-9E49425B2508" watvalue="费用类别4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别4$</SPAN></TD>
<TD style="CURSOR: default" height=23 class><SPAN id=17EDFDFC-4081-0B86-0D8A-54AC8B133AB4 class=Emr_hdy wattype="static" watid="17EDFDFC-4081-0B86-0D8A-54AC8B133AB4" watvalue="金额4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额4$</SPAN></TD>
<TD style="CURSOR: default" height=23 class><SPAN id=096AC1EB-E5C0-80D2-9DE2-77913FF0E54A class=Emr_hdy wattype="static" watid="096AC1EB-E5C0-80D2-9DE2-77913FF0E54A" watvalue="费用类别5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别5$</SPAN></TD>
<TD style="CURSOR: default" height=23 class><SPAN id=7DA3549B-F45D-7430-F78D-7FC5EA13B202 class=Emr_hdy wattype="static" watid="7DA3549B-F45D-7430-F78D-7FC5EA13B202" watvalue="金额5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额5$</SPAN></TD>
<TD style="CURSOR: default" height=23 class><SPAN id=F75F6BD6-C24A-3E8D-4424-90B2059E6797 class=Emr_hdy wattype="static" watid="F75F6BD6-C24A-3E8D-4424-90B2059E6797" watvalue="费用类别6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别6$</SPAN></TD>
<TD style="CURSOR: default" height=23 class><SPAN id=957394AF-3FB2-EA8A-D946-55AB1B0D15D5 class=Emr_hdy wattype="static" watid="957394AF-3FB2-EA8A-D946-55AB1B0D15D5" watvalue="金额6" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额6$</SPAN></TD></TR>
<TR style="HEIGHT: 22px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=center class>
<TD style="CURSOR: default" height=22 class><SPAN id=580CAE5C-322D-531A-1406-BD9CE4347F42 class=Emr_hdy wattype="static" watid="580CAE5C-322D-531A-1406-BD9CE4347F42" watvalue="费用类别7" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别7$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=D1CAFE88-2DB1-F30A-FF9A-8E0C4616AD84 class=Emr_hdy wattype="static" watid="D1CAFE88-2DB1-F30A-FF9A-8E0C4616AD84" watvalue="金额7" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额7$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=9BD11A47-BA6B-EF3A-25F6-CE439CAC6832 class=Emr_hdy wattype="static" watid="9BD11A47-BA6B-EF3A-25F6-CE439CAC6832" watvalue="费用类别8" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别8$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=5199F6D9-91E2-79CB-08B3-5A047B32DD16 class=Emr_hdy wattype="static" watid="5199F6D9-91E2-79CB-08B3-5A047B32DD16" watvalue="金额8" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额8$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=9D9656A8-D105-CFC9-E5C1-01B00F71B47B class=Emr_hdy wattype="static" watid="9D9656A8-D105-CFC9-E5C1-01B00F71B47B" watvalue="费用类别9" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别9$</SPAN></TD>
<TD style="CURSOR: default" height=22 class><SPAN id=27B6BC16-96ED-012F-2F36-BDA566D73877 class=Emr_hdy wattype="static" watid="27B6BC16-96ED-012F-2F36-BDA566D73877" watvalue="金额9" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额9$</SPAN></TD></TR>
<TR style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=center class>
<TD style="CURSOR: default" class><SPAN id=B7DAB955-100E-2892-0DB8-8AEAA3C9B8B5 class=Emr_hdy wattype="static" watid="B7DAB955-100E-2892-0DB8-8AEAA3C9B8B5" watvalue="费用类别10" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别10$</SPAN></TD>
<TD style="CURSOR: default" class><SPAN id=D72A4B25-674C-A934-E0EE-B9D52EE8957C class=Emr_hdy wattype="static" watid="D72A4B25-674C-A934-E0EE-B9D52EE8957C" watvalue="金额10" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额10$</SPAN></TD>
<TD style="CURSOR: default" class><SPAN id=FE792C60-842A-C92F-3484-A7E4ABC7B75D class=Emr_hdy wattype="static" watid="FE792C60-842A-C92F-3484-A7E4ABC7B75D" watvalue="费用类别11" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别11$</SPAN></TD>
<TD style="CURSOR: default" class><SPAN id=C6A3FBF0-7991-B1E8-9C62-70B708A88732 class=Emr_hdy wattype="static" watid="C6A3FBF0-7991-B1E8-9C62-70B708A88732" watvalue="金额11" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额11$</SPAN></TD>
<TD style="CURSOR: default" class><SPAN id=E9C40D51-A529-9CDC-AE61-7604E4A96B20 class=Emr_hdy wattype="static" watid="E9C40D51-A529-9CDC-AE61-7604E4A96B20" watvalue="费用类别12" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$费用类别12$</SPAN></TD>
<TD style="CURSOR: default" class><SPAN id=B090AD5D-E058-47A2-D967-39F8AA016D08 class=Emr_hdy wattype="static" watid="B090AD5D-E058-47A2-D967-39F8AA016D08" watvalue="金额12" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$金额12$</SPAN></TD></TR></TBODY></TABLE></P>
<P align=left>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=center class>
<TD style="CURSOR: default" height=23 width=79 class>项目编码</TD>
<TD style="CURSOR: default" height=23 width=148 class>项目名称</TD>
<TD style="CURSOR: default" height=23 width=91 class>规格</TD>
<TD style="CURSOR: default" height=23 width=61 class>计价单位</TD>
<TD style="CURSOR: default" height=23 width=56 class>单价</TD>
<TD style="CURSOR: default" height=23 width=46 class>数量</TD>
<TD style="CURSOR: default" height=23 width=69 class>金额</TD>
<TD style="CURSOR: default" width=62 class>类型 </TD>
<TD style="CURSOR: default" height=23 width=99 class>费用类别</TD></TR>
<P $data>
<TR style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=center class>
<TD style="CURSOR: default" height=23 width=79 class><SPAN id=CBD6AE7E-B60B-035D-E0CB-DF949F2A9F38 class=Emr_hdy style="FONT-SIZE: 3.15mm" wattype="static" watid="CBD6AE7E-B60B-035D-E0CB-DF949F2A9F38" watvalue="BM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^BM^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=148 class><SPAN id=91FCA3D6-9C66-1929-5D3F-7A4A3C856087 class=Emr_hdy style="FONT-SIZE: 3.15mm" wattype="static" watid="91FCA3D6-9C66-1929-5D3F-7A4A3C856087" watvalue="MC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^MC^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=91 class><SPAN id=A91CA9E7-8833-D669-CEA6-25842961D5A0 class=Emr_hdy style="FONT-SIZE: 3.15mm" wattype="static" watid="A91CA9E7-8833-D669-CEA6-25842961D5A0" watvalue="GG" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^GG^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=61 class><SPAN id=0C5074A9-3410-4FBA-3AC4-375814AB575B class=Emr_hdy wattype="static" watid="0C5074A9-3410-4FBA-3AC4-375814AB575B" watvalue="ZXDW" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^ZXDW^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=56 class><SPAN id=0207F7F1-F456-BF58-1290-71200AAD6274 class=Emr_hdy style="FONT-SIZE: 3.15mm" wattype="static" watid="0207F7F1-F456-BF58-1290-71200AAD6274" watvalue="SFXDJ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^SFXDJ^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=46 class><SPAN id=0A5431EC-8D71-1D40-B0E3-39587E65ABF2 class=Emr_hdy style="FONT-SIZE: 3.15mm" wattype="static" watid="0A5431EC-8D71-1D40-B0E3-39587E65ABF2" watvalue="SFXSL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^SFXSL^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=69 class><SPAN id=D465721D-4D45-F579-97B3-47EE562A3BA1 class=Emr_hdy style="FONT-SIZE: 3.15mm" wattype="static" watid="D465721D-4D45-F579-97B3-47EE562A3BA1" watvalue="SFXZFY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^SFXZFY^</SPAN></TD>
<TD style="CURSOR: default" width=62 class><SPAN id=C6FDFB5F-C796-D509-D995-C18A3C3D4ED6 class=Emr_hdy wattype="static" watid="C6FDFB5F-C796-D509-D995-C18A3C3D4ED6" watvalue="CHRGITM_LV" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^CHRGITM_LV^</SPAN> </TD>
<TD style="CURSOR: default" height=23 width=99 class><SPAN id=B39509FC-DDFE-5FE5-CFB0-C1EECB528240 class=Emr_hdy style="FONT-SIZE: 3.15mm" wattype="static" watid="B39509FC-DDFE-5FE5-CFB0-C1EECB528240" watvalue="FYDL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^FYDL^</SPAN></TD></TR>
<P $data></P></TBODY></TABLE></P>
<P align=left>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=179 class="Emr_table_dotted">患者(或者委托人)签名: </TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=179 class="Emr_table_dotted">以上总金额:<SPAN id=C4D22A95-7738-B235-15B6-0BD2A48AF652 class=Emr_hdy wattype="static" watid="C4D22A95-7738-B235-15B6-0BD2A48AF652" watvalue="总金额" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$总金额$</SPAN>元</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=179 class="Emr_table_dotted">预交金额:<SPAN id=792E847B-8E7D-7CA9-00F5-37916900AE0F class=Emr_hdy wattype="static" watid="792E847B-8E7D-7CA9-00F5-37916900AE0F" watvalue="预交金额" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$预交金额$</SPAN>元</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=179 class="Emr_table_dotted">剩余金额:<SPAN id=DE50AEE6-9C0D-6D51-B52B-F30D45D0EC2A class=Emr_hdy wattype="static" watid="DE50AEE6-9C0D-6D51-B52B-F30D45D0EC2A" watvalue="剩余金额" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$剩余金额$</SPAN>元</TD></TR></TBODY></TABLE></P>
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