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klhis/file/reporttemplate/34D5F563-F591-8D63-96E9-160.../住院证打印/846d22febaa1dccaa0e239e8051...

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3 months ago
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<P></P>
<P align=center><FONT style="FONT-SIZE: 4.93mm"><STRONG><SPAN id=FE83B19C-FA45-7EE8-0882-BB4449D2D684 class=Emr_hdy wattype="static" watid="FE83B19C-FA45-7EE8-0882-BB4449D2D684" watvalue="JGID" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGID$</SPAN>住院证</STRONG></FONT></P>
<P align=left>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
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<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=241 class="Emr_table_dotted"><SPAN><U>&nbsp;&nbsp;<SPAN id=2D85F5CA-FF79-0F7D-91FD-BF2A1C50B476 class=Emr_hdy wattype="static" watid="2D85F5CA-FF79-0F7D-91FD-BF2A1C50B476" watvalue="ZYKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYKS$</SPAN>&nbsp;&nbsp;</U> </SPAN><SPAN>科</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=239 class="Emr_table_dotted">住院证号 <U>&nbsp;&nbsp;<SPAN id=B93DCCE5-DB73-8706-2E65-1E7946CEF825 class=Emr_hdy wattype="static" watid="B93DCCE5-DB73-8706-2E65-1E7946CEF825" watvalue="ZYZH" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYZH$</SPAN>&nbsp;&nbsp;</U></TD></TR></TBODY></TABLE></P>
<P>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 32px" class>
<TD style="CURSOR: default" height=32 width=96 class>姓名:<SPAN id=695C6C10-8302-904D-B45D-538086E6988F class=Emr_hdy wattype="static" watid="695C6C10-8302-904D-B45D-538086E6988F" watvalue="XM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XM$</SPAN></TD>
<TD style="CURSOR: default" height=32 width=76 class>性别:<SPAN id=52F85D40-99E5-1DC8-D3E6-1FD41E51A7DE class=Emr_hdy wattype="static" watid="52F85D40-99E5-1DC8-D3E6-1FD41E51A7DE" watvalue="XB" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XB$</SPAN></TD>
<TD style="CURSOR: default" height=32 width=94 class>年龄:<SPAN id=38FBAF47-1B3D-3263-28CF-8FAD1D76C070 class=Emr_hdy wattype="static" watid="38FBAF47-1B3D-3263-28CF-8FAD1D76C070" watvalue="JZNL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JZNL$</SPAN></TD>
<TD style="CURSOR: default" height=32 width=79 class>婚姻:<SPAN id=D461D9E8-D6A3-F458-6CD0-8BCC26C0501F class=Emr_hdy wattype="static" watid="D461D9E8-D6A3-F458-6CD0-8BCC26C0501F" watvalue="HYZK" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$HYZK$</SPAN></TD>
<TD style="CURSOR: default" height=32 width=131 class>职业:<SPAN id=AF716804-3F08-854D-6A21-3896E1FE6B46 class=Emr_hdy wattype="static" watid="AF716804-3F08-854D-6A21-3896E1FE6B46" watvalue="ZY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZY$</SPAN></TD></TR>
<TR style="HEIGHT: 35px" class>
<TD style="CURSOR: default" height=35 width=269 colSpan=3 class>地址:<SPAN id=E672C228-4958-E445-A898-9CE4ACBF4AB7 class=Emr_hdy wattype="static" watid="E672C228-4958-E445-A898-9CE4ACBF4AB7" watvalue="XZDZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XZDZ$</SPAN></TD>
<TD style="CURSOR: default" height=35 width=212 colSpan=2 class>电话:<SPAN id=7E44802E-469B-F88B-24CA-AB2954D12CC0 class=Emr_hdy wattype="static" watid="7E44802E-469B-F88B-24CA-AB2954D12CC0" watvalue="PHONE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PHONE$</SPAN></TD></TR>
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<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=291 vAlign=top width=481 colSpan=5 class>
<P>门诊诊断:  </P>
<P><SPAN> </SPAN><SPAN> </SPAN><SPAN id=58BB8E9B-EBF0-D408-6A60-B5FBED814D9C class=Emr_hdy wattype="static" watid="58BB8E9B-EBF0-D408-6A60-B5FBED814D9C" watvalue="LCZD" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$LCZD$</SPAN> </P>
<P>&nbsp;</P></TD></TR>
<TR style="HEIGHT: 35px" class>
<TD style="CURSOR: default" height=35 width=269 colSpan=3 class>门诊科室:<SPAN id=170550CC-22BA-20DC-A4E9-46D51106B454 class=Emr_hdy wattype="static" watid="170550CC-22BA-20DC-A4E9-46D51106B454" watvalue="JJKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJKS$</SPAN></TD>
<TD style="CURSOR: default" height=35 width=212 colSpan=2 class>入院时间:<SPAN id=DDE9CEBD-6F48-8212-B0D0-85B60A6621C5 class=Emr_hdy wattype="static" watid="DDE9CEBD-6F48-8212-B0D0-85B60A6621C5" watvalue="YYZYRQ*yyyy-MM-dd HH:mm" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YYZYRQ*yyyy-MM-dd HH:mm$</SPAN></TD></TR>
<TR style="HEIGHT: 35px" class>
<TD style="CURSOR: default" height=35 width=269 colSpan=3 class>病情:<SPAN id=B5577073-A842-DCF7-72F0-C0CE61BE635A class=Emr_hdy wattype="static" watid="B5577073-A842-DCF7-72F0-C0CE61BE635A" watvalue="RYBQ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$RYBQ$</SPAN></TD>
<TD style="CURSOR: default" height=35 width=212 colSpan=2 class>医师签字:</TD></TR>
<TR style="HEIGHT: 158px" class>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=158 vAlign=top width=481 colSpan=5 class>
<P>医疗付款方式：1、城镇职工疾病医疗保险；2、城镇居民基本医疗保险；</P>
<P>3、新型农村合作医疗；4、贫困救助；5、商业医疗保险；6、全公费；</P>
<P>7、全自费；8、其他社费保险；9、其他；</P></TD></TR>
<TR style="HEIGHT: 43px" class>
<TD style="CURSOR: default" height=43 width=481 colSpan=5 class>预交医药金额: <SPAN id=B01729C4-0DA0-6843-8021-AAB61EE2C6EB class=Emr_hdy wattype="static" watid="B01729C4-0DA0-6843-8021-AAB61EE2C6EB" watvalue="ZYJY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYJY$</SPAN>  元                 经办人:</TD></TR></TBODY></TABLE></P>
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