klhis/file/reporttemplate/34D5F563-F591-8D63-96E9-1606713CB337/门诊检验申请单打印/e411e976945a6f6bccd06df5b3324b90.xml

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<TD class=Emr_table_dotted style="CURSOR: default" height=24 rowSpan=3 width=518 class="Emr_table_dotted"><FONT style="FONT-SIZE: 7.8mm"><STRONG>新和县莎拉麦提医院检验申请单</STRONG></FONT></TD></TR>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=154 colSpan=2 class="Emr_table_dotted">门诊号：<SPAN id=703FC72F-6648-8D48-EAB2-D553FC5F3F7E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="MZNO" watid="703FC72F-6648-8D48-EAB2-D553FC5F3F7E">$MZNO$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=169 colSpan=2 class="Emr_table_dotted">姓名：<SPAN id=5FDD3ECA-18CC-14DF-5B9C-9142CB88EAC0 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XM" watid="5FDD3ECA-18CC-14DF-5B9C-9142CB88EAC0">$XM$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=80 class="Emr_table_dotted">性别：<SPAN id=A588B96F-D814-8458-1B53-677CF414F32A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XB" watid="A588B96F-D814-8458-1B53-677CF414F32A">$XB$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=94 class="Emr_table_dotted">年龄：<SPAN id=FCB1A30E-6AF8-16E4-D4CA-5436FBF2AE98 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JZNL" watid="FCB1A30E-6AF8-16E4-D4CA-5436FBF2AE98">$JZNL$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=139 class="Emr_table_dotted">开单科室：<SPAN id=CBA26D3C-494A-9D29-769F-4B23D2C19B51 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJKS" watid="CBA26D3C-494A-9D29-769F-4B23D2C19B51">$JJKS$</SPAN></TD></TR></TBODY></TABLE></P>
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<TD style="CURSOR: default" height=23 width=642 class>临床诊断：<SPAN id=EBD7592C-1886-E4E4-4F98-6F0765AAA8D9 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="诊断" watid="EBD7592C-1886-E4E4-4F98-6F0765AAA8D9">$诊断$</SPAN></TD></TR></TBODY></TABLE></P>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=438 colSpan=2 class="Emr_table_dotted">申请项目</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=145 class="Emr_table_dotted">备注：</TD></TR></TBODY></TABLE></P>
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<P>金额:<SPAN id=D86D4F81-0BC6-EA05-DE7F-DFDD107D8C8C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="YZJE" watid="D86D4F81-0BC6-EA05-DE7F-DFDD107D8C8C">$YZJE$</SPAN><SPAN> </SPAN></P></TD></TR></TBODY></TABLE></P>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=164 class="Emr_table_dotted">执行科室：<SPAN id=AA3559BD-1E3A-2F1B-5AFA-8BBB54082513 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="YZZXKS" watid="AA3559BD-1E3A-2F1B-5AFA-8BBB54082513">$YZZXKS$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=235 class="Emr_table_dotted">申请医生：<SPAN id=46E662F6-0094-3B51-FF22-B471681CC54C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="BUILDER" watid="46E662F6-0094-3B51-FF22-B471681CC54C">$BUILDER$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238 class="Emr_table_dotted">申请日期：<SPAN id=51C9BFF6-7802-E877-E46A-829973594D7A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="BUILDDATE*yyyy-MM-dd" watid="51C9BFF6-7802-E877-E46A-829973594D7A">$BUILDDATE*yyyy-MM-dd$</SPAN></TD></TR></TBODY></TABLE></P>
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