klhis/file/reporttemplate/DE3C9D58-C91A-459E-74D0-5897CAC5F92B/检查申请单打印/8cb896267970f25bcb9bd742600060e3.xml

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<P></P>
<P align=center><FONT style="FONT-SIZE: 5.23mm"></FONT><SPAN id=25BA8B42-290E-E03E-B413-F132D8C451EC class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="COMPANYID" watid="25BA8B42-290E-E03E-B413-F132D8C451EC"><FONT style="FONT-SIZE: 5.23mm">$COMPANYID</FONT>$</SPAN></P>
<P align=center><FONT style="FONT-SIZE: 5.23mm"><STRONG>检查申请单</STRONG></FONT></P>
<P align=left>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
<TBODY>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default" height=23 width=154>住院/门诊号:<SPAN id=3E4A97F3-C8CB-EFD8-1892-7DE2D85FFEE1 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JZNO" watid="3E4A97F3-C8CB-EFD8-1892-7DE2D85FFEE1">$JZNO$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=325 colSpan=2>姓名:<SPAN id=5C717529-AFC1-25D7-B106-AE453FE8DF4F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XM" watid="5C717529-AFC1-25D7-B106-AE453FE8DF4F">$XM$</SPAN><SPAN> <SPAN id=237EC63D-F24A-BA73-DB42-B1E82D5BA3F1 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="SQDPKEY" watid="237EC63D-F24A-BA73-DB42-B1E82D5BA3F1">$SQDPKEY$</SPAN></SPAN></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default" height=23 width=154>开单科室:<SPAN id=BADF202C-9C52-0071-36E9-7ACFFDE6E072 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJKS" watid="BADF202C-9C52-0071-36E9-7ACFFDE6E072">$JJKS$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=233>年龄:<SPAN id=DF08C38F-2129-F8FB-150B-B0BB36D528D7 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JZNL" watid="DF08C38F-2129-F8FB-150B-B0BB36D528D7">$JZNL$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=91>性别:<SPAN id=64AA508B-927C-9033-CC69-5E3A8EC32C9F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XB" watid="64AA508B-927C-9033-CC69-5E3A8EC32C9F">$XB$</SPAN></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default" height=23 width=390 colSpan=2><SPAN>床号:<SPAN id=AA5C8364-743B-D4CD-1BAF-31F99482BE42 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="BED" watid="AA5C8364-743B-D4CD-1BAF-31F99482BE42">$BED$</SPAN><SPAN> </SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=91></TD></TR>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default" height=23 width=482 colSpan=3><SPAN>开单医生:<SPAN id=E6C146A6-30C0-17C4-CDA8-DD8B543DFB47 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="BUILDER" watid="E6C146A6-30C0-17C4-CDA8-DD8B543DFB47">$BUILDER$</SPAN><SPAN> </SPAN></SPAN></TD></TR></TBODY></TABLE></P>
<P>&nbsp;</P>
<P>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
<TBODY>
<TR style="HEIGHT: 24px">
<TD style="CURSOR: default" height=24 width=272>检查项目</TD>
<TD style="CURSOR: default" height=24 width=119> 执行科室</TD>
<TD style="CURSOR: default" height=24 width=86>部位</TD>
<TD style="CURSOR: default" height=24 width=96>体位</TD>
<TD style="CURSOR: default" height=24 width=62>金额</TD></TR>
<P $data>
<TR style="HEIGHT: 23px">
<TD style="CURSOR: default" height=23 width=272><SPAN id=967448C4-02E0-5587-A501-0695CBAAFF38 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="YZMC" watid="967448C4-02E0-5587-A501-0695CBAAFF38">^YZMC^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=119> <SPAN id=A7005DA6-F543-8836-F437-E3A5D594B1F4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="YZZXKS" watid="A7005DA6-F543-8836-F437-E3A5D594B1F4">^YZZXKS^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=86><SPAN id=F62178DA-4F34-D58A-49B6-EAA184284C08 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="BWPKEY" watid="F62178DA-4F34-D58A-49B6-EAA184284C08">^BWPKEY^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=96><SPAN id=5A303F2F-CD72-43E1-D3A2-26B65B18BE14 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="TWPKEY" watid="5A303F2F-CD72-43E1-D3A2-26B65B18BE14">^TWPKEY^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=62><SPAN id=F68F7C6A-505E-1C7D-A699-5988C9E92F96 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="YZJE" watid="F68F7C6A-505E-1C7D-A699-5988C9E92F96">^YZJE^</SPAN></TD></TR>
<P $data></P></TBODY></TABLE></P>
<P>&nbsp;</P>
<P>主诉:<SPAN id=4AC804C4-F7B9-EDC8-7265-2E3AE3BA68F3 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="ZS" watid="4AC804C4-F7B9-EDC8-7265-2E3AE3BA68F3">$ZS$</SPAN></P>
<P>现病史:<SPAN id=84451E83-3A0C-1F41-4D2B-6679CB9678F4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XBS" watid="84451E83-3A0C-1F41-4D2B-6679CB9678F4">$XBS$</SPAN></P>
<P>体征:<SPAN id=1008B1FC-85AE-257C-5A74-E9338C001852 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="TZ" watid="1008B1FC-85AE-257C-5A74-E9338C001852">$TZ$</SPAN></P>
<P>检查目的:<SPAN id=A9FCC8C9-6B5A-DE9C-BD3D-405B2B450071 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JCMD" watid="A9FCC8C9-6B5A-DE9C-BD3D-405B2B450071">$JCMD$</SPAN></P>
<P>注意事项:<SPAN id=EB4DCD25-4570-7D27-9086-A8EA12DB0B7F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="ZYSX" watid="EB4DCD25-4570-7D27-9086-A8EA12DB0B7F">$ZYSX$</SPAN><SPAN> </SPAN></P>
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