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<?xml version="1.0" encoding="UTF-8"?>
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<emr>
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<page styleline="false" height="130" width="190" lineheight="1.5" letterspace="0.0" paddingleft="10.0" paddingright="10.0" paddingtop="2.0" paddingbottom="2.0" portrait="1" />
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<headercontent>
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<![CDATA[
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]]>
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</headercontent>
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<content>
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<![CDATA[
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<P></P><STRONG>
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<TABLE class=Emr_table_dotted 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>
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<TBODY>
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<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 rowSpan=2 width=519 class="Emr_table_dotted">
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<P> </P>
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<P><FONT style="FONT-SIZE: 5.55mm"> <STRONG><FONT style="FONT-SIZE: 7.8mm">东江医院处方笺</FONT></STRONG></FONT></P></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" rowSpan=2 width=119 class="Emr_table_dotted"><SPAN contentEditable=true style="BORDER-TOP: #000 1px solid; BORDER-RIGHT: #000 1px solid; BORDER-BOTTOM: #000 1px solid; BORDER-LEFT: #000 2px solid">
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<P><FONT style="FONT-SIZE: 5.23mm">普通</FONT></P>
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<P><FONT style="FONT-SIZE: 5.23mm">处方</FONT></P></SPAN></TD></TR>
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<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted"></TR></TBODY></TABLE>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV></STRONG>
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<P>
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<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=321 class="Emr_table_dotted">编号:<SPAN id=4078FAB4-5B31-E830-4409-D1B9C3A6C518 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="处方号" watid="4078FAB4-5B31-E830-4409-D1B9C3A6C518">$处方号$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=321 class="Emr_table_dotted">处方开具日期:<SPAN id=23ACACA4-D8BC-BDED-F654-ACA6B5D064B5 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJRQ*yyyy年MM月dd日" watid="23ACACA4-D8BC-BDED-F654-ACA6B5D064B5">$JJRQ*yyyy年MM月dd日$</SPAN></TD></TR></TBODY></TABLE></P>
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<TABLE 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=1 class>
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<TBODY></TBODY></TABLE>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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<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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<TBODY>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=320 colSpan=2 class="Emr_table_dotted">患者姓名:<SPAN id=6B64A805-5713-3A9B-A323-83BC6DC0A70E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XM" watid="6B64A805-5713-3A9B-A323-83BC6DC0A70E">$XM$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=160 class="Emr_table_dotted">性别:<SPAN id=8C4E733D-3103-307F-C3E0-2E15F0E3C30F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XB" watid="8C4E733D-3103-307F-C3E0-2E15F0E3C30F">$XB$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=160 class="Emr_table_dotted">年龄:<SPAN id=5CF2FB28-8CE9-F5B2-7DAF-05CEF9687962 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="NL" watid="5CF2FB28-8CE9-F5B2-7DAF-05CEF9687962">$NL$</SPAN></TD></TR>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=320 colSpan=2 class="Emr_table_dotted">身份证号:<SPAN id=F95AC7F4-C23C-343D-81E5-A57318B25EEF class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="SFZH" watid="F95AC7F4-C23C-343D-81E5-A57318B25EEF">$SFZH$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=321 colSpan=2 class="Emr_table_dotted">族别:<SPAN id=D65A140D-2F07-DD16-D79C-84F7EE447F4E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="MZ" watid="D65A140D-2F07-DD16-D79C-84F7EE447F4E">$MZ$</SPAN></TD></TR></TBODY></TABLE>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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<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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<TBODY>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=391 class="Emr_table_dotted">门诊号/病案号:<SPAN id=68769495-EBCD-8EC5-F60F-83B6F5A8D2F2 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="MZNO" watid="68769495-EBCD-8EC5-F60F-83B6F5A8D2F2">$MZNO$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=32 class="Emr_table_dotted"></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=214 class="Emr_table_dotted"><SPAN contentEditable=false style="HEIGHT: 3px; WIDTH: 9px"><INPUT type=checkbox> </SPAN> 职工医保</TD></TR>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=391 class="Emr_table_dotted">科别:<SPAN id=D730E877-1D40-86C2-47A8-7A484182DB3F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJKS" watid="D730E877-1D40-86C2-47A8-7A484182DB3F">$JJKS$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=32 class="Emr_table_dotted">费别</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=214 class="Emr_table_dotted"><SPAN contentEditable=false style="HEIGHT: 3px; WIDTH: 9px"><INPUT type=checkbox> </SPAN> 城乡医保</TD></TR>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=391 class="Emr_table_dotted">代办人姓名:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=32 class="Emr_table_dotted"></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=214 class="Emr_table_dotted"><SPAN contentEditable=false style="HEIGHT: 3px; WIDTH: 9px"><INPUT type=checkbox> </SPAN> 自费</TD></TR>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" width=391 class="Emr_table_dotted">代办人身份证:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" width=32 class="Emr_table_dotted"></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD></TR></TBODY></TABLE>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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<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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<TBODY>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=321 class="Emr_table_dotted">临床诊断:<SPAN id=6EF847E0-F7D5-295C-3D9D-28CEE4316E69 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="疾病" watid="6EF847E0-F7D5-295C-3D9D-28CEE4316E69">$疾病$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=321 class="Emr_table_dotted">处方顺序号:</TD></TR></TBODY></TABLE>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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<P>
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<TABLE class=Emr_table_dotted 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>
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<TBODY><STRONG>RP:</STRONG>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<P $data>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=46 class="Emr_table_dotted"><SPAN> </SPAN><SPAN id=8D2E8F4E-2D04-4EC7-9CA5-18421E05F022 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="组" watid="8D2E8F4E-2D04-4EC7-9CA5-18421E05F022">^组^</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=591 class="Emr_table_dotted"><SPAN id=E1B22B6E-0C6D-9B6D-C9A4-0BEF596BBA97 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医嘱内容" watid="E1B22B6E-0C6D-9B6D-C9A4-0BEF596BBA97">^医嘱内容^</SPAN></TD></P></TR>
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<P $data></P></TBODY></TABLE></P>
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<P>
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<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>
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<TBODY></TBODY></TABLE></P>
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<P>
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<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>
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<TBODY></TBODY></TABLE></P>
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<P>
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<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>
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<TBODY></TBODY></TABLE></P>
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<P>
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<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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<TBODY>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=321 class="Emr_table_dotted">医师:<SPAN id=C35C1E7F-8491-F436-3B6F-E8DFA4D60F0A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJYS" watid="C35C1E7F-8491-F436-3B6F-E8DFA4D60F0A">$JJYS$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=321 class="Emr_table_dotted">医师:</TD></TR></TBODY></TABLE></P>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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<P>
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<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=160 class="Emr_table_dotted">药品金额:<SPAN id=F2ABFB55-408C-0204-D8D3-4A1483CE3846 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="总金额" watid="F2ABFB55-408C-0204-D8D3-4A1483CE3846">$总金额$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=122 class="Emr_table_dotted">审核:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" width=112 class="Emr_table_dotted">调配:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=114 class="Emr_table_dotted">核对:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=127 class="Emr_table_dotted">发药:</TD></TR></TBODY></TABLE></P>
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<P>注:此处方只限在本医疗机构使用。处方顺序号由医师负责填写。</P>
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]]>
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</content>
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<footercontent>
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<![CDATA[
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]]>
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</footercontent>
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</emr>
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