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<?xml version="1.0" encoding="UTF-8"?>
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<emr>
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<page styleline="false" height="297" width="210" lineheight="1.5" letterspace="0.0" paddingleft="10.0" paddingright="10.0" paddingtop="10.0" paddingbottom="10.0" 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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<FONT style="FONT-SIZE: 5.23mm"><FONT style="FONT-SIZE: 7.8mm"><STRONG style="FONT-SIZE: 7.8mm">
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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: 40px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=40 width=420 align=center class="Emr_table_dotted"><STRONG><FONT style="FONT-SIZE: 7.8mm"><SPAN id=5C2CEE6E-C056-B754-86D5-D680BAA58684 class=Emr_hdy style="FONT-SIZE: 5.55mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="医疗机构" watid="5C2CEE6E-C056-B754-86D5-D680BAA58684">$医疗机构$</SPAN></FONT></STRONG></TD>
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " rowSpan=2 width=107 align=center class="Emr_table_dotted">
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<P>中(西)药</P>
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<P><SPAN id=2B58ABF6-3249-F0F6-BD22-C6C5A37A6DCD class=Emr_hdy style="FONT-SIZE: 7.8mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="类" watid="2B58ABF6-3249-F0F6-BD22-C6C5A37A6DCD">$类$</SPAN></P></TD></TR>
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<TR class=Emr_table_dotted style="HEIGHT: 28px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=28 width=420 class="Emr_table_dotted"><FONT style="FONT-SIZE: 5.55mm"> 普 通 处 方 笺</FONT></TD></TR></TBODY></TABLE></STRONG></FONT></FONT>
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<P align=left> </P>
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<P align=left>
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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: 29px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=29 width=288 class="Emr_table_dotted">处方号: <SPAN id=0AE42589-F6BA-D577-2ABC-BF485ECFD1F4 class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="处方号" watid="0AE42589-F6BA-D577-2ABC-BF485ECFD1F4">$处方号$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=29 width=71 class="Emr_table_dotted">日期:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=29 width=155 class="Emr_table_dotted"><SPAN id=0FB146F8-32FE-7E82-442D-E5EFD92C6D41 class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="JJRQ*yyyy-MM-dd" watid="0FB146F8-32FE-7E82-442D-E5EFD92C6D41">$JJRQ*yyyy-MM-dd$</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; BORDER-TOP-COLOR: ; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " width=520 colSpan=3 class="Emr_table_dotted">科室: <SPAN id=3A8EE270-DF78-257F-3CFA-43BCFC047ACE class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="JJKS" watid="3A8EE270-DF78-257F-3CFA-43BCFC047ACE">$JJKS$</SPAN></TD></TR></TBODY></TABLE></P>
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<P>
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<P></P>
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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>
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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 width=45 class="Emr_table_dotted">姓名:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=130 class="Emr_table_dotted"><SPAN><SPAN id=AF4F1CF8-7873-1FB6-068E-D9256523AC0E class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="XM" watid="AF4F1CF8-7873-1FB6-068E-D9256523AC0E">$XM$</SPAN> </SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=44 class="Emr_table_dotted">性别:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=134 class="Emr_table_dotted"><SPAN id=0FBEDBCB-9E02-97D2-179D-FB360AF7CBD5 class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="XB" watid="0FBEDBCB-9E02-97D2-179D-FB360AF7CBD5">$XB$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=44 class="Emr_table_dotted">年龄:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=197 class="Emr_table_dotted"><SPAN id=4531A868-AC0D-01A6-C495-3D5775A06F5C class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="NL" watid="4531A868-AC0D-01A6-C495-3D5775A06F5C">$NL$</SPAN></TD></TR>
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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 width=45 class="Emr_table_dotted">疾病:</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=481 colSpan=5 class="Emr_table_dotted"><SPAN id=3551D10F-F231-A2B6-BD79-248D1F84EDB0 class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="疾病" watid="3551D10F-F231-A2B6-BD79-248D1F84EDB0">$疾病$</SPAN></TD></TR></TBODY></TABLE></P>
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<P><STRONG><FONT style="FONT-SIZE: 8.42mm">R</FONT></STRONG></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=0 class>
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<TBODY>
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<P $data>
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<TR style="HEIGHT: 10px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=10 align=left vAlign=top class>
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<TD style="CURSOR: default" height=10 width=132 class><SPAN>
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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="16%" 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; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=537 align=center class="Emr_table_dotted"><SPAN id=F8BC5EBE-A7A3-6959-2175-94A8D1D6789A class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药材要求1" watid="F8BC5EBE-A7A3-6959-2175-94A8D1D6789A">^药材要求1^</SPAN></TD></TR>
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<TR class=Emr_table_dotted style="HEIGHT: 35px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=35 width=537 class="Emr_table_dotted"><SPAN id=F7B19439-25C0-253E-422F-334A570CB4AA class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药品名称1" watid="F7B19439-25C0-253E-422F-334A570CB4AA">^药品名称1^</SPAN><SPAN id=10F5BDC2-1EE7-94A2-C588-37D3CF4381A7 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="数量1" watid="10F5BDC2-1EE7-94A2-C588-37D3CF4381A7">^数量1^</SPAN><SPAN id=CBB6CF81-854A-617C-DF30-C0648612B951 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="计价单位1" watid="CBB6CF81-854A-617C-DF30-C0648612B951">^计价单位1^</SPAN></TD></TR></TBODY></TABLE></SPAN></TD>
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<TD style="CURSOR: default" height=23 width=128 class><SPAN><SPAN>
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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="16%" bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted style="HEIGHT: 23px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=right class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=123 align=center class="Emr_table_dotted"><SPAN id=5D4BA6F9-82D6-EEA4-FAB2-A3FDFB67664D class=Emr_hdy style="FONT-SIZE: 2.45mm; MozTextAlignLast: ; WebkitTextAlignLast: " align="right" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药材要求2" watid="5D4BA6F9-82D6-EEA4-FAB2-A3FDFB67664D">^药材要求2^</SPAN></TD></TR>
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<TR class=Emr_table_dotted style="HEIGHT: 29px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=29 width=123 class="Emr_table_dotted"><SPAN id=88713578-6B49-5593-312D-EA6095626DA2 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药品名称2" watid="88713578-6B49-5593-312D-EA6095626DA2">^药品名称2^</SPAN><SPAN id=5C39E122-E65E-E734-DE1C-F4E2451E361B class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="数量2" watid="5C39E122-E65E-E734-DE1C-F4E2451E361B">^数量2^</SPAN><SPAN id=BC118437-A293-6792-F35C-EC2937A71B2C class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="计价单位2" watid="BC118437-A293-6792-F35C-EC2937A71B2C"><FONT style="FONT-SIZE: 2.45mm">^</FONT>计价单位2^</SPAN></TD></TR></TBODY></TABLE></SPAN></SPAN></TD>
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<TD style="CURSOR: default" height=23 width=137 class><SPAN>
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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="17%" bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted style="HEIGHT: 23px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=right class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=106 align=center class="Emr_table_dotted"><SPAN id=96CD10A5-EF9F-A11C-8081-9FA9F3605950 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药材要求3" watid="96CD10A5-EF9F-A11C-8081-9FA9F3605950">^药材要求3^</SPAN></TD></TR>
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<TR class=Emr_table_dotted style="HEIGHT: 35px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=35 width=106 class="Emr_table_dotted"><SPAN id=3BF7B852-CDF6-2F6A-4FC1-8F26E881EB18 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药品名称3" watid="3BF7B852-CDF6-2F6A-4FC1-8F26E881EB18">^药品名称3^</SPAN><SPAN id=9AF2A860-CAFA-D806-4479-4609E7B21BEE class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="数量3" watid="9AF2A860-CAFA-D806-4479-4609E7B21BEE">^数量3^</SPAN><SPAN id=E9E8A9F7-6013-C8C6-8E4F-883AFB7062D0 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="计价单位3" watid="E9E8A9F7-6013-C8C6-8E4F-883AFB7062D0">^计价单位3^</SPAN><SPAN> </SPAN></TD></TR></TBODY></TABLE></SPAN></TD>
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<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 vAlign=top width=135 class>
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<P align=left>
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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="17%" bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted style="HEIGHT: 23px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=right class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=537 align=center class="Emr_table_dotted"><SPAN id=AF3958E6-376A-E74D-1CFC-80AB62E0A7A6 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药材要求4" watid="AF3958E6-376A-E74D-1CFC-80AB62E0A7A6">^药材要求4^</SPAN></TD></TR>
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<TR class=Emr_table_dotted style="HEIGHT: 35px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=35 width=537 class="Emr_table_dotted"><SPAN id=0C891CF7-40F6-E3ED-6148-518976518E08 class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="药品名称4" watid="0C891CF7-40F6-E3ED-6148-518976518E08">^药品名称4^</SPAN><SPAN id=FCB4C0DF-3951-5BEE-1D22-AB02AD7DACEF class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="数量4" watid="FCB4C0DF-3951-5BEE-1D22-AB02AD7DACEF">^数量4^</SPAN><SPAN id=40EB45B0-6612-E725-0544-6048C13E49EF class=Emr_hdy style="FONT-SIZE: 2.45mm" wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="计价单位4" watid="40EB45B0-6612-E725-0544-6048C13E49EF">^计价单位4^</SPAN><SPAN> </SPAN></TD></TR></TBODY></TABLE></P></TD></TR></P>
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<P $data></P></TBODY></TABLE>
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<P> 医生签名: <SPAN id=3702B01F-5FA1-F453-9D57-D2324302A602 class=Emr_hdy wattype="static" wathdychange="false" watencryptshow="false" watflag="true" watsuntype="s2" watdelete="false" watvalue="JJYS" watid="3702B01F-5FA1-F453-9D57-D2324302A602">$JJYS$</SPAN></P>
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<P>
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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>
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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; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=134 class="Emr_table_dotted">审核 </TD>
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=134 class="Emr_table_dotted">调剂</TD>
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=134 class="Emr_table_dotted">复核</TD>
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=208 class="Emr_table_dotted">发药</TD></TR></TBODY></TABLE></P>
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<P>注:处方当日有效 </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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