klhis/file/reporttemplate/34D5F563-F591-8D63-96E9-1606713CB337/住院押金单打印/8937ae345dbe853e13268107a27555a8.xml

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<P align=center><SPAN> </SPAN><SPAN id=967F1EFD-21C1-9691-408D-B516F6D2C168 class=Emr_hdy align="center" wattype="static" watid="967F1EFD-21C1-9691-408D-B516F6D2C168" watvalue="COMPANYID" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$COMPANYID$</SPAN><STRONG>住院押金交款收据</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 bgColor=transparent border=1>
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<TR style="HEIGHT: 45px">
<TD style="CURSOR: default" height=45 width=359>单据号:<SPAN id=66030509-D686-5612-1672-EA2594DE956C class=Emr_hdy wattype="static" watid="66030509-D686-5612-1672-EA2594DE956C" watvalue="SJH" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SJH$</SPAN></TD>
<TD style="CURSOR: default" height=45 width=359 colSpan=2>住院号:<SPAN id=E41D9FAC-ECFB-8C98-0E40-AC88652C85D9 class=Emr_hdy wattype="static" watid="E41D9FAC-ECFB-8C98-0E40-AC88652C85D9" watvalue="ZYNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYNO$</SPAN></TD></TR>
<TR style="HEIGHT: 46px">
<TD style="CURSOR: default" height=46 width=359>姓名:<SPAN id=E3F81E51-6EE0-462C-A38A-8511055A82E7 class=Emr_hdy wattype="static" watid="E3F81E51-6EE0-462C-A38A-8511055A82E7" watvalue="XM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XM$</SPAN></TD>
<TD style="CURSOR: default" height=46 width=180>性别:<SPAN id=988D5497-E3C0-F90D-2468-2801E9D4080A class=Emr_hdy wattype="static" watid="988D5497-E3C0-F90D-2468-2801E9D4080A" watvalue="XB" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XB$</SPAN></TD>
<TD style="CURSOR: default" height=46 width=186>年龄:<SPAN id=913EC44F-0210-61EF-C411-53188ECB528F class=Emr_hdy wattype="static" watid="913EC44F-0210-61EF-C411-53188ECB528F" watvalue="NL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NL$</SPAN></TD></TR>
<TR style="HEIGHT: 49px">
<TD style="CURSOR: default" height=49 width=359>押金金额:<SPAN id=F33B3AC3-A83B-172F-A486-03782DFF280E class=Emr_hdy wattype="static" watid="F33B3AC3-A83B-172F-A486-03782DFF280E" watvalue="YJJE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YJJE$</SPAN></TD>
<TD style="CURSOR: default" height=49 width=359 colSpan=2>支付方式:<SPAN id=7E6BB84D-0492-2185-0710-48293CAE40A8 class=Emr_hdy wattype="static" watid="7E6BB84D-0492-2185-0710-48293CAE40A8" watvalue="ZFFS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZFFS$</SPAN></TD></TR>
<TR style="HEIGHT: 45px">
<TD style="CURSOR: default" height=45 width=359>科室:<SPAN id=89083A62-A2D6-A31D-747F-D2193E5DC3A3 class=Emr_hdy wattype="static" watid="89083A62-A2D6-A31D-747F-D2193E5DC3A3" watvalue="JJKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJKS$</SPAN></TD>
<TD style="CURSOR: default" height=45 width=359 colSpan=2>押金类型:<SPAN id=9255F36B-077B-94F0-06C9-C4B22D3231C7 class=Emr_hdy wattype="static" watid="9255F36B-077B-94F0-06C9-C4B22D3231C7" watvalue="YJTYPE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YJTYPE$</SPAN></TD></TR>
<TR style="HEIGHT: 45px">
<TD style="CURSOR: default" height=45 width=359>支付日期:<SPAN id=7458DE7B-50B7-9356-E57D-CF3F318E0F47 class=Emr_hdy wattype="static" watid="7458DE7B-50B7-9356-E57D-CF3F318E0F47" watvalue="SKRQ*yyyy年MM月dd日" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SKRQ*yyyy年MM月dd日$</SPAN></TD>
<TD style="CURSOR: default" height=45 width=359 colSpan=2>收款人:<SPAN id=EB3BCB45-FCD7-0240-6F29-75678F443758 class=Emr_hdy wattype="static" watid="EB3BCB45-FCD7-0240-6F29-75678F443758" watvalue="SKR" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SKR$</SPAN></TD></TR>
<TR style="HEIGHT: 52px">
<TD style="CURSOR: default" height=52 width=716 colSpan=3><FONT style="FONT-SIZE: 5.23mm"><STRONG>*此单据不做报销凭证,出院结账时需收回!</STRONG></FONT></TD></TR></TBODY></TABLE></P>
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