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klhis/file/reporttemplate/DE3C9D58-C91A-459E-74D0-589.../检查申请单打印/f8e91b7ad808c56225df6608824...

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<P align=center><SPAN id=25BA8B42-290E-E03E-B413-F132D8C451EC class=Emr_hdy wattype="static" watid="25BA8B42-290E-E03E-B413-F132D8C451EC" watvalue="COMPANYID" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true"></SPAN><SPAN id=4F2E631A-1719-FD89-7C83-27A8A49555E5 class=Emr_hdy style="FONT-SIZE: 4.25mm" wattype="static" watid="4F2E631A-1719-FD89-7C83-27A8A49555E5" watvalue="JGID" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGID$</SPAN></P>
<P align=center><FONT style="FONT-SIZE: 5.23mm"><STRONG>检查申请单</STRONG></FONT></P>
<P align=left>
<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>
<TBODY>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=154 class="Emr_table_dotted">住院/门诊号:<SPAN id=3E4A97F3-C8CB-EFD8-1892-7DE2D85FFEE1 class=Emr_hdy wattype="static" watid="3E4A97F3-C8CB-EFD8-1892-7DE2D85FFEE1" watvalue="JZNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JZNO$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=325 colSpan=2 class="Emr_table_dotted">姓名:<SPAN id=5C717529-AFC1-25D7-B106-AE453FE8DF4F class=Emr_hdy wattype="static" watid="5C717529-AFC1-25D7-B106-AE453FE8DF4F" watvalue="XM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XM$</SPAN><SPAN><SPAN id=237EC63D-F24A-BA73-DB42-B1E82D5BA3F1 class=Emr_hdy wattype="static" watid="237EC63D-F24A-BA73-DB42-B1E82D5BA3F1" watvalue="SQDPKEY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$SQDPKEY$</SPAN></SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=154 class="Emr_table_dotted">开单科室:<SPAN id=BADF202C-9C52-0071-36E9-7ACFFDE6E072 class=Emr_hdy wattype="static" watid="BADF202C-9C52-0071-36E9-7ACFFDE6E072" watvalue="JJKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJKS$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=233 class="Emr_table_dotted">年龄:<SPAN id=DF08C38F-2129-F8FB-150B-B0BB36D528D7 class=Emr_hdy wattype="static" watid="DF08C38F-2129-F8FB-150B-B0BB36D528D7" watvalue="JZNL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JZNL$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=91 class="Emr_table_dotted">性别:<SPAN id=64AA508B-927C-9033-CC69-5E3A8EC32C9F class=Emr_hdy wattype="static" watid="64AA508B-927C-9033-CC69-5E3A8EC32C9F" watvalue="XB" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XB$</SPAN></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=390 colSpan=2 class="Emr_table_dotted"><SPAN>床号:<SPAN id=AA5C8364-743B-D4CD-1BAF-31F99482BE42 class=Emr_hdy wattype="static" watid="AA5C8364-743B-D4CD-1BAF-31F99482BE42" watvalue="BED" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BED$</SPAN><SPAN></SPAN></SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=91 class="Emr_table_dotted"></TD></TR>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=482 colSpan=3 class="Emr_table_dotted"><SPAN>开单医生:<SPAN id=E6C146A6-30C0-17C4-CDA8-DD8B543DFB47 class=Emr_hdy wattype="static" watid="E6C146A6-30C0-17C4-CDA8-DD8B543DFB47" watvalue="BUILDER" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BUILDER$</SPAN><SPAN></SPAN></SPAN></TD></TR></TBODY></TABLE></P>
<P>&nbsp;</P>
<P>
<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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<TR class=Emr_table_dotted style="HEIGHT: 24px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=272 class="Emr_table_dotted">检查项目</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=119 class="Emr_table_dotted">执行科室</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=86 class="Emr_table_dotted">部位</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=96 class="Emr_table_dotted">体位</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=62 class="Emr_table_dotted">金额</TD></TR>
<P $data>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=272 class="Emr_table_dotted"><SPAN id=967448C4-02E0-5587-A501-0695CBAAFF38 class=Emr_hdy wattype="static" watid="967448C4-02E0-5587-A501-0695CBAAFF38" watvalue="YZMC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^YZMC^</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=119 class="Emr_table_dotted"><SPAN id=A7005DA6-F543-8836-F437-E3A5D594B1F4 class=Emr_hdy wattype="static" watid="A7005DA6-F543-8836-F437-E3A5D594B1F4" watvalue="YZZXKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^YZZXKS^</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=86 class="Emr_table_dotted"><SPAN id=F62178DA-4F34-D58A-49B6-EAA184284C08 class=Emr_hdy wattype="static" watid="F62178DA-4F34-D58A-49B6-EAA184284C08" watvalue="BWPKEY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^BWPKEY^</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=96 class="Emr_table_dotted"><SPAN id=5A303F2F-CD72-43E1-D3A2-26B65B18BE14 class=Emr_hdy wattype="static" watid="5A303F2F-CD72-43E1-D3A2-26B65B18BE14" watvalue="TWPKEY" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^TWPKEY^</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=62 class="Emr_table_dotted"><SPAN id=F68F7C6A-505E-1C7D-A699-5988C9E92F96 class=Emr_hdy wattype="static" watid="F68F7C6A-505E-1C7D-A699-5988C9E92F96" watvalue="YZJE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^YZJE^</SPAN></TD></TR>
<P $data></P></TBODY></TABLE></P>
<P>&nbsp;</P>
<P>主诉:<SPAN id=4AC804C4-F7B9-EDC8-7265-2E3AE3BA68F3 class=Emr_hdy wattype="static" watid="4AC804C4-F7B9-EDC8-7265-2E3AE3BA68F3" watvalue="ZS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZS$</SPAN></P>
<P>现病史:<SPAN id=84451E83-3A0C-1F41-4D2B-6679CB9678F4 class=Emr_hdy wattype="static" watid="84451E83-3A0C-1F41-4D2B-6679CB9678F4" watvalue="XBS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XBS$</SPAN></P>
<P>体征:<SPAN id=1008B1FC-85AE-257C-5A74-E9338C001852 class=Emr_hdy wattype="static" watid="1008B1FC-85AE-257C-5A74-E9338C001852" watvalue="TZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$TZ$</SPAN></P>
<P>检查目的:<SPAN id=A9FCC8C9-6B5A-DE9C-BD3D-405B2B450071 class=Emr_hdy wattype="static" watid="A9FCC8C9-6B5A-DE9C-BD3D-405B2B450071" watvalue="JCMD" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JCMD$</SPAN></P>
<P>注意事项:<SPAN id=EB4DCD25-4570-7D27-9086-A8EA12DB0B7F class=Emr_hdy wattype="static" watid="EB4DCD25-4570-7D27-9086-A8EA12DB0B7F" watvalue="ZYSX" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZYSX$</SPAN><SPAN></SPAN></P>
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