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<?xml version="1.0" encoding="UTF-8"?>
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<emr>
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<page styleline="false" height="140" width="80" lineheight="1.5" letterspace="0.0" paddingleft="2.0" paddingright="2.0" paddingtop="2.0" paddingbottom="2.0" portrait="1" />
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<headercontent>
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<![CDATA[
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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"><STRONG><SPAN id=C37EAD45-E97A-3F58-F481-70C929953497 class=Emr_hdy wattype="static" watid="C37EAD45-E97A-3F58-F481-70C929953497" watvalue="JGID" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGID$</SPAN>医院</STRONG></FONT>
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<P align=center><FONT style="FONT-SIZE: 4.93mm"><STRONG>门诊单据</STRONG></FONT></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>
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<TBODY>
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<TR>
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<TD style="CURSOR: default" height=23 width=144>门诊号:<SPAN id=C3954DD3-AB02-F5A6-6FF5-E32AB9CF1E34 class=Emr_hdy wattype="static" watid="C3954DD3-AB02-F5A6-6FF5-E32AB9CF1E34" watvalue="MZNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZNO$</SPAN></TD>
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<TD style="CURSOR: default" height=23 width=138>科室:<SPAN id=29AE4A2A-84B9-CE7E-A27C-B00BF4E5497D class=Emr_hdy wattype="static" watid="29AE4A2A-84B9-CE7E-A27C-B00BF4E5497D" watvalue="JJKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJKS$</SPAN></TD></TR>
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<TR style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " vAlign=top>
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<TD style="CURSOR: default" height=23 width=144>单据号:<SPAN id=DA9079ED-1F0F-5A77-0ABE-50CF9786F32D class=Emr_hdy wattype="static" watid="DA9079ED-1F0F-5A77-0ABE-50CF9786F32D" watvalue="发票号码" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$发票号码$</SPAN></TD>
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<TD style="CURSOR: default" height=23 width=138>医生:<SPAN id=B6048DDC-19AB-6CF5-F0F3-B5ADCF28B271 class=Emr_hdy wattype="static" watid="B6048DDC-19AB-6CF5-F0F3-B5ADCF28B271" watvalue="JJYS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJYS$</SPAN></TD></TR>
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<TR style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " vAlign=top>
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<TD style="CURSOR: default" height=23 width=144>姓 名:<SPAN id=22DF7B90-F6EF-A86B-51CD-E3818AE2E2FD class=Emr_hdy wattype="static" watid="22DF7B90-F6EF-A86B-51CD-E3818AE2E2FD" watvalue="XM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XM$</SPAN></TD>
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<TD style="CURSOR: default" height=23 width=138>类型:<SPAN id=EC421091-8444-34BB-DA55-8EDEFAF4B987 class=Emr_hdy wattype="static" watid="EC421091-8444-34BB-DA55-8EDEFAF4B987" watvalue="结算类型" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$结算类型$</SPAN></TD></TR></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 bgColor=transparent border=1>
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<TBODY>
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<TR>
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<TD style="CURSOR: default" height=23 width=143>项目</TD>
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<TD style="CURSOR: default" height=23 width=143>金额</TD></TR>
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<P $data>
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<TR>
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<TD style="CURSOR: default" height=23 width=143><SPAN id=14DAC571-C404-96B9-529C-B4D001B09BC4 class=Emr_hdy wattype="static" watid="14DAC571-C404-96B9-529C-B4D001B09BC4" watvalue="FYLBBM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^FYLBBM^</SPAN></TD>
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<TD style="CURSOR: default" height=23 width=143><SPAN id=1B5B9D93-7772-074E-A242-EC2FA57D3F72 class=Emr_hdy wattype="static" watid="1B5B9D93-7772-074E-A242-EC2FA57D3F72" watvalue="FYLBJE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^FYLBJE^</SPAN></TD></TR>
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<P $data></P></TBODY></TABLE></P>
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<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1>
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<TBODY>
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<TR style="HEIGHT: 23px">
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<TD style="CURSOR: default" height=23 width=224 colSpan=2>
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<P>应<FONT style="FONT-SIZE: 4.25mm"><FONT style="FONT-SIZE: 3.7mm">收:<SPAN id=67C64CB6-0A28-9B12-3F5E-4928A2E3A66C class=Emr_hdy wattype="static" watid="67C64CB6-0A28-9B12-3F5E-4928A2E3A66C" watvalue="医疗费总额" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$医疗费总额$</SPAN> 优惠:</FONT></FONT></P>
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<P>基金支付:<SPAN id=DCD95BC4-7675-68E1-AAE7-89158F0C6928 class=Emr_hdy wattype="static" watid="DCD95BC4-7675-68E1-AAE7-89158F0C6928" watvalue="基本医疗保险统筹基金支出" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$基本医疗保险统筹基金支出$</SPAN></P>
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<P><SPAN><FONT style="FONT-SIZE: 3.7mm">账户支付:<SPAN id=B1E6E907-4066-E454-D27E-44757D175175 class=Emr_hdy wattype="static" watid="B1E6E907-4066-E454-D27E-44757D175175" watvalue="个人账户支出" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$个人账户支出$</SPAN></FONT></SPAN></P>
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<P><SPAN><FONT style="FONT-SIZE: 3.7mm"><SPAN id=89F45321-0A9C-1518-F188-4C353820A996 class=Emr_hdy wattype="static" watid="89F45321-0A9C-1518-F188-4C353820A996" watvalue="个人资金支付方式显示" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$个人资金支付方式显示$</SPAN></FONT></SPAN></P>
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<P><SPAN><FONT style="FONT-SIZE: 3.7mm">结算前余额: 结算后余额:</FONT></SPAN></P></TD></TR>
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<TR style="HEIGHT: 23px">
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<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=113 align=center>实收金额:</TD>
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<TD style="CURSOR: default" height=23 width=113><SPAN id=E477F527-4B67-A421-FED2-C6A3C1D74916 class=Emr_hdy wattype="static" watid="E477F527-4B67-A421-FED2-C6A3C1D74916" watvalue="个人现金支出" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$个人现金支出$</SPAN></TD></TR>
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<TR style="HEIGHT: 23px">
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<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=113 align=center><FONT style="FONT-SIZE: 3.7mm">人民币:(大写)</FONT></TD>
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<TD style="CURSOR: default" height=23 width=113><SPAN id=8E63BFAB-CC44-870F-5200-34EECA07BBAC class=Emr_hdy wattype="static" watid="8E63BFAB-CC44-870F-5200-34EECA07BBAC" watvalue="个人现金支出大写" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$个人现金支出大写$</SPAN></TD></TR>
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<P></P></TBODY></TABLE>
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<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted style="HEIGHT: 23px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " vAlign=top>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=113>收费员:<SPAN id=BC74BB35-0C2B-09FD-B9BC-4DC986D00E59 class=Emr_hdy wattype="static" watid="BC74BB35-0C2B-09FD-B9BC-4DC986D00E59" watvalue="收款人" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$收款人$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=113>
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<P>收费时间:<SPAN id=AAB0EA29-0A7B-C9ED-4EF7-FBCBA7F8DB8C class=Emr_hdy wattype="static" watid="AAB0EA29-0A7B-C9ED-4EF7-FBCBA7F8DB8C" watvalue="结算日期*yyyy-MM-dd" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$结算日期*yyyy-MM-dd$</SPAN></P></TD></TR></TBODY></TABLE>
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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> |