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<?xml version="1.0" encoding="UTF-8"?>
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<emr>
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<page styleline="false" height="190" width="130" 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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]]>
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</headercontent>
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<content>
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<![CDATA[
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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 style="HEIGHT: 23px" align=center class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=333 colSpan=5 class="Emr_table_dotted"><SPAN id=FDDE01AF-E1BC-0F4A-54BD-070FE32409DC class=Emr_hdy style="FONT-SIZE: 5.23mm" wattype="static" watid="FDDE01AF-E1BC-0F4A-54BD-070FE32409DC" watvalue="COMPANYID" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$COMPANYID$</SPAN><FONT style="FONT-SIZE: 6.37mm"><STRONG></STRONG></FONT></TD>
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-RIGHT: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT: #000000 1px solid" height=23 vAlign=middle rowSpan=2 width=79 align=left class="Emr_table_dotted"> <FONT style="FONT-SIZE: 4.25mm"><STRONG>中药饮片</STRONG></FONT></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=332 colSpan=5 class="Emr_table_dotted">
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<P align=center><FONT style="FONT-SIZE: 5.55mm"><STRONG style="FONT-SIZE: 5.55mm"><FONT style="FONT-SIZE: 3.7mm">门 诊 处 方 笺</FONT></STRONG></FONT></P></TD></TR></TBODY></TABLE>
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<P></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=155 class="Emr_table_dotted">门诊号：<SPAN id=BF6D2AE5-63B4-4EE5-F15B-2619722F7D77 class=Emr_hdy wattype="static" watid="BF6D2AE5-63B4-4EE5-F15B-2619722F7D77" watvalue="MZNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZNO$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=115 class="Emr_table_dotted">科别：<SPAN id=C4C2D243-5B91-5274-7168-E9DBFCB19A15 class=Emr_hdy wattype="static" watid="C4C2D243-5B91-5274-7168-E9DBFCB19A15" watvalue="JJKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJKS$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=149 class="Emr_table_dotted"><SPAN id=363A6F19-228C-69C1-1E81-314B9FCA947A class=Emr_hdy wattype="static" watid="363A6F19-228C-69C1-1E81-314B9FCA947A" watvalue="日期*yyyy-MM-dd" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$日期*yyyy-MM-dd$</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=155 class="Emr_table_dotted">姓名：<SPAN id=F8F312A0-7020-28EF-70A8-FEB4E610C6BA class=Emr_hdy wattype="static" watid="F8F312A0-7020-28EF-70A8-FEB4E610C6BA" watvalue="XM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XM$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=115 class="Emr_table_dotted">性别：<SPAN id=D950F649-9CF6-E7FE-4ED9-601848B46C4C class=Emr_hdy wattype="static" watid="D950F649-9CF6-E7FE-4ED9-601848B46C4C" watvalue="XB" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XB$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=149 class="Emr_table_dotted">年龄：<SPAN id=7617645B-1EEE-20A4-BFE9-00E90E8ECC7D class=Emr_hdy wattype="static" watid="7617645B-1EEE-20A4-BFE9-00E90E8ECC7D" watvalue="NL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$NL$</SPAN></TD></TR></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" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=642 class="Emr_table_dotted">
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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; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid" height=23 width=666 class="Emr_table_dotted">临床诊断： <SPAN id=EA27E813-0004-6611-5DE0-85BF5EAC9E0D class=Emr_hdy wattype="static" watid="EA27E813-0004-6611-5DE0-85BF5EAC9E0D" watvalue="疾病" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$疾病$</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-BOTTOM: #000000 1px solid" height=23 width=666 class="Emr_table_dotted">地址/电话：<SPAN id=FBE3C897-927A-7A7E-59D1-5AFAD7411FB8 class=Emr_hdy wattype="static" watid="FBE3C897-927A-7A7E-59D1-5AFAD7411FB8" watvalue="JGDZ" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JGDZ$</SPAN><SPAN id=C7B0D3B2-0F33-E9AC-E6A7-F9E0B58FF0F7 class=Emr_hdy wattype="static" watid="C7B0D3B2-0F33-E9AC-E6A7-F9E0B58FF0F7" watvalue="PHONE" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$PHONE$</SPAN><SPAN> </SPAN></TD></TR></TBODY></TABLE></P><FONT style="FONT-SIZE: 4.93mm"><STRONG>R:</STRONG></FONT></TD></TR></TBODY></TABLE>
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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 width="100%" bgColor=transparent border=0>
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<TBODY>
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<P $data>
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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=133 class="Emr_table_dotted"><SPAN id=B437417F-34D8-1AFC-DACD-869468AE921F class=Emr_hdy wattype="static" watid="B437417F-34D8-1AFC-DACD-869468AE921F" watvalue="药品名称1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药品名称1^</SPAN><SPAN id=B8FEF1AD-0C58-2ECB-800B-F2F86A2C70A2 class=Emr_hdy wattype="static" watid="B8FEF1AD-0C58-2ECB-800B-F2F86A2C70A2" watvalue="数量1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^数量1^</SPAN><SPAN id=7A7F3189-44BE-1682-3572-461F714A7A95 class=Emr_hdy wattype="static" watid="7A7F3189-44BE-1682-3572-461F714A7A95" watvalue="计价单位1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^计价单位1^</SPAN><SPAN id=57FA2980-CBA1-0164-4627-B68C59C4A79C class=Emr_hdy wattype="static" watid="57FA2980-CBA1-0164-4627-B68C59C4A79C" watvalue="药材要求1" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药材要求1^</SPAN><SPAN> </SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" width=132 class="Emr_table_dotted"><SPAN id=46A11447-7242-D508-588A-07E7BD3D7A6F class=Emr_hdy wattype="static" watid="46A11447-7242-D508-588A-07E7BD3D7A6F" watvalue="药品名称2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药品名称2^</SPAN><SPAN id=C20E4B98-C7AB-A0B1-EA1A-7A769E17C7E5 class=Emr_hdy wattype="static" watid="C20E4B98-C7AB-A0B1-EA1A-7A769E17C7E5" watvalue="数量2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^数量2^</SPAN><SPAN id=B068BA66-DE34-EBAF-C259-F284FAFC33EF class=Emr_hdy wattype="static" watid="B068BA66-DE34-EBAF-C259-F284FAFC33EF" watvalue="计价单位2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^计价单位2^</SPAN><SPAN id=861A3AE1-A677-32B8-4535-20994787BAB9 class=Emr_hdy wattype="static" watid="861A3AE1-A677-32B8-4535-20994787BAB9" watvalue="药材要求2" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药材要求2^</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" width=134 class="Emr_table_dotted"><SPAN id=8B7FA3B5-F16F-7CBD-1915-BC9B31356254 class=Emr_hdy wattype="static" watid="8B7FA3B5-F16F-7CBD-1915-BC9B31356254" watvalue="药品名称3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药品名称3^</SPAN><SPAN id=0F9D83BE-AC9D-AA14-9E42-20BBFFB24B2B class=Emr_hdy wattype="static" watid="0F9D83BE-AC9D-AA14-9E42-20BBFFB24B2B" watvalue="数量3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^数量3^</SPAN><SPAN id=BF73E35E-1C36-B696-3BEB-EAE8A5ABDA2A class=Emr_hdy wattype="static" watid="BF73E35E-1C36-B696-3BEB-EAE8A5ABDA2A" watvalue="计价单位3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^计价单位3^</SPAN><SPAN id=21A547FB-79D0-4EAE-1C11-99F893ABDA35 class=Emr_hdy wattype="static" watid="21A547FB-79D0-4EAE-1C11-99F893ABDA35" watvalue="药材要求3" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药材要求3^</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=133 class="Emr_table_dotted"><SPAN id=89D3E635-DA25-BE0D-41C0-291FD79BABEE class=Emr_hdy wattype="static" watid="89D3E635-DA25-BE0D-41C0-291FD79BABEE" watvalue="药品名称4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药品名称4^</SPAN><SPAN id=DE1FCA22-650A-5646-B341-6C6EEEE07BA5 class=Emr_hdy wattype="static" watid="DE1FCA22-650A-5646-B341-6C6EEEE07BA5" watvalue="数量4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^数量4^</SPAN><SPAN id=E693C2BE-D9DE-BF00-9E4A-C1B1626F86BA class=Emr_hdy wattype="static" watid="E693C2BE-D9DE-BF00-9E4A-C1B1626F86BA" watvalue="计价单位4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^计价单位4^</SPAN><SPAN id=207A08E6-7E58-140F-F854-ED239FE0D78F class=Emr_hdy wattype="static" watid="207A08E6-7E58-140F-F854-ED239FE0D78F" watvalue="药材要求4" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药材要求4^</SPAN><SPAN> </SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" width=127 class="Emr_table_dotted"><SPAN id=A614F496-15FE-29DB-E186-70CEEB71C246 class=Emr_hdy wattype="static" watid="A614F496-15FE-29DB-E186-70CEEB71C246" watvalue="药品名称5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药品名称5^</SPAN><SPAN id=171E00BF-E6D1-B560-C906-275CD53E9B4A class=Emr_hdy wattype="static" watid="171E00BF-E6D1-B560-C906-275CD53E9B4A" watvalue="数量5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^数量5^</SPAN><SPAN id=AB73BEAC-C5DD-29F5-EE2D-97144F35278A class=Emr_hdy wattype="static" watid="AB73BEAC-C5DD-29F5-EE2D-97144F35278A" watvalue="计价单位5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^计价单位5^</SPAN><SPAN id=4D73D93F-BABB-069F-7D5D-3BD9747EEEE5 class=Emr_hdy wattype="static" watid="4D73D93F-BABB-069F-7D5D-3BD9747EEEE5" watvalue="药材要求5" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^药材要求5^</SPAN></TD></TR>
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<P $data></P></TBODY></TABLE></P>
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<P>
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<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=642 class="Emr_table_dotted">
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<P><FONT style="FONT-SIZE: 3.15mm">剂数：$剂数$ $剂型$ 次数：$频次$ 煎法：$用法$ 备注： </FONT></P></TD></TR></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 style="BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid" 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" height=23 width=160 class="Emr_table_dotted">
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<P>药费：<SPAN id=D9454F2A-98FA-962D-9AB7-B69DA1406E83 class=Emr_hdy wattype="static" watid="D9454F2A-98FA-962D-9AB7-B69DA1406E83" watvalue="总金额" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$总金额$</SPAN></P></TD>
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid" height=23 width=160 class="Emr_table_dotted">医师：<SPAN id=F02A19FE-5992-D111-55F1-11B6257F8A89 class=Emr_hdy wattype="static" watid="F02A19FE-5992-D111-55F1-11B6257F8A89" watvalue="医生签名" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$医生签名$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid" height=23 width=160 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" height=23 width=160 class="Emr_table_dotted">发药：</TD></TR></TBODY></TABLE><FONT style="FONT-SIZE: 3.7mm"></P></FONT>
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<P>
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<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 101%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="101%" bgColor=transparent border=0>
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<TBODY>
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<TR class=Emr_table_dotted style="HEIGHT: 24px" class="Emr_table_dotted">
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<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=640 colSpan=3 class="Emr_table_dotted">药师提示：1、请遵医嘱服药 2、请在窗口清点药品 3、处方当日有效 4、发出药品不予退还</TD></TR></TBODY></TABLE></P>
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</content>
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<footercontent>
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</footercontent>
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</emr> |
