klhis/file/reporttemplate/DE3C9D58-C91A-459E-74D0-5897CAC5F92B/门诊收费发票打印/f1d7cbacc0cfeb8f32878ed527f1f7eb.xml

<?xml version="1.0" encoding="UTF-8"?>
<emr>
<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" />
<headercontent>
<![CDATA[




































]]>
</headercontent>
<content>
<![CDATA[



<P align=center><FONT style="FONT-SIZE: 5.23mm"><STRONG>
<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 class>
<TBODY></TBODY></TABLE>新和县莎拉麦提医院</STRONG></FONT></P>
<P align=center><FONT style="FONT-SIZE: 4.93mm"><STRONG>门诊单据</STRONG></FONT></P>
<P>
<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 class>
<TBODY>
<TR class>
<TD style="CURSOR: default" height=23 width=144 class>门诊号：<SPAN id=C3954DD3-AB02-F5A6-6FF5-E32AB9CF1E34 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="MZNO" watid="C3954DD3-AB02-F5A6-6FF5-E32AB9CF1E34">$MZNO$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=138 class>科室：<SPAN id=29AE4A2A-84B9-CE7E-A27C-B00BF4E5497D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJKS" watid="29AE4A2A-84B9-CE7E-A27C-B00BF4E5497D">$JJKS$</SPAN></TD></TR>
<TR style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " vAlign=top class>
<TD style="CURSOR: default" height=23 width=144 class>单据号：<SPAN id=DA9079ED-1F0F-5A77-0ABE-50CF9786F32D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="发票号码" watid="DA9079ED-1F0F-5A77-0ABE-50CF9786F32D">$发票号码$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=138 class>医生：<SPAN id=B6048DDC-19AB-6CF5-F0F3-B5ADCF28B271 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJYS" watid="B6048DDC-19AB-6CF5-F0F3-B5ADCF28B271">$JJYS$</SPAN></TD></TR>
<TR style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " vAlign=top class>
<TD style="CURSOR: default" height=23 width=144 class>姓 名：<SPAN id=22DF7B90-F6EF-A86B-51CD-E3818AE2E2FD class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XM" watid="22DF7B90-F6EF-A86B-51CD-E3818AE2E2FD">$XM$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=138 class>类型：<SPAN id=EC421091-8444-34BB-DA55-8EDEFAF4B987 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="结算类型" watid="EC421091-8444-34BB-DA55-8EDEFAF4B987">$结算类型$</SPAN></TD></TR></TBODY></TABLE></P>
<P>
<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 class>
<TBODY>
<TR class>
<TD style="CURSOR: default" height=23 width=143 class>项目</TD>
<TD style="CURSOR: default" height=23 width=143 class>金额</TD></TR>
<P $data>
<TR class>
<TD style="CURSOR: default" height=23 width=143 class><SPAN id=14DAC571-C404-96B9-529C-B4D001B09BC4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="FYLBBM" watid="14DAC571-C404-96B9-529C-B4D001B09BC4">^FYLBBM^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=143 class><SPAN id=1B5B9D93-7772-074E-A242-EC2FA57D3F72 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="FYLBJE" watid="1B5B9D93-7772-074E-A242-EC2FA57D3F72">^FYLBJE^</SPAN></TD></TR>
<P $data></P></TBODY></TABLE></P>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=224 colSpan=2 class>
<P>应<FONT style="FONT-SIZE: 4.25mm"><FONT style="FONT-SIZE: 3.7mm">收：<SPAN id=67C64CB6-0A28-9B12-3F5E-4928A2E3A66C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医疗费总额" watid="67C64CB6-0A28-9B12-3F5E-4928A2E3A66C">$医疗费总额$</SPAN> 优惠：</FONT></FONT></P>
<P>基金支付：<SPAN id=DCD95BC4-7675-68E1-AAE7-89158F0C6928 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="基本医疗保险统筹基金支出" watid="DCD95BC4-7675-68E1-AAE7-89158F0C6928">$基本医疗保险统筹基金支出$</SPAN></P>
<P><SPAN><FONT style="FONT-SIZE: 3.7mm">账户支付：<SPAN id=B1E6E907-4066-E454-D27E-44757D175175 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="个人账户支出" watid="B1E6E907-4066-E454-D27E-44757D175175">$个人账户支出$</SPAN></FONT></SPAN></P>
<P><SPAN><FONT style="FONT-SIZE: 3.7mm">现金支付：<SPAN id=FA2390B5-D512-4E42-5640-BC61B3A9CC62 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="个人现金支出" watid="FA2390B5-D512-4E42-5640-BC61B3A9CC62">$个人现金支出$</SPAN></FONT></SPAN></P>
<P><SPAN><FONT style="FONT-SIZE: 3.7mm">结算前余额：    结算后余额：</FONT></SPAN></P></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=113 align=center class>实收金额:</TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=E477F527-4B67-A421-FED2-C6A3C1D74916 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="个人现金支出" watid="E477F527-4B67-A421-FED2-C6A3C1D74916">$个人现金支出$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=113 align=center class><FONT style="FONT-SIZE: 3.7mm">人民币：（大写）</FONT></TD>
<TD style="CURSOR: default" height=23 width=113 class><SPAN id=B18D141C-EC50-F553-7532-BF7EDCCA0622 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="个人现金支出" watid="B18D141C-EC50-F553-7532-BF7EDCCA0622">$个人现金支出$</SPAN></TD></TR>
<P></P></TBODY></TABLE>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted style="HEIGHT: 23px; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " vAlign=top class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=113 class="Emr_table_dotted">收费员:<SPAN id=BC74BB35-0C2B-09FD-B9BC-4DC986D00E59 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="收款人" watid="BC74BB35-0C2B-09FD-B9BC-4DC986D00E59">$收款人$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=113 class="Emr_table_dotted">
<P>收费时间:<SPAN id=AAB0EA29-0A7B-C9ED-4EF7-FBCBA7F8DB8C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="结算日期*yyyy-MM-dd" watid="AAB0EA29-0A7B-C9ED-4EF7-FBCBA7F8DB8C">$结算日期*yyyy-MM-dd$</SPAN></P></TD></TR></TBODY></TABLE>


]]>
</content>
<footercontent>
<![CDATA[




































]]>
</footercontent>
</emr>