klhis/file/reporttemplate/34D5F563-F591-8D63-96E9-1606713CB337/门诊西药处方笺打印/fb29e225dda2672e6719b28f3d1c1868.xml

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<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted style="HEIGHT: 53px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=53 vAlign=middle rowSpan=2 width=342 align=center class="Emr_table_dotted">
<P>&nbsp;<SPAN id=DDDE9220-DF05-EE3A-DEED-BCE19D2767BD class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="COMPANYID" watid="DDDE9220-DF05-EE3A-DEED-BCE19D2767BD">$COMPANYID$</SPAN><STRONG><FONT style="FONT-SIZE: 5.55mm">处方笺</FONT></STRONG></FONT></P></TD>
<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=53 vAlign=middle width=56 align=center class="Emr_table_dotted">
<P><STRONG><FONT style="FONT-SIZE: 4.93mm">普通</FONT></STRONG></P>
<P><STRONG><FONT style="FONT-SIZE: 4.93mm">处方</FONT></STRONG></P></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=53 width=8 class="Emr_table_dotted"> </TD></TR></TBODY></TABLE>
<P>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 101%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#000000 cellSpacing=0 cellPadding=0 width="101%" bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 vAlign=top width=201 class="Emr_table_dotted">编号：<SPAN id=4078FAB4-5B31-E830-4409-D1B9C3A6C518 class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="处方号" watid="4078FAB4-5B31-E830-4409-D1B9C3A6C518">$处方号$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=215 class="Emr_table_dotted">处方开具日期：<SPAN id=23ACACA4-D8BC-BDED-F654-ACA6B5D064B5 class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJRQ*yyyy年MM月dd日" watid="23ACACA4-D8BC-BDED-F654-ACA6B5D064B5">$JJRQ*yyyy年MM月dd日$</SPAN></TD></TR></TBODY></TABLE></P>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=1 class>
<TBODY></TBODY></TABLE>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 98%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="98%" bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=240 colSpan=2 class="Emr_table_dotted">患者姓名：<SPAN id=6B64A805-5713-3A9B-A323-83BC6DC0A70E class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XM" watid="6B64A805-5713-3A9B-A323-83BC6DC0A70E">$XM$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=77 class="Emr_table_dotted">性别：<SPAN id=8C4E733D-3103-307F-C3E0-2E15F0E3C30F class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XB" watid="8C4E733D-3103-307F-C3E0-2E15F0E3C30F">$XB$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=85 class="Emr_table_dotted">年龄：<SPAN id=5CF2FB28-8CE9-F5B2-7DAF-05CEF9687962 class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="NL" watid="5CF2FB28-8CE9-F5B2-7DAF-05CEF9687962">$NL$</SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #ffffff 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=240 colSpan=2 class="Emr_table_dotted">身份证号：<SPAN id=F95AC7F4-C23C-343D-81E5-A57318B25EEF class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="SFZH" watid="F95AC7F4-C23C-343D-81E5-A57318B25EEF">$SFZH$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=163 colSpan=2 class="Emr_table_dotted">族别：<SPAN id=D65A140D-2F07-DD16-D79C-84F7EE447F4E class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="MZ" watid="D65A140D-2F07-DD16-D79C-84F7EE447F4E">$MZ$</SPAN></TD></TR></TBODY></TABLE>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=391 class="Emr_table_dotted">门诊号/病案号：<SPAN id=68769495-EBCD-8EC5-F60F-83B6F5A8D2F2 class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="MZNO" watid="68769495-EBCD-8EC5-F60F-83B6F5A8D2F2">$MZNO$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=32 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=214 class="Emr_table_dotted"><SPAN contentEditable=false style="HEIGHT: 3px; WIDTH: 9px"><FONT face=System><INPUT type=checkbox> </FONT></SPAN><FONT face=System>  </FONT><FONT style="FONT-SIZE: 3.7mm">职工医保</FONT></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=391 class="Emr_table_dotted">科别：<SPAN id=D730E877-1D40-86C2-47A8-7A484182DB3F class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJKS" watid="D730E877-1D40-86C2-47A8-7A484182DB3F">$JJKS$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=32 class="Emr_table_dotted">
<P><FONT style="FONT-SIZE: 3.15mm">费</FONT></P>
<P><FONT style="FONT-SIZE: 3.15mm">别</FONT></P></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=214 class="Emr_table_dotted"><SPAN contentEditable=false style="HEIGHT: 3px; WIDTH: 9px"><INPUT type=checkbox> </SPAN> 城乡医保</TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=391 class="Emr_table_dotted">代办人姓名：</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=32 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=214 class="Emr_table_dotted"><SPAN contentEditable=false style="HEIGHT: 3px; WIDTH: 9px"><INPUT type=checkbox> </SPAN> 自费</TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" width=391 class="Emr_table_dotted">代办人身份证：</TD>
<TD class=Emr_table_dotted style="CURSOR: default" width=32 class="Emr_table_dotted"></TD>
<TD class=Emr_table_dotted style="CURSOR: default" class="Emr_table_dotted"></TD></TR></TBODY></TABLE>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 101%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="101%" 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; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=287 class="Emr_table_dotted">临床诊断：<SPAN id=6EF847E0-F7D5-295C-3D9D-28CEE4316E69 class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="疾病" watid="6EF847E0-F7D5-295C-3D9D-28CEE4316E69">$疾病$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=123 class="Emr_table_dotted">处方顺序号：</TD></TR></TBODY></TABLE>
<P><STRONG><FONT style="FONT-SIZE: 3.7mm">Rp:</FONT></STRONG></P>
<P>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 bgColor=transparent border=0>
<TBODY>
<P $data>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" width=15 class="Emr_table_dotted"> </TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=197 class="Emr_table_dotted"><SPAN id=D8AF09E4-F765-1A80-3A13-B8F9F48F36D8 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="药品" watid="D8AF09E4-F765-1A80-3A13-B8F9F48F36D8">^药品^</SPAN><SPAN> </SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=113 class="Emr_table_dotted"><SPAN id=5B28A7FD-EBBC-B2F0-6010-836AD88FACBE class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="规格" watid="5B28A7FD-EBBC-B2F0-6010-836AD88FACBE">^规格^</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=83 class="Emr_table_dotted"><SPAN>  </SPAN><SPAN id=FBA7EE20-88C8-85C5-92F1-6A7CF49B139C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="数量" watid="FBA7EE20-88C8-85C5-92F1-6A7CF49B139C">^数量^</SPAN><SPAN id=20EE381F-F8F0-CD20-0813-74CC3161411A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="单位" watid="20EE381F-F8F0-CD20-0813-74CC3161411A">^单位^</SPAN></TD></TR>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" width=15 class="Emr_table_dotted"> </TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=197 align=right class="Emr_table_dotted"><SPAN id=BA0E5D57-13F1-34F6-4FB3-9929ABCA40C6 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="剂量" watid="BA0E5D57-13F1-34F6-4FB3-9929ABCA40C6">^剂量^</SPAN><SPAN id=6BAC53EE-2F54-E5E6-D269-96070D302664 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="剂量单位" watid="6BAC53EE-2F54-E5E6-D269-96070D302664">^剂量单位^</SPAN><SPAN></SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=113 align=right class="Emr_table_dotted"><SPAN id=0F74C236-A756-DFDA-5AA4-439F9255F99F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="用法" watid="0F74C236-A756-DFDA-5AA4-439F9255F99F">^用法^</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=83 align=right class="Emr_table_dotted"><SPAN id=E6538C2A-67EB-2CB2-5062-DF749E5A994A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="频次" watid="E6538C2A-67EB-2CB2-5062-DF749E5A994A">^频次^</SPAN><SPAN> </SPAN></TD></TR>
<P $data></P></TBODY></TABLE></P>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted style="HEIGHT: 23px" class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=321 class="Emr_table_dotted">医师：<SPAN id=C35C1E7F-8491-F436-3B6F-E8DFA4D60F0A class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJYS" watid="C35C1E7F-8491-F436-3B6F-E8DFA4D60F0A">$JJYS$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP: #000000 1px solid; BORDER-BOTTOM: #000000 1px solid; BORDER-LEFT-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=321 class="Emr_table_dotted"></TD></TR></TBODY></TABLE>
<P></P>
<P>
<TABLE class=Emr_table_dotted style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; WIDTH: 100%; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.3" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=0>
<TBODY>
<TR class=Emr_table_dotted class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=113 class="Emr_table_dotted">药品金额：<SPAN id=F2ABFB55-408C-0204-D8D3-4A1483CE3846 class=Emr_hdy style="FONT-FAMILY: 宋体" wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="总金额" watid="F2ABFB55-408C-0204-D8D3-4A1483CE3846">$总金额$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=85 class="Emr_table_dotted">审核：</TD>
<TD class=Emr_table_dotted style="CURSOR: default" width=77 class="Emr_table_dotted">调配：</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=63 class="Emr_table_dotted">核对：</TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=70 class="Emr_table_dotted">发药：</TD></TR></TBODY></TABLE></P>
<P><FONT style="FONT-SIZE: 3.7mm">注：此处方只限在本医疗机构使用。处方顺序号由医师负责填写。</FONT></P>
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