klhis/file/reporttemplate/DE3C9D58-C91A-459E-74D0-5897CAC5F92B/门诊检查申请单打印/91a34d2a1a0f4893b2bc1f0f8933782e.xml

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<TD class=Emr_table_dotted style="CURSOR: default" height=24 rowSpan=3 width=481 class="Emr_table_dotted"><FONT style="FONT-SIZE: 7.8mm"><STRONG> 新和县莎拉麦提医院检查申请单</STRONG></FONT></TD></TR>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=390 class="Emr_table_dotted">门诊号：<SPAN id=A7819BB6-0462-CF5A-6342-7F37AB56686C class=Emr_hdy wattype="static" watid="A7819BB6-0462-CF5A-6342-7F37AB56686C" watvalue="MZNO" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$MZNO$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=248 colSpan=2 class="Emr_table_dotted">姓名：<SPAN id=A826240C-A651-5654-E7E6-6DC566B327BA class=Emr_hdy wattype="static" watid="A826240C-A651-5654-E7E6-6DC566B327BA" watvalue="XM" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XM$</SPAN></TD></TR>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=390 class="Emr_table_dotted">科别：<SPAN id=F00CB2D1-40F3-3CDB-720A-7433C1B78C8E class=Emr_hdy wattype="static" watid="F00CB2D1-40F3-3CDB-720A-7433C1B78C8E" 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=78 class="Emr_table_dotted">性别：<SPAN id=69F9BE6C-BA5B-1868-2464-F70935CF8CF4 class=Emr_hdy wattype="static" watid="69F9BE6C-BA5B-1868-2464-F70935CF8CF4" watvalue="XB" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$XB$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=169 class="Emr_table_dotted">年龄：<SPAN id=04962305-8D09-9572-1753-82CB3547A8D1 class=Emr_hdy wattype="static" watid="04962305-8D09-9572-1753-82CB3547A8D1" watvalue="JZNL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JZNL$</SPAN></TD></TR></TBODY></TABLE>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=371 class="Emr_table_dotted"><STRONG>临床诊断：<SPAN id=4F8A1BC1-765E-1725-8EC6-AB85772FA720 class=Emr_hdy wattype="static" watid="4F8A1BC1-765E-1725-8EC6-AB85772FA720" watvalue="诊断" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$诊断$</SPAN></STRONG></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=267 class="Emr_table_dotted"><STRONG>检查目的：<SPAN id=D949817F-A0AE-B1EC-61DB-BA1861E48E5A class=Emr_hdy wattype="static" watid="D949817F-A0AE-B1EC-61DB-BA1861E48E5A" watvalue="JCMD" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JCMD$</SPAN></STRONG></TD></TR>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=641 colSpan=2 class="Emr_table_dotted"><STRONG>病史摘要:<SPAN id=DA7862E3-BE3E-40E9-ADA8-5F37133F161B class=Emr_hdy wattype="static" watid="DA7862E3-BE3E-40E9-ADA8-5F37133F161B" watvalue="ZS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$ZS$</SPAN></STRONG></TD></TR>
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<TD style="CURSOR: default" height=23 width=94 class>数量</TD>
<TD style="CURSOR: default" height=23 width=224 class>执行科室</TD></TR>
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<TD style="CURSOR: default" height=23 width=94 class><SPAN id=A1B32F7E-F56F-EA45-3B6C-4B3BC50838CE class=Emr_hdy wattype="static" watid="A1B32F7E-F56F-EA45-3B6C-4B3BC50838CE" watvalue="YZSL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^YZSL^</SPAN></TD>
<TD style="CURSOR: default" height=23 width=224 class><SPAN id=8419D10A-3D0B-796A-EDAB-A2727CB76D0A class=Emr_hdy wattype="static" watid="8419D10A-3D0B-796A-EDAB-A2727CB76D0A" watvalue="YZZXKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">^YZZXKS^</SPAN></TD></TR>
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<P>签名：</P></TD></TR></TBODY></TABLE></P>
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<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=374 colSpan=2 class="Emr_table_dotted">申请医生：<SPAN id=2E9BF9D9-91F0-C4AE-1F83-F0E27E61D70F class=Emr_hdy wattype="static" watid="2E9BF9D9-91F0-C4AE-1F83-F0E27E61D70F" watvalue="BUILDER" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BUILDER$</SPAN></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=24 width=263 class="Emr_table_dotted">申请日期：<SPAN id=A694230D-F231-BEA2-F127-608448680D2B class=Emr_hdy wattype="static" watid="A694230D-F231-BEA2-F127-608448680D2B" watvalue="BUILDDATE*yyyy-MM-dd" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BUILDDATE*yyyy-MM-dd$</SPAN></TD></TR></TBODY></TABLE></P>
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