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<P></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=0>
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<TD style="CURSOR: default" height=24 rowSpan=3 width=111></TD>
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<TD style="CURSOR: default" height=24 rowSpan=3 width=481><FONT style="FONT-SIZE: 7.8mm"><STRONG> 新和县莎拉麦提医院检验申请单</STRONG></FONT></TD></TR>
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<TR style="HEIGHT: 23px">
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<TD style="CURSOR: default" height=23 width=45></TD></TR>
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<TR style="HEIGHT: 23px">
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<TD style="CURSOR: default" height=23 width=45></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; 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>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=154 colSpan=2>门诊号：<SPAN id=703FC72F-6648-8D48-EAB2-D553FC5F3F7E class=Emr_hdy wattype="static" watid="703FC72F-6648-8D48-EAB2-D553FC5F3F7E" 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=169 colSpan=2>姓名：<SPAN id=5FDD3ECA-18CC-14DF-5B9C-9142CB88EAC0 class=Emr_hdy wattype="static" watid="5FDD3ECA-18CC-14DF-5B9C-9142CB88EAC0" 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=80>性别：<SPAN id=A588B96F-D814-8458-1B53-677CF414F32A class=Emr_hdy wattype="static" watid="A588B96F-D814-8458-1B53-677CF414F32A" 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=94>年龄：<SPAN id=FCB1A30E-6AF8-16E4-D4CA-5436FBF2AE98 class=Emr_hdy wattype="static" watid="FCB1A30E-6AF8-16E4-D4CA-5436FBF2AE98" watvalue="JZNL" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JZNL$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=139>开单科室：<SPAN id=CBA26D3C-494A-9D29-769F-4B23D2C19B51 class=Emr_hdy wattype="static" watid="CBA26D3C-494A-9D29-769F-4B23D2C19B51" watvalue="JJKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$JJKS$</SPAN></TD></TR></TBODY></TABLE></P>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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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=642>临床诊断：<SPAN id=EBD7592C-1886-E4E4-4F98-6F0765AAA8D9 class=Emr_hdy wattype="static" watid="EBD7592C-1886-E4E4-4F98-6F0765AAA8D9" watvalue="诊断" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$诊断$</SPAN></TD></TR></TBODY></TABLE></P>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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<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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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=54></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=438 colSpan=2>申请项目</TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=145>备注：</TD></TR></TBODY></TABLE></P>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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<P></P>
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<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>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=106></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=532><SPAN id=64604196-F2AC-3FF7-B710-23572B399F22 class=Emr_hdy wattype="static" watid="64604196-F2AC-3FF7-B710-23572B399F22" watvalue="YZMC" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YZMC$</SPAN></TD></TR></TBODY></TABLE></P>
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<P> </P>
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<P> </P>
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<DIV contentEditable=false style="FONT-SIZE: 0px; HEIGHT: 1px">
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<HR style="BORDER-TOP: 0px; HEIGHT: 1px; BORDER-RIGHT: 0px; BORDER-BOTTOM: 0px; BORDER-LEFT: 0px; BACKGROUND-COLOR: #000000">
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</DIV>
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<P></P>
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<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>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=164>执行科室：<SPAN id=AA3559BD-1E3A-2F1B-5AFA-8BBB54082513 class=Emr_hdy wattype="static" watid="AA3559BD-1E3A-2F1B-5AFA-8BBB54082513" watvalue="YZZXKS" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$YZZXKS$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=235>申请医生：<SPAN id=46E662F6-0094-3B51-FF22-B471681CC54C class=Emr_hdy wattype="static" watid="46E662F6-0094-3B51-FF22-B471681CC54C" watvalue="BUILDER" watdelete="false" watencryptshow="false" wathdychange="false" watsuntype="s2" watflag="true">$BUILDER$</SPAN></TD>
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<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=238>申请日期：<SPAN id=51C9BFF6-7802-E877-E46A-829973594D7A class=Emr_hdy wattype="static" watid="51C9BFF6-7802-E877-E46A-829973594D7A" 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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<P></P>
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</content>
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<footercontent>
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