klhis/file/reporttemplate/DE3C9D58-C91A-459E-74D0-5897CAC5F92B/住院收费发票打印/2a3d9b4ae36472baa449ab13b81c6725.xml

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<P align=center><FONT style="FONT-SIZE: 5.23mm"><SPAN id=EF1D2899-1D7B-2FF6-78F7-AA3292A0A141 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="COMPANYID" watid="EF1D2899-1D7B-2FF6-78F7-AA3292A0A141">$COMPANYID$</SPAN>&nbsp;</FONT>
<P align=center>
<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>
<TBODY>
<TR class=Emr_table_dotted style="BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " align=left class="Emr_table_dotted">
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=201 class="Emr_table_dotted"><STRONG></STRONG></TD>
<TD class=Emr_table_dotted style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=201 align=center class="Emr_table_dotted"><STRONG>住院收费收据</STRONG></TD>
<TD class=Emr_table_dotted style="CURSOR: default" height=23 width=201 class="Emr_table_dotted"><SPAN id=A7C57011-914B-6078-B3DD-0EC2183B531D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="发票号码" watid="A7C57011-914B-6078-B3DD-0EC2183B531D">$发票号码$</SPAN></TD></TR></TBODY></TABLE>
<P>
<TABLE style="BORDER-TOP-STYLE: solid; FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; BORDER-BOTTOM-STYLE: solid; BORDER-RIGHT-STYLE: solid; BORDER-LEFT-STYLE: solid; LINE-HEIGHT: 1.5" borderColor=#000000 cellSpacing=0 cellPadding=0 width="100%" bgColor=transparent border=1 class>
<TBODY></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 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>姓名：<SPAN id=70D1F05B-E05A-3393-D887-1036535B510B class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="XM" watid="70D1F05B-E05A-3393-D887-1036535B510B">$XM$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=281 class>住院号：<SPAN id=C8B4BC85-D838-901E-B6A5-92F40D6A871C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="ZYNO" watid="C8B4BC85-D838-901E-B6A5-92F40D6A871C">$ZYNO$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=323 class>医疗类型：<SPAN id=B761BB9A-7638-C269-C3FA-2EF9922D0D1B class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="ZYLX" watid="B761BB9A-7638-C269-C3FA-2EF9922D0D1B">$ZYLX$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>就诊科室：<SPAN id=310293C7-1D6D-B441-2715-E7A1D33564A2 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJKS" watid="310293C7-1D6D-B441-2715-E7A1D33564A2">$JJKS$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=281 class>支付类型：<SPAN id=129E7A59-6DDD-B119-FEA9-DE48325A4D4E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医保类型" watid="129E7A59-6DDD-B119-FEA9-DE48325A4D4E">$医保类型$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=323 class>开单医生：<SPAN id=5989C4A7-3081-C011-CD75-72861E0B715C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJYS" watid="5989C4A7-3081-C011-CD75-72861E0B715C">$JJYS$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" height=23 width=222 class>住院天数：<SPAN id=2581A14E-4168-FB04-F2EA-C23399041FAC class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="ZYTS" watid="2581A14E-4168-FB04-F2EA-C23399041FAC">$ZYTS$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=281 class>入院日期：<SPAN id=2D2EA5AD-F811-1A50-7056-DA610F71482E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="JJRQ*yyyy-MM-dd HH:mm:ss" watid="2D2EA5AD-F811-1A50-7056-DA610F71482E">$JJRQ*yyyy-MM-dd HH:mm:ss$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=323 class>出院日期：<SPAN id=D7881E44-6D51-E027-2822-2F64F81334BA class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="CYRQ*yyyy-MM-dd HH:mm:ss" watid="D7881E44-6D51-E027-2822-2F64F81334BA">$CYRQ*yyyy-MM-dd HH:mm:ss$</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 width="100%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=156 class><SPAN id=A49ECD39-4BAF-C720-2CA1-08DED3457BD1 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别1" watid="A49ECD39-4BAF-C720-2CA1-08DED3457BD1">$费用类别1$</SPAN><SPAN> </SPAN><SPAN id=337DF332-FED7-C703-9B62-1951D53F531E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额1" watid="337DF332-FED7-C703-9B62-1951D53F531E">$金额1$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=161 class><SPAN id=C8A3EB92-F46B-26AC-B088-DE8CDAD43D66 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别2" watid="C8A3EB92-F46B-26AC-B088-DE8CDAD43D66">$费用类别2$</SPAN><SPAN> </SPAN><SPAN id=45961DFE-09AF-24F7-6084-A2DAAD195E25 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额2" watid="45961DFE-09AF-24F7-6084-A2DAAD195E25">$金额2$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=156 class><SPAN id=0C4D401E-E9E8-D54D-FFEF-4739F90D8CFC class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别3" watid="0C4D401E-E9E8-D54D-FFEF-4739F90D8CFC">$费用类别3$</SPAN><SPAN> </SPAN><SPAN><SPAN id=8EB30209-1D1E-AD17-1D1C-AFCE28CAC57F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额3" watid="8EB30209-1D1E-AD17-1D1C-AFCE28CAC57F">$金额3$</SPAN></SPAN><SPAN><SPAN id=52FECC5B-E555-D585-8CD8-0B4BD3F6FC41 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额2" watid="52FECC5B-E555-D585-8CD8-0B4BD3F6FC41"></SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=168 class><SPAN id=EA1E973C-202C-1D64-E65A-27A46D75CA37 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别4" watid="EA1E973C-202C-1D64-E65A-27A46D75CA37">$费用类别4$</SPAN><SPAN> </SPAN><SPAN id=A55E1B84-078C-B6E3-C497-5D5ADEF2D554 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额4" watid="A55E1B84-078C-B6E3-C497-5D5ADEF2D554">$金额4$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=205 class><SPAN id=BF1610BA-BC52-7F24-2DA7-D4524E569AA0 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别5" watid="BF1610BA-BC52-7F24-2DA7-D4524E569AA0">$费用类别5$</SPAN><SPAN> </SPAN><SPAN id=188E5B38-551D-5E74-27A0-8AA3EBA1A844 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额5" watid="188E5B38-551D-5E74-27A0-8AA3EBA1A844">$金额5$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=5ACDF84C-69F0-FB24-585B-470B66EBE881 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别6" watid="5ACDF84C-69F0-FB24-585B-470B66EBE881">$费用类别6$</SPAN><SPAN> </SPAN><SPAN id=D12FF64F-ABD8-8758-C60F-E20243E12670 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额6" watid="D12FF64F-ABD8-8758-C60F-E20243E12670">$金额6$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=161 class><SPAN><SPAN id=1F4CCBBE-1D55-78A4-09A6-481938B66669 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别7" watid="1F4CCBBE-1D55-78A4-09A6-481938B66669">$费用类别7$</SPAN><SPAN> </SPAN><SPAN id=F2481081-8F9D-AECA-2734-5A4BF900F284 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额7" watid="F2481081-8F9D-AECA-2734-5A4BF900F284">$金额7$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=A268098E-70EE-5D4B-5131-CA45BA22A1B1 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别8" watid="A268098E-70EE-5D4B-5131-CA45BA22A1B1">$费用类别8$</SPAN><SPAN> </SPAN><SPAN id=C101BC88-52ED-5B6F-47E4-784BE9227B44 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额8" watid="C101BC88-52ED-5B6F-47E4-784BE9227B44">$金额8$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=168 class><SPAN><SPAN id=67E6CEE7-2AC4-1FD0-6A70-D7F7A956E52E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别9" watid="67E6CEE7-2AC4-1FD0-6A70-D7F7A956E52E">$费用类别9$</SPAN><SPAN> </SPAN><SPAN id=1DFAF5EE-EB50-6DF4-AA17-35049CD08E5C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额9" watid="1DFAF5EE-EB50-6DF4-AA17-35049CD08E5C">$金额9$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=205 class><SPAN><SPAN id=C6E090EA-4267-B206-CEC3-1434F568F07F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别10" watid="C6E090EA-4267-B206-CEC3-1434F568F07F">$费用类别10$</SPAN><SPAN> </SPAN><SPAN id=A04FD7DC-4848-1691-B920-8B79BA01514F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额10" watid="A04FD7DC-4848-1691-B920-8B79BA01514F">$金额10$</SPAN></SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=28664B0D-82FC-6E7D-B201-FC5E40BBC8C8 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别11" watid="28664B0D-82FC-6E7D-B201-FC5E40BBC8C8">$费用类别11$</SPAN><SPAN> </SPAN><SPAN id=C6A21D6E-B725-5ECC-15D2-166A3509EDB5 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额11" watid="C6A21D6E-B725-5ECC-15D2-166A3509EDB5">$金额11$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=161 class><SPAN><SPAN id=D2ABE1C4-A2C0-0EE0-B30B-52B2EBAE6281 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别12" watid="D2ABE1C4-A2C0-0EE0-B30B-52B2EBAE6281">$费用类别12$</SPAN><SPAN> </SPAN><SPAN id=A65C917B-4815-E2BC-07C0-16661B3915F8 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额12" watid="A65C917B-4815-E2BC-07C0-16661B3915F8">$金额12$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=3D08A4DD-43D2-735D-CEAA-E5B2DF588DA5 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别13" watid="3D08A4DD-43D2-735D-CEAA-E5B2DF588DA5">$费用类别13$</SPAN><SPAN> </SPAN><SPAN id=B497A1CE-0BE7-A89A-58BE-3538C888F791 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额13" watid="B497A1CE-0BE7-A89A-58BE-3538C888F791">$金额13$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=168 class><SPAN><SPAN id=E1446EF7-9A3E-4931-8CB8-B7045AE54187 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别14" watid="E1446EF7-9A3E-4931-8CB8-B7045AE54187">$费用类别14$</SPAN><SPAN> </SPAN><SPAN id=A32FD674-2458-5850-86DB-CD58A1265A54 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额14" watid="A32FD674-2458-5850-86DB-CD58A1265A54">$金额14$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=205 class><SPAN><SPAN id=8E4B8ACB-FEBA-F85A-2635-9C2B6EC31526 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别15" watid="8E4B8ACB-FEBA-F85A-2635-9C2B6EC31526">$费用类别15$</SPAN><SPAN> </SPAN><SPAN id=92E0A299-AD8F-D8FE-82E8-E2E3EFEB0D98 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额15" watid="92E0A299-AD8F-D8FE-82E8-E2E3EFEB0D98">$金额15$</SPAN></SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=4266E6EC-D46B-73C2-F940-ABC92D28AD77 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别16" watid="4266E6EC-D46B-73C2-F940-ABC92D28AD77">$费用类别16$</SPAN><SPAN> </SPAN><SPAN id=5EE5D300-EB74-674D-1DCD-DBEA0EB5FFB0 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额16" watid="5EE5D300-EB74-674D-1DCD-DBEA0EB5FFB0">$金额16$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=161 class><SPAN><SPAN id=0DE92C4D-6F00-819D-2F6A-006249BEC38B class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别17" watid="0DE92C4D-6F00-819D-2F6A-006249BEC38B">$费用类别17$</SPAN><SPAN> </SPAN><SPAN id=F29647E1-BC36-174F-21E8-53B207ACCFE9 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额17" watid="F29647E1-BC36-174F-21E8-53B207ACCFE9">$金额17$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=2BBFDB22-50D7-0039-58C1-CC8CA8AB12D0 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别18" watid="2BBFDB22-50D7-0039-58C1-CC8CA8AB12D0">$费用类别18$</SPAN><SPAN> </SPAN><SPAN id=4535A568-1031-7513-C9A8-16A0D36FA21C class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额18" watid="4535A568-1031-7513-C9A8-16A0D36FA21C">$金额18$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=168 class><SPAN><SPAN id=33B25F94-E48F-2C7A-6056-8D5FBC1186A8 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别19" watid="33B25F94-E48F-2C7A-6056-8D5FBC1186A8">$费用类别19$</SPAN><SPAN> </SPAN><SPAN id=01724A5D-831E-F3C2-0477-0370F73630BB class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额19" watid="01724A5D-831E-F3C2-0477-0370F73630BB">$金额19$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=205 class><SPAN><SPAN id=181BCD41-DD0E-1A55-707B-BE76D9B82D7A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别20" watid="181BCD41-DD0E-1A55-707B-BE76D9B82D7A">$费用类别20$</SPAN><SPAN> </SPAN><SPAN id=A6807E70-2733-D81C-8206-78525C692031 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额20" watid="A6807E70-2733-D81C-8206-78525C692031">$金额20$</SPAN></SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=E78B041B-F4F0-251B-5539-B0B3C4CD1C39 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别21" watid="E78B041B-F4F0-251B-5539-B0B3C4CD1C39">$费用类别21$</SPAN><SPAN> </SPAN><SPAN id=FE933643-FAF3-B813-F67E-1946558240E1 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额21" watid="FE933643-FAF3-B813-F67E-1946558240E1">$金额21$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=161 class><SPAN><SPAN id=B17D9BC6-8633-00D3-67A2-C4FE262DE234 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别22" watid="B17D9BC6-8633-00D3-67A2-C4FE262DE234">$费用类别22$</SPAN><SPAN> </SPAN><SPAN id=0B80F930-1247-89A2-7ECA-6E442830A6EF class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额22" watid="0B80F930-1247-89A2-7ECA-6E442830A6EF">$金额22$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=156 class><SPAN><SPAN id=B814FE90-8CA7-0439-9ADA-0E6D6C0CA422 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别23" watid="B814FE90-8CA7-0439-9ADA-0E6D6C0CA422">$费用类别23$</SPAN><SPAN> </SPAN><SPAN id=F7AA504A-3C8D-1B13-38C5-8A33349B7F21 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额23" watid="F7AA504A-3C8D-1B13-38C5-8A33349B7F21">$金额23$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=168 class><SPAN><SPAN id=61BC74E5-4657-A030-2D8B-207E4D8E5AAF class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别24" watid="61BC74E5-4657-A030-2D8B-207E4D8E5AAF">$费用类别24$</SPAN><SPAN> </SPAN><SPAN id=744A248A-3013-7F4E-D8B0-129799A0FDDE class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额24" watid="744A248A-3013-7F4E-D8B0-129799A0FDDE">$金额24$</SPAN></SPAN></TD>
<TD style="CURSOR: default" height=23 width=205 class><SPAN id=FF09EA9E-FCCC-98BA-2B28-8C3AF96CAA32 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别25" watid="FF09EA9E-FCCC-98BA-2B28-8C3AF96CAA32">$费用类别25$</SPAN><SPAN> </SPAN><SPAN id=F5D8AA51-0987-8940-13B2-924384B4DD45 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额25" watid="F5D8AA51-0987-8940-13B2-924384B4DD45">$金额25$</SPAN></TD></TR>
<TR class>
<TD style="CURSOR: default" class><SPAN id=79C03D50-C92C-36E2-7B62-0A7BC07F06A4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别26" watid="79C03D50-C92C-36E2-7B62-0A7BC07F06A4">$费用类别26$</SPAN><SPAN> </SPAN><SPAN id=F6699ED7-CA33-8B45-B456-DFE6F1B4A6CB class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额26" watid="F6699ED7-CA33-8B45-B456-DFE6F1B4A6CB">$金额26$</SPAN></TD>
<TD style="CURSOR: default" width=161 class><SPAN id=3812BC9D-81D4-55A8-BC78-DA42B220DC18 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别27" watid="3812BC9D-81D4-55A8-BC78-DA42B220DC18">$费用类别27$</SPAN><SPAN> </SPAN><SPAN id=62CDD505-8939-A985-E9CA-EC96C281930A class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额27" watid="62CDD505-8939-A985-E9CA-EC96C281930A">$金额27$</SPAN></TD>
<TD style="CURSOR: default" width=156 class><SPAN id=BFA70AF1-16B1-1EE4-631B-CD72A93FD9B7 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="费用类别28" watid="BFA70AF1-16B1-1EE4-631B-CD72A93FD9B7">$费用类别28$</SPAN><SPAN> </SPAN><SPAN id=C32C1DD9-399E-A52B-D7E3-61FA486DBCB2 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="金额28" watid="C32C1DD9-399E-A52B-D7E3-61FA486DBCB2">$金额28$</SPAN></TD>
<TD style="CURSOR: default" width=168 class></TD>
<TD style="CURSOR: default" width=205 class></TD></TR></TBODY></TABLE>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="74%" bgColor=transparent border=1 class>
<TBODY></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></TBODY></TABLE>
<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></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></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 bgColor=transparent border=1 class>
<TBODY></TBODY></TABLE>
<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; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=105 align=right class>账户支付：</TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=7CEBA003-2797-F1EB-2401-331D7FA4A5B8 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="个人账户支出" watid="7CEBA003-2797-F1EB-2401-331D7FA4A5B8">$个人账户支出$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=77 align=right class>统筹支付：</TD>
<TD style="CURSOR: default" height=23 width=217 class><SPAN id=004E7914-C48A-00A2-EEE5-93C09CAFF5CB 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="004E7914-C48A-00A2-EEE5-93C09CAFF5CB">$基本医疗保险统筹基金支出$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=86 align=right class>现金支付：</TD>
<TD style="CURSOR: default" height=23 width=182 class><SPAN id=1E825A14-14A5-1B40-3F70-D56CCF0BC94D class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="个人现金支出" watid="1E825A14-14A5-1B40-3F70-D56CCF0BC94D">$个人现金支出$</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=105 align=right class>公务员补助：</TD>
<TD style="CURSOR: default" height=23 width=177 class><SPAN id=066ECF26-FEBA-D5D5-209B-F1B920EFA55E class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="公务员医疗补助资金支出" watid="066ECF26-FEBA-D5D5-209B-F1B920EFA55E">$公务员医疗补助资金支出$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=77 align=right class>大额医疗：</TD>
<TD style="CURSOR: default" height=23 width=217 class><SPAN id=861184BA-F9C8-C6FF-D2CC-D658FAC79B6B class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="职工大额医疗费用补助基金支出" watid="861184BA-F9C8-C6FF-D2CC-D658FAC79B6B">$职工大额医疗费用补助基金支出$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=86 align=right class>本次起付线：</TD>
<TD style="CURSOR: default" height=23 width=182 class><SPAN id=D3490773-D435-007A-654F-3DBA3E6B8C37 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="起付线" watid="D3490773-D435-007A-654F-3DBA3E6B8C37">$起付线$</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=105 align=right class>居民二次报销：</TD>
<TD style="CURSOR: default" height=23 width=177 class></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=77 align=right class>医疗补助：</TD>
<TD style="CURSOR: default" height=23 width=217 class><SPAN id=357CDF04-80AA-06EB-CF60-A0E739862293 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医疗救助基金支出" watid="357CDF04-80AA-06EB-CF60-A0E739862293">$医疗救助基金支出$</SPAN></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=86 align=right class>大病医疗：</TD>
<TD style="CURSOR: default" height=23 width=182 class><SPAN id=C8719984-3837-AA7C-7F79-EDC60A952B1B class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="居民大病保险资金支出" watid="C8719984-3837-AA7C-7F79-EDC60A952B1B">$居民大病保险资金支出$</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=105 align=right class>预交费：</TD>
<TD style="CURSOR: default" height=23 width=177 class></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=77 align=right class>补交金额：</TD>
<TD style="CURSOR: default" height=23 width=217 class></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=86 align=right class>退款金额：</TD>
<TD style="CURSOR: default" height=23 width=182 class></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=105 align=right class>总金额：</TD>
<TD style="CURSOR: default" height=23 width=177 class></TD>
<TD style="CURSOR: default; BORDER-TOP-COLOR: ; BORDER-LEFT-COLOR: ; BORDER-BOTTOM-COLOR: ; BORDER-RIGHT-COLOR: " height=23 width=77 align=center class></TD>
<TD style="CURSOR: default" height=23 width=217 class></TD>
<TD style="CURSOR: default" height=23 width=86 class></TD>
<TD style="CURSOR: default" height=23 width=182 class></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=105 class></TD>
<TD style="CURSOR: default" height=23 width=472 colSpan=3 class>实收金额：<SPAN id=7B828D95-D452-4D16-AC74-1794EF2C588F class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医疗费总额大写" watid="7B828D95-D452-4D16-AC74-1794EF2C588F">$医疗费总额大写$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=267 colSpan=2 class>小写：<SPAN id=2D3C24D4-1ACB-8A01-2806-CABE2401B641 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医疗费总额" watid="2D3C24D4-1ACB-8A01-2806-CABE2401B641">$医疗费总额$</SPAN></TD></TR>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=105 class></TD>
<TD style="CURSOR: default" height=23 width=255 colSpan=2 class>账户余额：<SPAN id=2EDC07BA-417B-3498-003D-A89F29035AEA class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="医保账户余额" watid="2EDC07BA-417B-3498-003D-A89F29035AEA">$医保账户余额$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=489 colSpan=3 class>结算前账户余额：<SPAN id=8BBB3FAB-3DC6-F552-54BD-A2D3633C5462 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="结算前账户余额" watid="8BBB3FAB-3DC6-F552-54BD-A2D3633C5462">$结算前账户余额$</SPAN></TD></TR></TBODY></TABLE>
<TABLE style="FONT-SIZE: 3.7mm; FONT-FAMILY: 宋体; BORDER-COLLAPSE: collapse; LINE-HEIGHT: 1.5" borderColor=#bfbfbf cellSpacing=0 cellPadding=0 width="98%" bgColor=transparent border=1 class>
<TBODY>
<TR style="HEIGHT: 23px" class>
<TD style="CURSOR: default" height=23 width=227 class>收费员：<SPAN id=921E42EB-9BF8-F1AB-CEF7-18A9956FB951 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="收款人" watid="921E42EB-9BF8-F1AB-CEF7-18A9956FB951">$收款人$</SPAN></TD>
<TD style="CURSOR: default" height=23 width=288 class>病人（家属）签字：</TD>
<TD style="CURSOR: default" height=23 width=312 class>打印时间：<SPAN id=34E549DE-362F-D418-7E4D-647B920EE5E4 class=Emr_hdy wattype="static" watflag="true" watsuntype="s2" wathdychange="false" watencryptshow="false" watdelete="false" watvalue="打印日期*yyyy-MM-dd HH:MM:ss" watid="34E549DE-362F-D418-7E4D-647B920EE5E4">$打印日期*yyyy-MM-dd HH:MM:ss$</SPAN></TD></TR></TBODY></TABLE>
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</content>
<footercontent>
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