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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN">
<html>
<head>
<meta http-equiv="Pragma" content="no-cache"/>
<meta http-equiv="expires" content="0"/>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<script type='text/javascript' src='/dwr/engine.js'></script>
<script type='text/javascript' src='/dwr/interface/MetaProvider.js'></script>
<script type='text/javascript' src='/dwr/interface/FileNumSearch.js'></script>
<script type='text/javascript' src='/dwr/interface/CureBackService.js'></script>
<script type='text/javascript' src='/dwr/interface/PersonalInfoService.js'></script>
<script type="text/javascript" src="js/rx.js"></script>
<script type="text/javascript" src="js/jquery.tools.min.js"></script>
<script type="text/javascript" src="js/jquery.blockUI.js"></script>
<script type="text/javascript" src="js/jquery.printElement.min.js"></script>
<script type="text/javascript" src="js/rx.jQuery.js"></script>
<script type="text/javascript" src="js/controls.js"></script>
<script type="text/javascript" src="js/ext/adapter/ext/ext-base.js"></script>
<script type="text/javascript" src="js/ext/ext-all-debug.js"></script>
<script type="text/javascript" src="js/med.js"></script>
<script type="text/javascript" src="js/validate.js"></script>
<script type="text/javascript" src="js/app.js"></script>
<script type="text/javascript" src="js/in_cureback.js"></script>
<!-- Framework CSS -->
<link rel="stylesheet" href="css/screen.css" type="text/css" media="screen, projection"/>
<link rel="stylesheet" href="css/print.css" type="text/css" media="print"/>
<!--[if lt IE 8]><link rel="stylesheet" href="css/ie.css" type="text/css" media="screen, projection"><![endif]-->
<!-- Import fancy-type plugin for the sample page. -->
<link rel="stylesheet" href="css/plugins/fancy-type/screen.css" type="text/css" media="screen, projection"/>
<link rel="stylesheet" href="css/hud.css" type="text/css" media="screen" />
<link rel="stylesheet" href="css/main.css" type="text/css" media="screen" />
<link rel="stylesheet" href="css/tabs.css" type="text/css" media="screen" />
<link rel="stylesheet" href="css/sheet.css" type="text/css" media="screen" />
<link rel="stylesheet" href="css/new_css/card.css" type="text/css" media="screen, print"/>
<link rel="stylesheet" href="css/new_css/printCure.css" type="text/css" media="screen, print"/>
</head>
<body>
<div class="outerContainer">
<div class="showToolbar"></div>
<div class="container">
<table class="form_tbl">
<tr>
<td class="header">编号：</td>
<td><span id="districtNumber"></span><span id="fileNo"></span></td>
<td></td>
</tr>
</table>
<div class="span-10 sheet" style="width: 800px;">
<div style="width: 780px;">
<span id="exportOrg"></span>（机构名称）：<br/>
现有患者<span id="name"></span>因病情需要，需转回贵单位，请予以接诊。<br/>
诊断结果：<br/><span id="result"></span> <br/>住院病案号：<span id="recordNumber"></span><br/>
主要检查结果：<br/>
<span id="checkResult"></span><br/>
治疗经过，下一步治疗方案及康复建议：<br/>
<span id="cureAdvice"></span><br/>
<table class="sheet">
<tr><td >
转诊医生（签字）：<span id="doctor"></span>
</td></tr>
<tr><td>
联系电话：<span id="tel"></span><br/>
</td></tr>
<tr><td class="padding" align="right">
<span id="fromOrg"></span>（机构名称）
</td></tr>
<tr><td>
转诊日期：<span id="date"></span>
</td></tr>
</table>
</div>
</div>
<!-- 打印 -->
<div class="printable side-a" style="text-align:center;" id="testDiv">
<div><button class="print gBtn" id="printa">打印</button><span class="hint close">按Esc退出</span></div>
<table id="cardA" class="printCure" align="center">
<tr>
<td class="printTitle">
<br />
存 根
</td>
</tr>
<tr><td> </td></tr>
<tr>
<td>
<table width="100%" cellpadding="0" cellspacing="0">
<tr>
<td class="signInfo" style="width:70px">患者姓名</td>
<td class="name printInfo" style="width:100px"></td>
<td class="signInfo" style="width:35px">性别</td>
<td class="sex printInfo" style="width:100px"></td>
<td class="signInfo" style="width:35px">年龄</td>
<td class="printInfo" style="width:30px"></td>
<td class="signInfo" style="width:70px">病案号</td>
<td class="fileNo printInfo" style="width:260px"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table width="100%" cellpadding="0" cellspacing="0" >
<tr>
<td class="signInfo" style="width:70px">家庭住址</td>
<td style="width:300px;border-bottom:1px solid black;text-algin:right;"></td>
<td style="width:70px" class="signInfo">联系电话</td>
<td class="tel printInfo" style="width:240px;border-bottom:1px solid black;text-algin:right;"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align="left">
<table width="100%" cellpadding="0" cellspacing="0" >
<tr>
<td>
<table><tr>
<td style="width: 40px;text-align:right;" class="signInfo">于</td>
<td class="date printInfo" style="width:150px;border-bottom:1px solid black;"></td>
<td style="width: 120px;text-align:center;" class="signInfo">因病情需要,转回</td>
<td class="exportOrg printInfo" style="width:370px;border-bottom:1px solid black;"></td>
<td style="width: 30px;text-align:center;" class="signInfo">单位</td>
</tr></table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td class="receptionDoctor printInfo" style="width:390px;border-bottom:1px solid black;"></td>
<td style="width: 100px;text-align:center;" class="signInfo">接诊医生。</td>
<td style="width: 210px;text-align:left;" class="signInfo"></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="width: 600px;text-align:right;" class="signInfo">转诊医生（签字）：</td>
<td class="doctor signInfo" style="width: 100px;"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="width: 500px;"></td>
<td class="date signInfo" style="width: 200px;text-align:center;"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td></td>
</tr>
<tr>
<td class="printTitle">
<br />
双向转诊（回转）单
</td>
</tr>
<tr><td></td></tr>
<tr>
<td>
<table>
<tr>
<td style="width: 200px;" class="exportOrg printInfo"></td>
<td style="width: 500px;text-align:left;" class="signInfo">（机构名称）:</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table><tr>
<td style="width: 80px;text-align:right;" class="signInfo">现有患者</td>
<td class="name printInfo" style="width:100px;border-bottom:1px solid black;text-align:center;"></td>
<td style="width: 520px;text-align:left;" class="signInfo">因病情需要，需转回贵单位，请予以接诊。</td>
</tr></table>
</td>
</tr>
<tr>
<td>
<table><tr>
<td style="width: 80px;text-align:right;" class="signInfo">诊断结果</td>
<td class="result printInfo" style="width:250px;border-bottom:1px solid black;text-align:center;"></td>
<td style="width: 100px;text-align:right;" class="signInfo">住院病案号</td>
<td class="recordNumber printInfo" style="width:270px;border-bottom:1px solid black;text-align:center;"></td>
</tr></table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="font-size:10px;">主要检查结果：</td>
</tr>
<tr>
<td style="vertical-align: top;text-align:left;width: 700px;word-break:break-all;word-wrap:break-word;" class="checkResult signInfo"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="font-size:10px;">治疗经过、下一步治疗方案及康复建议：</td>
</tr>
<tr>
<td style="vertical-align: top;text-align:left;width: 700px;word-break:break-all;word-wrap:break-word;" class="cureAdvice signInfo"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="text-align:right;width: 600px;" class="signInfo">转诊医生（签字）：</td>
<td style="text-align:left;width: 100px;" class="doctor signInfo"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="text-align:right;width: 600px;" class="signInfo">联系电话：</td>
<td style="text-align:left;width: 100px;" class="tel signInfo"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="text-align:right;width: 600px;" class="fromOrg signInfo"></td>
<td style="text-align:left;width: 100px;" class="signInfo">（机构名称）</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table>
<tr>
<td style="width: 500px;"></td>
<td class="date signInfo" style="width: 200px;text-align:center;"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="printBottom"></td>
</tr>
</table>
</div>
</div>
<div class="showToolbar"></div>
<br/>
<br/>
</div>
</body>
</html>