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				<!DOCTYPE html> 
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				<html> 
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					<head> 
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						<meta charset="UTF-8"> 
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						<title></title> 
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						<link rel="stylesheet" href="../../../../css/bootstrap.min.css" /> 
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						<style type="text/css"> 
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							.page_title{font-size: 18px;padding: 10px;margin-bottom: 0;text-align: center;} 
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							.inline-container{padding: 0 60px;font-size: 0;} 
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							.row-line-item{width: 160px;display: inline-block;font-size: 14px;margin-top: 20px;} 
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							.row-line-item-2{width: 320px;} 
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							.row-line-item-3{width: 480px;} 
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							.checkbox-inline{padding-left: 24px;} 
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							.radio-inline{padding-left: 30px;} 
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							.radio-inline+.radio-inline{margin-left: 20px;} 
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							.checkbox-inline input[type='checkbox'],.radio-inline input[type='radio']{opacity: 0;} 
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							input[type='checkbox']+span:before{content: '';position: absolute;left: 0;top: 4px;background: url(image/gouxuan_btn.png);width: 14px;height: 14px;display: inline-block;} 
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							input[type='checkbox']:checked+span:before{background: url(image/gouxuan_pre.png);} 
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							input[type='radio']+span:before{content: '';position: absolute;left: 0;top: 0;background: url(image/dianxuan_btn.png);width: 20px;height: 20px;display: inline-block;} 
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							input[type='radio']:checked+span:before{background: url(image/dianxuan_pre.png);} 
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							.remark{display: inline-block;width: 220px;border-radius: 0;padding: 2px 6px;line-height: 20px;height: 28px;} 
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							.disabled-input label,.disabled-input input{pointer-events: none;} 
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							.form-control{display: inline-block;text-align: center;margin: 0 5px;width: 64px;border-radius: 0;padding: 2px 6px;line-height: 20px;height: 28px;} 
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							.form-control-100{width: 100px;} 
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							.form-control-120{width: 120px;} 
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							.form-control-180{width: 180px;text-align: left;} 
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							.form-control-220{width: 220px;text-align: left;} 
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							.form-control-380{width: 380px;text-align: left;} 
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						</style> 
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					</head> 
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					<body> 
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						<div id="app"> 
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							<p class="page_title">9、转诊</p> 
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							<div class="inline-container disabled-input"> 
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								<div class="row-line-item row-line-item-3"> 
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									<span>药物不良反应  </span> 
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									<label class="radio-inline"> 
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										<input type="radio" value="1" checked="checked" /> 
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										<span>无</span> 
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									</label> 
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									<label class="radio-inline"> 
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										<input type="radio" value="1" checked="checked" /> 
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										<span>有</span> 
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									</label> 
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									<input type="text" class="form-control form-control-220" value="" /> 
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								</div> 
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								<div class="row-line-item row-line-item-3"> 
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									<span>患者拒绝转诊  </span> 
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									<label class="radio-inline"> 
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										<input type="radio" value="1" checked="checked" /> 
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										<span>是</span> 
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									</label> 
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									<label class="radio-inline"> 
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										<input type="radio" value="1" checked="checked" /> 
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										<span>否</span> 
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									</label> 
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									<input type="text" class="form-control form-control-220" value="" /> 
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								</div> 
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								<div class="row-line-item row-line-item-2"> 
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								</div> 
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							</div> 
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						</div> 
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						<script type="text/javascript" src="../../../../js/vue.js" ></script> 
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						<script type="text/javascript" src="js/referral.js" ></script> 
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					</body> 
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				</html> 
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