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@ -33,18 +33,18 @@
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<label class="label_title fd-label">续方居民:</label>
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<label class="label_title fd-label">续方居民:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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<input readonly id="patientName" class="fd-input" type="text" />
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</div>
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</div>
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<label class="label_title fd-label">医保卡号:</label>
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<label class="label_title fd-label">医保卡号:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="min-length-6 validate-special-char" />
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<input readonly id="ssc" class="fd-input" type="text" />
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</div>
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</div>
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</div>
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</div>
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<div class="m-form-group" style="">
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<div class="m-form-group" style="">
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<label class="label_title fd-label">身份证号</label>
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<label class="label_title fd-label">身份证号</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="ajax min-length-2 validate-special-char" />
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<input readonly id="idcard" class="fd-input" type="text" />
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</div>
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</div>
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</div>
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</div>
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@ -55,9 +55,9 @@
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<label class="label_title fd-label">临床诊断</label>
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<label class="label_title fd-label">临床诊断</label>
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</div>
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</div>
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<label class="label_title fd-label">续方居民:</label>
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<label class="label_title fd-label">诊断结果:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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<input readonly id="diagnosisinfo" class="fd-input" type="text" />
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</div>
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</div>
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</div>
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</div>
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@ -66,20 +66,23 @@
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<div style="margin-left:10px;">
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<div style="margin-left:10px;">
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<label class="label_title fd-label">RP.</label>
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<label class="label_title fd-label">RP.</label>
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</div>
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</div>
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<label class="label_title fd-label">药品名称1 </label>
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<label class="label_title fd-label"> 用法:</label>
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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</div>
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<label class="label_title fd-label">总量:</label>
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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</div>
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<label class="label_title fd-label">规格:</label>
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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</div>
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<div id="prescriptionInfo_div" class="m-form-group" style="border-top: solid 1px #ccc;">
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<%--<label class="label_title fd-label">药品名称1 </label>--%>
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<%--<div class="l-text-wrapper m-form-control">--%>
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<%--<input readonly value="" class="fd-input" type="text" />--%>
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<%--</div>--%>
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<%--<label class="label_title fd-label"> 用法:</label>--%>
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<%--<div class="l-text-wrapper m-form-control">--%>
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<%--<input class="fd-input" type="text" />--%>
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<%--</div>--%>
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<%--<label class="label_title fd-label">总量:</label>--%>
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<%--<div class="l-text-wrapper m-form-control">--%>
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<%--<input class="fd-input" type="text" />--%>
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<%--</div>--%>
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<%--<label class="label_title fd-label">规格:</label>--%>
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<%--<div class="l-text-wrapper m-form-control">--%>
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<%--<input class="fd-input" type="text" />--%>
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<%--</div>--%>
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</div>
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</div>
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@ -89,11 +92,11 @@
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<label class="label_title fd-label">续方状态:</label>
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<label class="label_title fd-label">续方状态:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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<input id="prescriptionStatueName" readonly class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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</div>
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</div>
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<label class="label_title fd-label">续方说明:</label>
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<label class="label_title fd-label">续方说明:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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<input id="reason" readonly class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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</div>
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</div>
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</div>
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</div>
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@ -104,28 +107,28 @@
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<div class="m-form-group" style="border-top: solid 1px #ccc;">
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<label class="label_title fd-label">申请时间:</label>
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<label class="label_title fd-label">申请时间:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="useTitle min-length-6 validate-special-char" />
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<input id="createTime" readonly class="fd-input" type="text" />
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</div>
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</div>
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<label class="label_title fd-label">审核医生:</label>
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<label class="label_title fd-label">审核医生:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="min-length-6 validate-special-char" />
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<input id="doctorName" readonly class="fd-input" type="text" />
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</div>
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</div>
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</div>
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</div>
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<div style="margin-left:10px;">
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<div class="m-form-group" style="">
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<label class="label_title fd-label">审核机构:</label>
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<label class="label_title fd-label">审核机构:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="ajax min-length-2 validate-special-char" />
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<input id="hospitalName" readonly class="fd-input" type="text" />
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</div>
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</div>
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<label class="label_title fd-label">审核医生:</label>
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<label class="label_title fd-label">审核时间:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="ajax min-length-2 validate-special-char" />
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<input id="reviewedTime" readonly class="fd-input" type="text" />
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</div>
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</div>
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</div>
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</div>
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<div style="margin-left:10px;">
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<div class="m-form-group" style="">
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<label class="label_title fd-label">结果:</label>
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<label class="label_title fd-label">结果:</label>
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<div class="l-text-wrapper m-form-control">
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<div class="l-text-wrapper m-form-control">
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<input class="fd-input" type="text" class="ajax min-length-2 validate-special-char" />
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<input id="presult" readonly class="fd-input" type="text" />
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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