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<%@ page contentType="text/html; charset=UTF-8" language="java" pageEncoding="UTF-8" %>
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<%@ taglib prefix="sec" uri="http://www.springframework.org/security/tags" %>
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<%@ include file="../head/page_head.jsp"%>
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<title>续方详情</title>
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</head>
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<style>
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.m-form-group label.label_title {
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width: 100px
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}
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.fd-label{
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font-size: 12px;
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font-weight: bold!important;
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}
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.fd-input{
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width: 150px;
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border: none;
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font-size: 12px;
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height: 30px;
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margin-bottom: 5px;
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}
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.fd-padl{
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margin-left: 24px;
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}
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.fd-autoh{
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height: auto;
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}
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.fd-pd{
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padding: 35px 35px 10px 35px;
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}
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.fd-group{
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display: -webkit-box;
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display: -moz-box;
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display: -ms-flexbox;
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display: flex;
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}
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.fd-img img{
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width: 100px;
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height: 100px;
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margin-right: 20px;
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}
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.fd-img img:last-child{
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margin-right: 0px;
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}
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.fd-file{
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font-size: 12px;
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font-weight: bold;
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padding-left: 35px;
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padding-right: 10px;
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display: -webkit-box;
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-webkit-box-align: center;
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display: -moz-box;
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-moz-box-align: center;
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display: -ms-flexbox;
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-ms-flex-align: center;
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display: flex;
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align-items: center;
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}
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.no-img{
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display: -webkit-box;
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-webkit-box-align: center;
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display: -moz-box;
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-moz-box-align: center;
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display: -ms-flexbox;
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-ms-flex-align: center;
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display: flex;
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align-items: center;
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}
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.fd-bttn{
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width: 100px;
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height: 35px;
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display: block;
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margin:40px auto 0px;
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background-color: #b9c8d2;
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color: #fff;
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line-height: 35px;
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text-align: center;
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}
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.ad-padd{
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height: 280px;
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width: 100%;
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padding: 10px;
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border: solid 1px #dcdcdc;
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border-radius: 2px;
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font-size: 12px;
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}
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.ad-padd::-webkit-input-placeholder{
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color:#ccc;
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}
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.ad-padd::-moz-placeholder{
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color:#ccc;
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}
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.ad-padd:-moz-placeholder{
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color:#ccc;
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}
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.ad-padd:-ms-input-placeholder{
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color:#ccc;
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}
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.ad-result{
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margin: 20px 35px 0px 35px;
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border-top: solid 1px #ccc;
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padding-top:10px ;
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}
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.ad-label{
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text-align: left!important;
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padding-left: 0px!important;
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font-weight: bold!important;
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}
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.ad-pd{
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padding-top: 35px;
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}
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</style>
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<body>
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<div id="div_roles_info_form" class="m-form-inline f-mt20" data-role-form>
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<div id="detail">
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<div style="margin-left:10px;">
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<label class="label_title fd-label">原处方记录</label>
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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">开方时间:</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">开方医生:</label>
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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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</div>
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</div>
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<div class="m-form-group" style="">
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<label class="label_title fd-label">科室/医生</label>
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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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</div>
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</div>
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<div style="margin-left:10px;">
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<label class="label_title fd-label">居民信息</label>
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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">续方居民:</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">医保卡号:</label>
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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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</div>
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</div>
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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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<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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</div>
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</div>
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<div style="margin-left:10px;">
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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 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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<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>
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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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</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>
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<div style="margin-left:10px;">
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<label class="label_title fd-label">续方信息</label>
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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">续方状态:</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">续方说明:</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>
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<div style="margin-left:10px;">
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<label class="label_title fd-label">审核记录</label>
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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">申请时间:</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">审核医生:</label>
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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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</div>
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</div>
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<div style="margin-left:10px;">
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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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<input class="fd-input" type="text" class="ajax min-length-2 validate-special-char" />
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</div>
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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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<input class="fd-input" type="text" class="ajax min-length-2 validate-special-char" />
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</div>
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</div>
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<div style="margin-left:10px;">
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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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<input class="fd-input" type="text" class="ajax min-length-2 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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</body>
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<%@ include file="../head/page_foot.jsp" %>
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<%@ include file="prescription_info_js.jsp" %>
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</html>
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