199 lines
9.1 KiB
JSON
Executable File
199 lines
9.1 KiB
JSON
Executable File
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"title": "住院预缴金收据（收执联）",
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"width": 250,
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"title": "<table style='width:100%; border-collapse:collapse; border:1px solid #000000; table-layout:fixed; font-family:SimSun, serif; font-size:11px; color:#000000;'><tr style='height:28px;'><td style='border:1px solid #000; background:#F5F5F5; text-align:center; width:65px; font-weight:bold; color:#000000;'>住院号</td><td style='border:1px solid #000; padding:0 4px; width:130px; white-space:normal; word-break:break-all; color:#000000;'>{{encounterNosd}}</td><td style='border:1px solid #000; background:#F5F5F5; text-align:center; width:50px; font-weight:bold; color:#000000;'>姓名</td><td style='border:1px solid #000; padding:0 4px; width:110px; white-space:normal; word-break:break-all; color:#000000;'>{{patientName}}</td><td style='border:1px solid #000; background:#F5F5F5; text-align:center; width:50px; font-weight:bold; color:#000000;'>性别</td><td style='border:1px solid #000; text-align:center; width:50px; white-space:normal; word-break:break-all; color:#000000;'>{{gender}}</td><td style='border:1px solid #000; background:#F5F5F5; text-align:center; width:60px; font-weight:bold; color:#000000;'>年龄</td><td style='border:1px solid #000; text-align:center; width:51.92px; white-space:normal; word-break:break-all; color:#000000;'>{{age}}</td></tr><tr style='height:28px;'><td style='border:1px solid #000; background:#F5F5F5; text-align:center; font-weight:bold; color:#000000;'>病区/科室</td><td style='border:1px solid #000; padding:0 4px; white-space:normal; word-break:break-all; color:#000000;' colspan='3'>{{inHospitalOrgName}}</td><td style='border:1px solid #000; background:#F5F5F5; text-align:center; font-weight:bold; color:#000000;'>床号</td><td style='border:1px solid #000; text-align:center; white-space:normal; word-break:break-all; color:#000000;'>{{bedName}}</td><td style='border:1px solid #000; background:#F5F5F5; text-align:center; font-weight:bold; color:#000000;'>医保类型</td><td style='border:1px solid #000; text-align:center; white-space:normal; word-break:break-all; color:#000000;'>{{contractName}}</td></tr><tr style='height:28px;'><td style='border:1px solid #000; background:#F5F5F5; text-align:center; font-weight:bold; color:#000000;'>收费项目</td><td style='border:1px solid #000; padding:0 4px; white-space:normal; word-break:break-all; color:#000000;' colspan='7'>住院预缴款</td></tr><tr style='height:28px;'><td style='border:1px solid #000; background:#F5F5F5; text-align:center; font-weight:bold; color:#000000;'>支付方式</td><td style='border:1px solid #000; padding:0 4px; white-space:normal; word-break:break-all; color:#000000;' colspan='7'>{{paymentMethod}}</td></tr><tr style='height:28px;'><td style='border:1px solid #000; background:#F5F5F5; text-align:center; font-weight:bold; color:#000000;'>金额(大写)</td><td style='border:1px solid #000; padding:0 4px; font-weight:normal; white-space:normal; word-break:break-all; color:#000000;' colspan='7'>{{amountInWords}}</td></tr><tr style='height:28px;'><td style='border:1px solid #000; background:#F5F5F5; text-align:center; font-weight:bold; color:#000000;'>金额(小写)</td><td style='border:1px solid #000; padding:0 4px; font-weight:normal; white-space:normal; word-break:break-all; color:#000000;' colspan='7'>{{balanceAmount}}</td></tr><tr><td style='border:1px solid #000; text-align:center; vertical-align:middle; padding: 10px 0;' colspan='2'><img src='{{qrcodeUrl}}' style='width:50px; height:50px; display:block; margin:0 auto 4px auto;' /><span style='font-size:9px; color:#000000; display:block;'>扫码查验电子票据</span></td><td style='border:1px solid #000; padding:6px 10px; text-align:left; vertical-align:top; font-family:SimSun; font-size:10px; line-height:1.4; color:#000000;' colspan='6'><strong>说明/备注：</strong><br/>1. 本收据为预收款凭证，非最终医疗自费/统筹消费发票。<br/>2. 患者出院结算时，须凭此收据联原表退回换取正式的住院发票。<br/>3. 请妥善保管此收据。如若遗失，请及时前往收费处办理挂失及证明审核。</td></tr></table>",
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