| '医疗门诊收费票据 / 住院收费发票' | '票据代码 '${invoiceCode}' 票据号码 '${invoiceNo}' 开票日期 '${issueDate} |
| '票据代码 / CODE' | ${invoiceCode} |
| '票据号码 / NO.' | ${invoiceNo} |
| '开票日期 / DATE' | ${issueDate} |
| '医疗机构' | ${hospitalName} |
| '票据类型' | ${invoiceType} |
| '患者姓名 / 医保类型' | ${patientInfo} |
| '身份证号 / 医保卡号' | ${idCard} |
| '住院号 / 科室' | ${admissionInfo} |
| '结算方式' | ${settleWay} |
| '收费员 / 复核员' | ${cashierInfo} |
| '医疗费用明细' |
| '序号' | '收费项目' | '规格 / 单位' | '数量' | '单价' | '金额' | '医保类别' |
|---|---|---|---|---|---|---|
| ${itemName1} | ${itemSpec1} | ${itemUnit1} | ${itemQty1} | ${itemPrice1} | ${itemAmount1} | ${itemTax1} |
| ${itemName2} | ${itemSpec2} | ${itemUnit2} | ${itemQty2} | ${itemPrice2} | ${itemAmount2} | ${itemTax2} |
| ${itemName3} | ${itemSpec3} | ${itemUnit3} | ${itemQty3} | ${itemPrice3} | ${itemAmount3} | ${itemTax3} |
| ${itemName4} | ${itemSpec4} | ${itemUnit4} | ${itemQty4} | ${itemPrice4} | ${itemAmount4} | ${itemTax4} |
| ${itemName5} | ${itemSpec5} | ${itemUnit5} | ${itemQty5} | ${itemPrice5} | ${itemAmount5} | ${itemTax5} |
| ${itemName6} | ${itemSpec6} | ${itemUnit6} | ${itemQty6} | ${itemPrice6} | ${itemAmount6} | ${itemTax6} |
| ${itemName7} | ${itemSpec7} | ${itemUnit7} | ${itemQty7} | ${itemPrice7} | ${itemAmount7} | ${itemTax7} |
| ${itemName8} | ${itemSpec8} | ${itemUnit8} | ${itemQty8} | ${itemPrice8} | ${itemAmount8} | ${itemTax8} |
| '费用合计' | '—' | '—' | '—' | '—' | '￥'${totalAmount} | '—' |
'医疗总费用'
${totalLine}
'医保结算'
${settleLine}
'备注 / REMARKS'
${remark}
// 签章区：three| '（医疗机构公章 / 财务专用章占位）' | '（骑缝章 / 二维码占位）' | '（二维码占位）' |
| '医疗机构：'${hospitalName} | '骑缝章沿右边线骑缝加盖' | '扫码验真' |
| '出具日期：'${issueDate} | '二维码打印于右上角方框内' | '尺寸 22mm×22mm' |
| '收款人：'${cashier} | '复核：'${reviewer} | '医疗机构签章：'${hospitalSign} |