| ' ' | '药品处方单 / 处方收费核对单' | '处方编号 '${prescNo}' 开具日期 '${prescDate}' 医疗机构 '${hospitalName} |
| '处方编号 / NO.' | ${prescNo} |
| '开具日期 / DATE' | ${prescDate} |
| '医疗机构 / 科室' | ${hospitalName} |
| '处方类型' | ${prescType} |
| '患者姓名 / 性别 / 年龄' | ${patientInfo} |
| '门诊号 / 病案号' | ${clinicNo} |
| '临床诊断' | ${diagnosis} |
| '医师 / 药师' | ${doctorInfo} |
| '处方有效期' | ${validDays} |
| '收费核对人' | ${checker} |
'处方药品明细'
| '序号' | '药品名称' | '规格 / 剂型' | '数量' | '用法用量' | '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} | ${itemTax6} |
| '处方金额合计' | '—' | '—' | '—' | '—' | '¥'${totalAmount} | '—' |
| ' ' | '处方金额合计' |
${totalLine}
| ' ' | '收费核对结果' |
${checkLine}
| ' ' | '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:'${prescDate} | '二维码打印于右上角方框内' | '尺寸 22mm×22mm' |
| ' ' | '医师:'${doctor} | '药师核对:'${pharmacist} | '收费核对:'${checker} |