2014年河南省公务员招警考试体检项目表人事部、卫生部现行标准的《公务员录用体检表》

杨凡发表于 2014-12-14 15:14:51

体检编号00001<o:p></o:p>

 

公务员录用<o:p></o:p>

 

体  检  表<o:p></o:p>

 

 

 

 

 

 

 

 

 

 

 

 

 

中华人民共和国人事部<o:p></o:p>

中华人民共和国卫生部<o:p></o:p>

 

体检须知<o:p></o:p>

为了准确反映受检者身体的真实状况，请注意以下事项：<o:p></o:p>

1.均应到指定医院进行体检，其它医疗单位的检查结果一律无效。<o:p></o:p>

2.严禁弄虚作假、冒名顶替；如隐瞒病史影响体检结果的，后果自负。<o:p></o:p>

3.体检表上贴近期二寸免冠照片一张，并加盖公章。<o:p></o:p>

4.本表第二页由受检者本人填写（用黑色签字笔或钢笔），要求字迹清楚，无涂改，病史部分要如实、逐项填齐，不能遗漏。<o:p></o:p>

5.体检前一天请注意休息，勿熬夜，不要饮酒，避免剧烈运动。<o:p></o:p>

6.体检当天需进行采血、B超等检查，请在受检前禁食8-12小时。<o:p></o:p>

7.女性受检者月经期间请勿做妇科及尿液检查，待经期完毕后再补检；怀孕或可能已受孕者，事先告知医护人员，勿做X光检查。<o:p></o:p>

8.请配合医生认真检查所有项目，勿漏检。若自动放弃某一检查项目，将会影响对您的录用。<o:p></o:p>

9.体检医师可根据实际需要，增加必要的相应检查、检验项目。<o:p></o:p>

10.如对体检结果有疑义，请按有关规定办理。<o:p></o:p>

 

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姓名<o:p></o:p>
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<td width="72" colspan="2" style="width: 54pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 20.4pt;">
 
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性别<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 20.4pt;">
 
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出生年月<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 20.4pt;">
 
</td>
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照<o:p></o:p>
片<o:p></o:p>
</td>
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<tr style="mso-yfti-irow:1;page-break-inside:avoid;height:27.35pt">
<td width="79" colspan="2" style="width: 59.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 27.35pt;">
民族<o:p></o:p>
</td>
<td width="72" colspan="2" style="width: 54pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 27.35pt;">
 
</td>
<td width="132" colspan="5" style="width: 99pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 27.35pt;">
婚姻状况<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 27.35pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 27.35pt;">
籍贯<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 27.35pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:2;page-break-inside:avoid;height:19.3pt">
<td width="79" colspan="2" style="width: 59.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 19.3pt;">
文化程度<o:p></o:p>
</td>
<td width="72" colspan="2" style="width: 54pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 19.3pt;">
 
</td>
<td width="132" colspan="5" style="width: 99pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 19.3pt;">
联系电话<o:p></o:p>
</td>
<td width="192" colspan="4" style="width: 144pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 19.3pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:3;page-break-inside:avoid;height:11.9pt">
<td width="79" colspan="2" style="width: 59.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 11.9pt;">
职业<o:p></o:p>
</td>
<td width="72" colspan="2" style="width: 54pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 11.9pt;">
 
</td>
<td width="132" colspan="5" style="width: 99pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 11.9pt;">
工作单位<o:p></o:p>
（毕业院校）<o:p></o:p>
</td>
<td width="192" colspan="4" style="width: 144pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 11.9pt;">
 
</td>
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<tr style="mso-yfti-irow:4;page-break-inside:avoid;height:18.6pt">
<td width="79" colspan="2" style="width: 59.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 18.6pt;">
报考职位<o:p></o:p>
</td>
<td width="72" colspan="2" style="width: 54pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 18.6pt;">
 
</td>
<td width="132" colspan="5" style="width: 99pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 18.6pt;">
身份证号<o:p></o:p>
</td>
<td width="192" colspan="4" style="width: 144pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 18.6pt;">
 
</td>
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<tr style="mso-yfti-irow:5;page-break-inside:avoid;height:1.0pt">
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请本人如实详细填写下列项目<o:p></o:p>
（在每一项后的空格中打“√”回答“有”或“无”，如故意隐瞒，后果自负）<o:p></o:p>
</td>
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<tr style="mso-yfti-irow:6;page-break-inside:avoid;height:29.25pt">
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病名<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.25pt;">
有<o:p></o:p>
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.25pt;">
无<o:p></o:p>
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.25pt;">
治愈时间<o:p></o:p>
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.25pt;">
病名<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.25pt;">
有<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.25pt;">
无<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 29.25pt;">
治愈时间<o:p></o:p>
</td>
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<tr style="mso-yfti-irow:7;page-break-inside:avoid;height:1.0cm">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
高血压病<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
糖尿病<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
</tr>
<tr style="mso-yfti-irow:8;page-break-inside:avoid;height:21.0pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
冠心病<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
甲亢<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:9;page-break-inside:avoid;height:22.05pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 22.05pt;">
风心病<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 22.05pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 22.05pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 22.05pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 22.05pt;">
贫血<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 22.05pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 22.05pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 22.05pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:10;page-break-inside:avoid;height:21.0pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
先心病<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
癫痫<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:11;page-break-inside:avoid;height:29.4pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.4pt;">
心肌病<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.4pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.4pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.4pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.4pt;">
精神病<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.4pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.4pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 29.4pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:12;page-break-inside:avoid;height:21.0pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
支气管扩张<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
神经官能症<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:13;page-break-inside:avoid;height:23.45pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 23.45pt;">
支气管哮喘<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 23.45pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 23.45pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 23.45pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 23.45pt;">
吸毒史<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 23.45pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 23.45pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 23.45pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:14;page-break-inside:avoid;height:31.1pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 31.1pt;">
肺气肿<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 31.1pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 31.1pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 31.1pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 31.1pt;">
急慢性肝炎<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 31.1pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 31.1pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 31.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:15;page-break-inside:avoid;height:24.85pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 24.85pt;">
消化性溃疡<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 24.85pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 24.85pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 24.85pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 24.85pt;">
结核病<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 24.85pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 24.85pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 24.85pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:16;page-break-inside:avoid;height:25.2pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.2pt;">
肝硬化<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.2pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.2pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.2pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.2pt;">
性传播疾病<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.2pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.2pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 25.2pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:17;page-break-inside:avoid;height:25.55pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.55pt;">
胰腺疾病<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.55pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.55pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.55pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.55pt;">
恶性肿瘤<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.55pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 25.55pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 25.55pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:18;page-break-inside:avoid;height:21.0pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
急慢性肾炎<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
手术史<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 21pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:19;page-break-inside:avoid;height:26.25pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.25pt;">
肾功能不全<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.25pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.25pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.25pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.25pt;">
严重外伤史<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.25pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.25pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.25pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:20;page-break-inside:avoid;height:29.05pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.05pt;">
结缔组织病<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.05pt;">
 
</td>
<td width="48" colspan="2" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.05pt;">
 
</td>
<td width="84" colspan="3" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.05pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.05pt;">
其他<o:p></o:p>
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.05pt;">
 
</td>
<td width="48" style="width: 36pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 29.05pt;">
 
</td>
<td width="99" colspan="2" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 29.05pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:21;page-break-inside:avoid;height:68.4pt">
<td width="91" colspan="3" style="width: 68.45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 68.4pt;">
备注：<o:p></o:p>
</td>
<td width="483" colspan="12" style="width: 361.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 68.4pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:22;page-break-inside:avoid;height:63.15pt">
<td width="574" colspan="15" style="width: 430.4pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 63.15pt;">
               <o:p></o:p>
受检者签字：<o:p></o:p>
                                体检日期：           年        月       日<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:23;page-break-inside:avoid;height:36.0pt">
<td width="57" style="width: 43pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
身高<o:p></o:p>
</td>
<td width="130" colspan="4" style="width: 97.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
         厘米<o:p></o:p>
</td>
<td width="60" colspan="2" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
体重<o:p></o:p>
</td>
<td width="96" colspan="3" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
公斤        <o:p></o:p>
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
血压<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
/
mmHg      <o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:24;page-break-inside:avoid;height:36.0pt">
<td width="57" rowspan="6" style="width: 43pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
内<o:p></o:p>
 
 
科<o:p></o:p>
</td>
<td width="517" colspan="14" style="width: 387.4pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
病史：曾患过何种疾病（起病时间及目前症状）。<o:p></o:p>
 
</td>
</tr>
<tr style="mso-yfti-irow:25;page-break-inside:avoid;height:36.0pt">
<td width="94" colspan="3" style="width: 70.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
心脏<o:p></o:p>
</td>
<td width="192" colspan="6" style="width: 144pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
心界                      <o:p></o:p>
杂音<o:p></o:p>
</td>
<td width="231" colspan="5" style="width: 172.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
心率          次/分   律<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:26;page-break-inside:avoid;height:36.0pt">
<td width="94" colspan="3" style="width: 70.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
肺<o:p></o:p>
</td>
<td width="192" colspan="6" style="width: 144pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
腹部<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:27;page-break-inside:avoid;height:36.0pt">
<td width="94" colspan="3" style="width: 70.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
肝<o:p></o:p>
</td>
<td width="192" colspan="6" style="width: 144pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
神经系统<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:28;page-break-inside:avoid;height:36.0pt">
<td width="94" colspan="3" style="width: 70.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
脾<o:p></o:p>
</td>
<td width="192" colspan="6" style="width: 144pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
其他<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:29;page-break-inside:avoid;height:36.0pt">
<td width="94" colspan="3" style="width: 70.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
建议<o:p></o:p>
</td>
<td width="276" colspan="8" style="width: 207pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="77" colspan="2" style="width: 57.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
医师签字<o:p></o:p>
</td>
<td width="70" style="width: 52.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:30;page-break-inside:avoid;height:36.0pt">
<td width="57" rowspan="6" style="width: 43pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
外<o:p></o:p>
 
 
科<o:p></o:p>
</td>
<td width="517" colspan="14" style="width: 387.4pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
病史：曾做过何种手术或有无外伤史（名称及时间），目前功能如何。<o:p></o:p>
 
</td>
</tr>
<tr style="mso-yfti-irow:31;page-break-inside:avoid;height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
甲状腺<o:p></o:p>
</td>
<td width="144" colspan="4" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
乳腺<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:32;page-break-inside:avoid;height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
浅表<o:p></o:p>
淋巴结<o:p></o:p>
</td>
<td width="144" colspan="4" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
皮肤<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:33;page-break-inside:avoid;height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
脊柱<o:p></o:p>
四肢关节<o:p></o:p>
</td>
<td width="144" colspan="4" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
头颅<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:34;page-break-inside:avoid;height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
肛门<o:p></o:p>
外生殖器<o:p></o:p>
</td>
<td width="144" colspan="4" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
其他<o:p></o:p>
</td>
<td width="147" colspan="3" style="width: 109.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:35;page-break-inside:avoid;height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
建议<o:p></o:p>
</td>
<td width="228" colspan="6" style="width: 171pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="77" colspan="2" style="width: 57.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
医师签字<o:p></o:p>
</td>
<td width="70" style="width: 52.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:36;page-break-inside:avoid;height:36.0pt">
<td width="57" rowspan="5" style="width: 43pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
眼<o:p></o:p>
科<o:p></o:p>
</td>
<td width="142" colspan="5" rowspan="2" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
裸眼<o:p></o:p>
视力<o:p></o:p>
</td>
<td width="72" colspan="2" style="width: 54pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
右<o:p></o:p>
</td>
<td width="72" colspan="2" rowspan="2" style="width: 54pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
矫正<o:p></o:p>
视力<o:p></o:p>
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
右<o:p></o:p>
</td>
<td width="77" colspan="2" rowspan="2" style="width: 57.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
医师签字<o:p></o:p>
</td>
<td width="70" rowspan="2" style="width: 52.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:37;page-break-inside:avoid;height:36.0pt">
<td width="72" colspan="2" style="width: 54pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
左<o:p></o:p>
</td>
<td width="84" colspan="2" style="width: 63pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
左<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:38;page-break-inside:avoid;height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
色觉<o:p></o:p>
</td>
<td width="375" colspan="9" style="width: 280.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:39;page-break-inside:avoid;height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
其他<o:p></o:p>
</td>
<td width="375" colspan="9" style="width: 280.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:40;mso-yfti-lastrow:yes;page-break-inside:avoid;
height:36.0pt">
<td width="142" colspan="5" style="width: 106.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
建议<o:p></o:p>
</td>
<td width="228" colspan="6" style="width: 171pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
<td width="77" colspan="2" style="width: 57.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36pt;">
医师签字<o:p></o:p>
</td>
<td width="70" style="width: 52.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36pt;">
 
</td>
</tr>

<tr height="0">
<td width="57" style="border: none;"></td>
<td width="22" style="border: none;"></td>
<td width="12" style="border: none;"></td>
<td width="60" style="border: none;"></td>
<td width="36" style="border: none;"></td>
<td width="12" style="border: none;"></td>
<td width="48" style="border: none;"></td>
<td width="24" style="border: none;"></td>
<td width="12" style="border: none;"></td>
<td width="60" style="border: none;"></td>
<td width="36" style="border: none;"></td>
<td width="48" style="border: none;"></td>
<td width="48" style="border: none;"></td>
<td width="29" style="border: none;"></td>
<td width="70" style="border: none;"></td>
</tr>

</tbody></table>

</div>

<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="border: none;">
<tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid;
height:45.35pt">
<td width="47" rowspan="5" style="width: 35.5pt; border-width: 1.5pt 1pt 1pt 1.5pt; border-color: windowtext; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="109" colspan="2" style="width: 82.1pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="209" colspan="3" style="width: 156.8pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="111" style="width: 83.25pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="211" colspan="2" valign="top" style="width: 158pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:1;page-break-inside:avoid;height:35.45pt">
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="209" colspan="3" style="width: 156.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="111" style="width: 83.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="211" colspan="2" style="width: 158pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:2;page-break-inside:avoid;height:35.45pt">
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="209" colspan="3" style="width: 156.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
<td width="111" style="width: 83.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="211" colspan="2" style="width: 158pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:3;page-break-inside:avoid;height:35.45pt">
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="209" colspan="3" style="width: 156.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
<td width="111" style="width: 83.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="211" colspan="2" style="width: 158pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:4;page-break-inside:avoid;height:35.45pt">
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="320" colspan="4" style="width: 240.05pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
<td width="94" style="width: 70.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="117" style="width: 87.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:5;page-break-inside:avoid;height:1.0cm">
<td width="47" rowspan="4" style="width: 35.5pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="208" colspan="2" style="width: 156.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="112" colspan="2" style="width: 83.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="211" colspan="2" valign="top" style="width: 158pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
</tr>
<tr style="mso-yfti-irow:6;page-break-inside:avoid;height:32.6pt">
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.6pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="208" colspan="2" style="width: 156.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.6pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="112" colspan="2" style="width: 83.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.6pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="211" colspan="2" style="width: 158pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.6pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:7;page-break-inside:avoid;height:39.7pt">
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="208" colspan="2" style="width: 156.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="112" colspan="2" style="width: 83.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="211" colspan="2" style="width: 158pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 39.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:8;page-break-inside:avoid;height:35.45pt">
<td width="109" colspan="2" style="width: 82.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="320" colspan="4" style="width: 240.05pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
<td width="94" style="width: 70.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="117" style="width: 87.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 35.45pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:9;page-break-inside:avoid;height:104.9pt">
<td width="47" rowspan="6" style="width: 35.5pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 104.9pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="640" colspan="8" style="width: 480.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 104.9pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:10;page-break-inside:avoid;height:35.45pt">
<td width="53" rowspan="5" style="width: 39.9pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="70" colspan="2" style="width: 52.7pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 35.45pt;">
外阴<o:p></o:p>
</td>
<td width="517" colspan="5" style="width: 387.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 35.45pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:11;page-break-inside:avoid;height:36.85pt">
<td width="587" colspan="7" style="width: 440.25pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.85pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:12;page-break-inside:avoid;height:36.85pt">
<td width="587" colspan="7" style="width: 440.25pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.85pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:13;page-break-inside:avoid;height:36.85pt">
<td width="587" colspan="7" style="width: 440.25pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.85pt;">
附件：正常             
压痛（左右）   
增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:14;page-break-inside:avoid;height:36.85pt">
<td width="587" colspan="7" style="width: 440.25pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.85pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:15;mso-yfti-lastrow:yes;page-break-inside:avoid;
height:50.7pt">
<td width="688" colspan="9" style="width: 515.65pt; border-right-color: windowtext; border-bottom-color: windowtext; border-left-color: windowtext; border-right-width: 1.5pt; border-bottom-width: 1.5pt; border-left-width: 1.5pt; border-top-style: none; padding: 0cm 5.4pt; height: 50.7pt;">
建议：                                                     
医师签字<o:p></o:p>
</td>
</tr>

<tr height="0">
<td width="47" style="border: none;"></td>
<td width="53" style="border: none;"></td>
<td width="56" style="border: none;"></td>
<td width="14" style="border: none;"></td>
<td width="194" style="border: none;"></td>
<td width="1" style="border: none;"></td>
<td width="111" style="border: none;"></td>
<td width="94" style="border: none;"></td>
<td width="117" style="border: none;"></td>
</tr>

</tbody></table>

<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="border: none;">
<tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid;
height:45.35pt">
<td width="55" rowspan="5" style="width: 41.4pt; border-width: 1.5pt 1pt 1pt 1.5pt; border-color: windowtext; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">耳<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">鼻<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">喉<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="120" style="width: 90pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">耳部<o:p></o:p>
</td>
<td width="195" colspan="3" valign="top" style="width: 145.95pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:1;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">鼻部<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:margin;
mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">                
<o:p></o:p>
</td>
<td width="120" style="width: 90pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">咽部<o:p></o:p>
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:2;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">喉部<o:p></o:p>
</td>
<td width="459" colspan="5" style="width: 343.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:3;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="459" colspan="5" style="width: 343.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" style="text-indent:24.1pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:4;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="264" colspan="2" style="width: 198pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="99" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:5;page-break-inside:avoid;height:1.0cm">
<td width="55" rowspan="4" style="width: 41.4pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">口<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">唇腭舌<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly"> 
</td>
<td width="120" style="width: 90pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 1cm;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">颞下颌关节<o:p></o:p>
</td>
<td width="195" colspan="3" valign="top" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 1cm;">
 
</td>
</tr>
<tr style="mso-yfti-irow:6;page-break-inside:avoid;height:39.7pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">腮腺<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly"> 
</td>
<td width="120" style="width: 90pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly"> 
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 39.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:7;page-break-inside:avoid;height:39.7pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly"> 
</td>
<td width="120" style="width: 90pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 39.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 39.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:8;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="264" colspan="2" style="width: 198pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
<td width="96" colspan="2" style="width: 72pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="99" style="width: 73.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:9;page-break-inside:avoid;height:45.35pt">
<td width="55" rowspan="9" style="width: 41.4pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 45.35pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">科<o:p></o:p>
                                                    <o:p></o:p>
</td>
<td width="519" colspan="6" style="width: 388.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 45.35pt;">
病史/月经史：初潮   岁  经期/周期      /      量（多、中、少）末次月经<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:10;page-break-inside:avoid;height:39.7pt">
<td width="519" colspan="6" style="width: 388.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 39.7pt;">
检查项目：1.已婚女性作外阴部检查、阴道窥器检查及阴道-腹部双合诊检查。<o:p></o:p>
          2.未婚女性作外阴部检查、直肠-腹部双合诊检查。<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:11;page-break-inside:avoid;height:34.0pt">
<td width="204" colspan="2" style="width: 153pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">已婚女性（内诊）<o:p></o:p>
</td>
<td width="315" colspan="4" style="width: 235.95pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">未婚女性（肛诊）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:12;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">外阴<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 34pt;">
  <o:p></o:p>
  <o:p></o:p>
</td>
<td width="120" style="width: 90pt; border-right-color: windowtext; border-bottom-color: windowtext; border-left-color: windowtext; border-right-width: 1pt; border-bottom-width: 1pt; border-left-width: 1pt; border-top-style: none; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">外阴<o:p></o:p>
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
  <o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:13;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">阴道<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
<td width="120" style="width: 90pt; border-right-color: windowtext; border-bottom-color: windowtext; border-left-color: windowtext; border-right-width: 1pt; border-bottom-width: 1pt; border-left-width: 1pt; border-top-style: none; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">/<o:p></o:p>
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:14;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">宫颈<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
<td width="120" style="width: 90pt; border-right-color: windowtext; border-bottom-color: windowtext; border-left-color: windowtext; border-right-width: 1pt; border-bottom-width: 1pt; border-left-width: 1pt; border-top-style: none; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">/<o:p></o:p>
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:15;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">宫体<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
<td width="120" style="width: 90pt; border-right-color: windowtext; border-bottom-color: windowtext; border-left-color: windowtext; border-right-width: 1pt; border-bottom-width: 1pt; border-left-width: 1pt; border-top-style: none; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">宫体<o:p></o:p>
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:16;page-break-inside:avoid;height:34.0pt">
<td width="60" style="width: 45pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">附件<o:p></o:p>
</td>
<td width="144" style="width: 108pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 34pt;">
 
</td>
<td width="120" style="width: 90pt; border-right-color: windowtext; border-bottom-color: windowtext; border-left-color: windowtext; border-right-width: 1pt; border-bottom-width: 1pt; border-left-width: 1pt; border-top-style: none; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">附件<o:p></o:p>
</td>
<td width="195" colspan="3" style="width: 145.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
margin;mso-element-left:center;mso-element-top:72.8pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:17;mso-yfti-lastrow:yes;page-break-inside:avoid;
height:42.55pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 42.55pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="264" colspan="2" style="width: 198pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 42.55pt;">
 
</td>
<td width="85" style="width: 64pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 42.55pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:margin;mso-element-left:center;mso-element-top:
72.8pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="109" colspan="2" style="width: 81.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 42.55pt;">
 
</td>
</tr>

<tr height="0">
<td width="55" style="border: none;"></td>
<td width="60" style="border: none;"></td>
<td width="144" style="border: none;"></td>
<td width="120" style="border: none;"></td>
<td width="85" style="border: none;"></td>
<td width="11" style="border: none;"></td>
<td width="99" style="border: none;"></td>
</tr>

</tbody></table>

<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="border: none;">
<tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid;
height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-width: 1.5pt 1pt 1pt 1.5pt; border-color: windowtext; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:1;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:2;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:3;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:4;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:5;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:6;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:7;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:8;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:9;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:10;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:11;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:12;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:13;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:14;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:15;page-break-inside:avoid;height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                      医师签字<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:16;page-break-inside:avoid;height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:17;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:18;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:19;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:20;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:21;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:22;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:23;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:24;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:25;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:26;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:27;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:28;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:29;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:30;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:31;page-break-inside:avoid;height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                     
医师签字<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:32;page-break-inside:avoid;height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:33;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:34;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:35;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:36;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:37;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:38;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:39;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:40;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:41;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:42;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:43;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:44;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:45;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:46;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:47;page-break-inside:avoid;height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                     
医师签字<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:48;page-break-inside:avoid;height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:49;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:50;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:51;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:52;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:53;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:54;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:55;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:56;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:57;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:58;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:59;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:60;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:61;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:62;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:63;page-break-inside:avoid;height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                      医师签字<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:64;page-break-inside:avoid;height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:65;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:66;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:67;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:68;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:69;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:70;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:71;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:72;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:73;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:74;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:75;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:76;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:77;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:78;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:79;page-break-inside:avoid;height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                     
医师签字<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:80;page-break-inside:avoid;height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:81;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:82;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:83;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:84;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:85;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:86;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:87;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:88;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:89;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:90;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:91;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:92;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:93;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:94;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:95;page-break-inside:avoid;height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                     
医师签字<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:96;page-break-inside:avoid;height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:97;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:98;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:99;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:100;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:101;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:102;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:103;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:104;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:105;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:106;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:107;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:108;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:109;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:110;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:111;page-break-inside:avoid;height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                     
医师签字<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:112;page-break-inside:avoid;height:41.85pt">
<td width="43" rowspan="5" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">耳鼻喉科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">听力<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">左耳<o:p></o:p>
<p class="MsoNormal" style="line-height:150%;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">右耳<o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">嗅觉<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 41.85pt;">
<p class="MsoNormal" style="text-indent:12.05pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly"> 
</td>
</tr>
<tr style="mso-yfti-irow:113;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">外耳<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="line-height:18.0pt;mso-line-height-rule:exactly;
mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;
mso-element-anchor-vertical:page;mso-element-anchor-horizontal:page;
mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">                 <o:p></o:p>
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:114;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">鼻咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口咽<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:115;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">喉咽<o:p></o:p>
</td>
<td width="190" colspan="3" style="width: 142.15pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="101" style="width: 75.5pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:116;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:117;page-break-inside:avoid;height:26.15pt">
<td width="43" rowspan="4" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;line-height:25.0pt;
mso-line-height-rule:exactly;mso-element:frame;mso-element-frame-hspace:9.0pt;
mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">口腔科<o:p></o:p>
</td>
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">唇腭<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 26.15pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">舌<o:p></o:p>
</td>
<td width="191" colspan="2" valign="top" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 26.15pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:118;page-break-inside:avoid;height:30.1pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">龋齿<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 30.1pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口吃<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 30.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:119;page-break-inside:avoid;height:36.65pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">口腔<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">粘膜<o:p></o:p>
</td>
<td width="189" colspan="2" style="width: 141.55pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
</td>
<td width="101" colspan="2" style="width: 76.1pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 36.65pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">其他<o:p></o:p>
</td>
<td width="191" colspan="2" style="width: 143.25pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 36.65pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:120;page-break-inside:avoid;height:32.7pt">
<td width="99" colspan="2" style="width: 74.45pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">建议<o:p></o:p>
</td>
<td width="290" colspan="4" style="width: 217.65pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
<td width="85" style="width: 63.9pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">医师签字<o:p></o:p>
</td>
<td width="106" style="width: 79.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:121;page-break-inside:avoid;height:96.85pt">
<td width="43" rowspan="6" style="width: 32.2pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 96.85pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">妇<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">科<o:p></o:p>
</td>
<td width="580" colspan="8" style="width: 435.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 96.85pt;">
病史:  初潮        周期        量（多、中、少）末次月经        绝经年龄      岁<o:p></o:p>
 
结婚年龄：         孕     产           末产          年        月<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
难产：                                 手术史：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:122;page-break-inside:avoid;height:32.7pt">
<td width="48" rowspan="5" style="width: 36.2pt; border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">内<o:p></o:p>
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly"> 
<p class="MsoNormal" align="center" style="text-align:center;mso-element:frame;
mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:
page;mso-element-anchor-horizontal:page;mso-element-left:638.35pt;mso-element-top:
69.05pt;mso-height-rule:exactly">诊<o:p></o:p>
</td>
<td width="64" colspan="2" style="width: 47.8pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-style: none; padding: 0cm 5.4pt; height: 32.7pt;">
外阴<o:p></o:p>
</td>
<td width="468" colspan="5" style="width: 351.35pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 32.7pt;">
<p class="MsoNormal" style="text-indent:36.15pt;mso-element:frame;mso-element-frame-hspace:
9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:page;mso-element-anchor-horizontal:
page;mso-element-left:638.35pt;mso-element-top:69.05pt;mso-height-rule:exactly">       阴道                分泌物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:123;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫颈：大小（正常、肥大、萎缩）糜烂（无、轻、中、重）质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:124;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
宫体：      位          大小            活动          质地（软、中、硬）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:125;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
附件：正常              压痛（左右）    增厚（左右）  肿物<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:126;page-break-inside:avoid;height:34.0pt">
<td width="532" colspan="7" style="width: 399.15pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 34pt;">
刮片：                                         初诊<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:127;mso-yfti-lastrow:yes;page-break-inside:avoid;
height:46.8pt">
<td width="623" colspan="9" style="width: 467.55pt; border-right-color: windowtext; border-bottom-color: windowtext; border-left-color: windowtext; border-right-width: 1.5pt; border-bottom-width: 1.5pt; border-left-width: 1.5pt; border-top-style: none; padding: 0cm 5.4pt; height: 46.8pt;">
建议：                                                      医师签字<o:p></o:p>
</td>
</tr>

<tr height="0">
<td width="43" style="border: none;"></td>
<td width="48" style="border: none;"></td>
<td width="51" style="border: none;"></td>
<td width="13" style="border: none;"></td>
<td width="176" style="border: none;"></td>
<td width="1" style="border: none;"></td>
<td width="101" style="border: none;"></td>
<td width="85" style="border: none;"></td>
<td width="106" style="border: none;"></td>
</tr>

</tbody></table>

<div align="center">

<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="margin-left: -11.8pt; border: none;">
<tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid;
height:485.45pt;mso-row-margin-right:5.85pt">
<td width="63" colspan="2" style="width: 47.3pt; border-width: 1.5pt 1pt 1pt 1.5pt; border-color: windowtext; padding: 0cm 5.4pt; height: 485.45pt;">
心<o:p></o:p>
 
电<o:p></o:p>
 
图<o:p></o:p>
</td>
<td width="519" colspan="2" style="width: 389pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 485.45pt;">
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
建议：                                          医师签字：<o:p></o:p>
</td>
<td style="border: none; padding: 0cm;" width="8"> </td>
</tr>
<tr style="mso-yfti-irow:1;page-break-inside:avoid;height:191.5pt;mso-row-margin-right:
5.85pt">
<td width="63" colspan="2" style="width: 47.3pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 191.5pt;">
胸<o:p></o:p>
部<o:p></o:p>
X<o:p></o:p>
光<o:p></o:p>
片<o:p></o:p>
</td>
<td width="519" colspan="2" style="width: 389pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 191.5pt;">
 
 
 
 
 
 
 
 
 
 
 
建议：                                          医师签字：<o:p></o:p>
</td>
<td style="border-top-style: none; border-right-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; padding: 0cm;" width="8"> </td>
</tr>
<tr style="mso-yfti-irow:2;height:222.85pt;mso-row-margin-left:8.3pt">
<td style="border: none; padding: 0cm;" width="11"> </td>
<td width="60" colspan="2" style="width: 44.9pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 222.85pt;">
腹<o:p></o:p>
部<o:p></o:p>
B<o:p></o:p>
超<o:p></o:p>
检<o:p></o:p>
查<o:p></o:p>
</td>
<td width="519" colspan="2" valign="top" style="width: 388.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 222.85pt;">
 
 
 
 
 
 
 
 
 
 
 
 
建议：                                         医师签字：<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:3;page-break-inside:avoid;height:376.1pt;mso-row-margin-left:
8.3pt">
<td style="border: none; padding: 0cm;" width="11"> </td>
<td width="60" colspan="2" rowspan="2" style="width: 44.9pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 376.1pt;">
体<o:p></o:p>
检<o:p></o:p>
结<o:p></o:p>
论<o:p></o:p>
及<o:p></o:p>
建<o:p></o:p>
议<o:p></o:p>
</td>
<td width="519" colspan="2" valign="top" style="width: 388.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 376.1pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:4;mso-yfti-lastrow:yes;page-break-inside:avoid;
height:90.35pt;mso-row-margin-left:8.3pt">
<td style="border: none; padding: 0cm;" width="11"> </td>
<td width="519" colspan="2" style="width: 388.95pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 90.35pt;">
 
    体检医院签章处<o:p></o:p>
                                     <o:p></o:p>
主检医师签字：                               年        月        日<o:p></o:p>
</td>
</tr>

<tr height="0">
<td width="11" style="border: none;"></td>
<td width="52" style="border: none;"></td>
<td width="8" style="border: none;"></td>
<td width="511" style="border: none;"></td>
<td width="8" style="border: none;"></td>
</tr>

</tbody></table>

</div>

 

 

检验项目<o:p></o:p>

 

<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="margin-left: -3.6pt; border: none;">
<tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid;
height:43.5pt">
<td width="60" rowspan="2" style="width: 45pt; border-width: 1.5pt 1pt 1pt 1.5pt; border-color: windowtext; padding: 0cm 5.4pt; height: 43.5pt;">
血<o:p></o:p>
常<o:p></o:p>
规<o:p></o:p>
</td>
<td width="242" style="width: 181.8pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
白细胞总数（WBC）及分类<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-color: windowtext; border-top-width: 1.5pt; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
血红蛋白（HGB）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:1;page-break-inside:avoid;height:43.5pt">
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
红细胞总数（RBC）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
血小板计数（PLT）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:2;page-break-inside:avoid;height:43.5pt">
<td width="60" rowspan="3" style="width: 45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
血<o:p></o:p>
生<o:p></o:p>
化<o:p></o:p>
</td>
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
丙氨酸氨基转移酶（ALT）  <o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
尿素氮（BUN）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:3;page-break-inside:avoid;height:43.5pt">
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
天冬氨酸氨基转移酶（AST）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
肌酐（CR）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:4;page-break-inside:avoid;height:43.5pt">
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
葡萄糖（GLU）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:5;page-break-inside:avoid;height:43.5pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
免<o:p></o:p>
疫<o:p></o:p>
</td>
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
艾滋病病毒抗体（抗HIV）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
梅毒血清特异性抗体（TPHA）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:6;page-break-inside:avoid;height:43.5pt">
<td width="60" rowspan="5" style="width: 45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
尿<o:p></o:p>
常<o:p></o:p>
规<o:p></o:p>
</td>
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
糖（GLU）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
蛋白质（PRO）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:7;page-break-inside:avoid;height:43.5pt">
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
胆红素（TBIL）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
尿胆原（URO）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:8;page-break-inside:avoid;height:43.5pt">
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
比重（SG）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
红细胞（BLO）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:9;page-break-inside:avoid;height:43.5pt">
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
酸碱度（PH）<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
白细胞（LEU）<o:p></o:p>
</td>
</tr>
<tr style="mso-yfti-irow:10;page-break-inside:avoid;height:43.5pt">
<td width="242" style="width: 181.8pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
镜检<o:p></o:p>
</td>
<td width="262" style="width: 196.2pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
 
</td>
</tr>
<tr style="mso-yfti-irow:11;mso-yfti-lastrow:yes;page-break-inside:avoid;
height:43.5pt">
<td width="60" style="width: 45pt; border-top-style: none; border-left-color: windowtext; border-left-width: 1.5pt; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1pt; padding: 0cm 5.4pt; height: 43.5pt;">
其他<o:p></o:p>
</td>
<td width="504" colspan="2" style="width: 378pt; border-top-style: none; border-left-style: none; border-bottom-color: windowtext; border-bottom-width: 1.5pt; border-right-color: windowtext; border-right-width: 1.5pt; padding: 0cm 5.4pt; height: 43.5pt;">
 
</td>
</tr>
</tbody></table>

shenduandi 发表于 2014-12-14 19:44:07

凡哥，无论特警普警都是这张表吗？

页: [1]

110BBS's Archiver

2014年河南省公务员招警考试体检项目表人事部、卫生部现行标准的《公务员录用体检表》