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mso-bidi-font-family: 宋体">号<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P> <P> <TABLE style="MARGIN: auto 6.75pt; BORDER-COLLAPSE: collapse; mso-table-layout-alt: fixed; mso-table-lspace: 9.0pt; mso-table-rspace: 9.0pt; mso-table-anchor-vertical: page; mso-table-anchor-horizontal: margin; mso-table-left: left; mso-table-top: 124.9pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" class=MsoNormalTable border=0 cellSpacing=0 cellPadding=0 align=left> <TBODY> <TR style="HEIGHT: 24.85pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: windowtext 1.5pt solid; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 47.75pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: windowtext 1.5pt solid; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm" rowSpan=3 width=64> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>受理尸检机构<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 85.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: windowtext 1.5pt solid; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-left-alt: solid windowtext 1.5pt" width=114 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; 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mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体; mso-hansi-font-family: 华文楷体" lang=EN-US><o:p><FONT face=仿宋_GB2312> </FONT></o:p></SPAN></P></TD></TR> <TR style="HEIGHT: 24.85pt; mso-yfti-irow: 1"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 85.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=114 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">联</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"> </SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">系人<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 85.35pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=114 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; 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WIDTH: 85.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=114 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>办公电话<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 85.35pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; 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mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>手机<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 143.55pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=191 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p><FONT face=仿宋_GB2312> </FONT></o:p></SPAN></P></TD></TR> <TR style="HEIGHT: 24.85pt; mso-yfti-irow: 3"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: windowtext 1.5pt solid; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 47.75pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt" rowSpan=3 width=64> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>委托尸检机构<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 85.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=114 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">名</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">称<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 314.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=419 colSpan=7 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p><FONT face=仿宋_GB2312> </FONT></o:p></SPAN></P></TD></TR> <TR style="HEIGHT: 24.85pt; mso-yfti-irow: 4"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 85.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=114 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">联</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"> </SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">系人<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 87.35pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 colSpan=3 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p><FONT face=仿宋_GB2312> </FONT></o:p></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.35pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>地址<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 143.55pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=191 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体; mso-hansi-font-family: 华文楷体" lang=EN-US><o:p><FONT face=仿宋_GB2312> </FONT></o:p></SPAN></P></TD></TR> <TR style="HEIGHT: 24.85pt; mso-yfti-irow: 5"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 85.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=114 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>办公电话<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 87.35pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 colSpan=3 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><o:p><FONT face=仿宋_GB2312> </FONT></o:p></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.35pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>手机<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 143.55pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.85pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=191 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><o:p><FONT face=仿宋_GB2312> </FONT></o:p></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 6"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: windowtext 1.5pt solid; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 447.3pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt" width=596 colSpan=10 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><B><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">患方代理人或近亲属资料</SPAN></B><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">（填一项即可）<B><SPAN lang=EN-US><o:p></o:p></SPAN></B></SPAN></FONT></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 7"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: windowtext 1.5pt solid; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 49.9pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt" rowSpan=4 width=67 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>代理人<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">姓</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">名<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.9pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=88 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 40.6pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=54 colSpan=3 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>性别<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 64.2pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=86 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 56.85pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=76 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>年龄<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 86.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 8"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>身份证号<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 170.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=228 colSpan=5 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 56.85pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=76 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>邮编<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 86.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 9"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">地</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">址<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 170.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=228 colSpan=5 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 56.85pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=76 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>电话<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 86.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 10"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>有否委托书<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 314.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=419 colSpan=7 noWrap> <P style="TEXT-ALIGN: right; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=right><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US>(</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">注<SPAN lang=EN-US>:</SPAN>委托书需当面签署<SPAN lang=EN-US>)<o:p></o:p></SPAN></SPAN></FONT></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 11"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: windowtext 1.5pt solid; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 49.9pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt" rowSpan=4 width=67 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>近亲属<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">姓</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">名<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.9pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=88 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 40.6pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=54 colSpan=3 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>性别<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 64.2pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=86 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 56.85pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=76 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>年龄<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 86.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 12"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>身份证号<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 170.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=228 colSpan=5 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 56.85pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=76 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>邮编<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 86.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 13"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">地</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">址<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 170.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=228 colSpan=5 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 56.85pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=76 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>电话<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 86.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 14"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>与患者关系<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 314.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=419 colSpan=7 noWrap> <P style="TEXT-ALIGN: right; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=right><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 15"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: windowtext 1.5pt solid; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 49.9pt; LAYOUT-FLOW: vertical-ideographic; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8 solid; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt" rowSpan=6 width=67 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=@仿宋_GB2312>申请尸检的资料</FONT><SPAN lang=EN-US><o:p><FONT face=@仿宋_GB2312></FONT></o:p></SPAN></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>患者姓名<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.9pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=88 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 40.6pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=54 colSpan=3 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>性别<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 64.2pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=86 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 56.85pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=76 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>年龄<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 86.7pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=116 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 24.15pt; mso-yfti-irow: 16"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">病</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"> </SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">案</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"> </SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">号<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.9pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=88 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 104.8pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=140 colSpan=4 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>医院名称<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 143.55pt; PADDING-RIGHT: 5.4pt; HEIGHT: 24.15pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=191 colSpan=2 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 17.75pt; mso-yfti-irow: 17"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 397.4pt; PADDING-RIGHT: 5.4pt; HEIGHT: 17.75pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=530 colSpan=8 noWrap> <P style="TEXT-ALIGN: left; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=left><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>申请尸检原因：<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 29.1pt; mso-yfti-irow: 18"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 397.4pt; PADDING-RIGHT: 5.4pt; HEIGHT: 29.1pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=530 colSpan=8 noWrap> <P style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US>1</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'">、确定患者死亡原因。</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US>2</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'">、其它：</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p></o:p></SPAN></FONT></P></TD></TR> <TR style="HEIGHT: 28.45pt; mso-yfti-irow: 19"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 397.4pt; PADDING-RIGHT: 5.4pt; HEIGHT: 28.45pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=530 colSpan=8> <P style="TEXT-ALIGN: left; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=left><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312>要求尸检的近亲属或代理人签名：<SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD></TR> <TR style="HEIGHT: 18.65pt; mso-yfti-irow: 20; mso-yfti-lastrow: yes"> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 83.15pt; PADDING-RIGHT: 5.4pt; HEIGHT: 18.65pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=111 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.9pt; PADDING-RIGHT: 5.4pt; HEIGHT: 18.65pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=88 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体"><FONT face=仿宋_GB2312> <SPAN lang=EN-US><o:p></o:p></SPAN></FONT></SPAN></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 40.6pt; PADDING-RIGHT: 5.4pt; HEIGHT: 18.65pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=54 colSpan=3 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体">日期</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US>:</SPAN><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p></o:p></SPAN></FONT></P></TD> <TD style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #d4d0c8; PADDING-BOTTOM: 0cm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 207.75pt; PADDING-RIGHT: 5.4pt; HEIGHT: 18.65pt; BORDER-TOP: #d4d0c8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0cm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt" width=277 colSpan=3 noWrap> <P style="TEXT-ALIGN: center; MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; 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-top: 124.9pt; mso-height-rule: exactly" class=MsoNormal align=center><FONT face=仿宋_GB2312><U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN></U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'">年</SPAN><U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN></U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'">月</SPAN><U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN></U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'">日</SPAN><U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><SPAN style="mso-spacerun: yes"> </SPAN></SPAN></U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'">时</SPAN><U><SPAN style="COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'" lang=EN-US><o:p></o:p></SPAN></U></FONT></P></TD></TR> <TR height=0> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=64><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=3><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=111><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=88><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=26><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=3><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=26><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=86><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=76><FONT face=仿宋_GB2312></FONT></TD> <TD style="BORDER-BOTTOM: #d4d0c8; BORDER-LEFT: #d4d0c8; BACKGROUND-COLOR: transparent; BORDER-TOP: #d4d0c8; BORDER-RIGHT: #d4d0c8" width=116><FONT face=仿宋_GB2312></FONT></TD></TR></TBODY></TABLE></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; FONT-SIZE: 12pt; mso-bidi-font-family: 宋体" lang=EN-US><o:p> </o:p></SPAN></P> <P style="LINE-HEIGHT: 20pt; MARGIN: 0cm 0cm 0pt; mso-line-height-rule: exactly" class=MsoNormal><SPAN style="FONT-FAMILY: 宋体; COLOR: windowtext; 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