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mso-layout-grid-char-alt: -849;"> <div class="section1" style="layout-grid: 28.95pt none; mso-layout-grid-char-alt: -849;"> 会泽�?span lang="en-us">2012年农村孕产妇住院分娩补助实施方案 为认真落实省政府“妇幼健康计划”工作方案要求，保障母婴安全，降低孕产妇死亡率，依据卫生部、财政部《关于印发〈关于进一步加强农村孕产妇住院分娩工作的指导意见〉的通知》（卫妇社发�?span lang="en-us">2009�?span lang="en-us">12号），财政部、卫生部《关于印发〈农村孕产妇住院分娩专项补助资金管理暂行办法〉的通知》（财社�?span lang="en-us">2009�?span lang="en-us">36号）和�?/span>曲靖市卫生局 曲靖市民政局关于印发2012年农村孕产妇住院分娩补助实施方案的通知》（曲卫字�?span lang="en-us">2012�?span lang="en-us">277号）精神，结合我县实际，制定本方案�?/span> 一、项目对�?/span> 会泽县农业户籍孕产妇�?/span> 二、工作目�?/span> 2012年会泽县农村（农业户籍）孕产妇住院分娩率达到97%�?/span> 三、项目内�?/span> （一）对我县农村孕产妇住院分娩给予补助。农村孕产妇住院分娩实行限价，中央财政补助人�?span lang="en-us">400元，资金分配表见附件2；不足部分由新型农村合作医疗按照标准给予补助，补助标准见附件3�?/span> （二）对贫困农村孕产妇住院分娩给予生活救助。民政部门负责对农村低保对象、农村五保对象孕产妇住院分娩�?span lang="en-us">200�?span lang="en-us">/例的标准给予一次性临时生活困难救助�?/span> （三）定点医疗保健机构对农村孕产妇住院分娩实行限价，限价标准见附�?span lang="en-us">4；在提供全部基本服务项目的前提下费用包干，基本服务项目具体内容见附件5�?/span> （四）农村孕产妇在定点医疗保健机构住院分娩全免费�?/span> 四、资金来�?/span> （一）中央农村孕产妇住院分娩补助资金�?/span> （二）省、市、县级财政安排的农村孕产妇住院分娩项目配套资金�?/span> （三）新型农村合作医疗资金�?/span> 五、项目实施流�?/span> 按照“限价包干、现场减免、定期核�?rdquo;的原则，落实农村孕产妇住院分娩补助工作，努力提高农村孕产妇住院分娩率（流程示意图见附�?span lang="en-us">6）�?/span> （一）指定定点机构：会泽县辖区内政府举办的公立医疗卫生保健机构均为我县农村孕产妇住院分娩定点医疗机构�?/span> （二）开展宣传动员：各级医疗卫生机构要结合本单位实际，在广泛宣传、充分告知的情况下，动员符合条件的农村孕产妇到定点医疗保健机构住院分娩�?/span> （三）落实住院分娩：定点医疗保健机构核实补助对象身份（可以身份证、户口簿、新农合证、住院分娩补助卡，或经确认有效证明材料等）。对确认为本县农业户籍孕产妇的，应按基本服务项目和限价标准为其提供住院分娩服务，并按人均财政补助标准现场减免农村孕产妇住院分娩的相关费用，填�?ldquo;孕产妇住院分娩补助经费四联单”（附�?span lang="en-us">7）�?/span> （四）定期审核报销：定点医疗保健机构定期凭农业户籍孕产妇身份证明材料，“云南省农村孕产妇住院分娩补助项目基本情况登记�?rdquo;（附�?span lang="en-us">8），孕产妇补助经费第三、四联单和出院结算清单等资料，到县级项目办办理报账手续�?/span> 县级项目办对上报材料进行逐一审核后（也可委托中介机构进行审核），上报项目领导小组审批�?span style="mso-bidi-font-weight: bold;">按照定点机构开展农村孕产妇住院分娩服务的例数和限价标准，将经费核补至该机构，同时返还第三联单�?/span>县级项目办应保管好所有原始材料和单据，以备核查�?/span> 为避免定点机构过多垫资影响工作运转，县级项目办可采取先预拨后结算的方式拨付项目经费，具体经费管理核拨办法由各地根据本方案所列基本原则和当地实际情况进行规定�?/span> 省级按照“当年全额预拨、次年考核结算、差额多退少补”的原则和各县实际补助情况，在次年核拨中央农村孕产妇住院分娩补助资金�?/span> （五）落实生活救助：农村低保对象、农村五保对象孕产妇住院分娩一次性临时生活困难救助，由补助对象持出院结算清单等相关证明材料到户籍地县级民政部门领取�?/span> （六）参加新型农村合作医疗的农村孕产妇在财政补助之外的住院分娩费用由新型农村合作医疗按照规定金额和程序给予补助�?/span> 未参加新型农村合作医疗的农村孕产妇，只享受国家对农村孕产妇住院分娩补助的相应补助金�?/span> （七）农村孕产妇在市级上医疗保健机构住院分娩的补助和报销，补助标准按�?span lang="en-us">400�?span lang="en-us">/人执行，携带出院结算清单等相关证明材料回户籍地县级项目办报销，做到应补尽补。新农合补偿部分按照户籍地新农合有关规定执行�?/span> （八）建�?ldquo;绿色通道”：进一步建立和完善孕产妇急救“绿色通道”和危急症抢救中心，提高危重孕产妇抢救能力�?/span> 省级危重孕产妇抢救中心应对曲靖市的是省第一人民医院，市级危重孕产妇抢救中心由市第一人民医院承担。县级危重孕产妇抢救中心由县人民医院承担�?/span> 各级在对本级危急症抢救中心不能处理的危重孕产妇进行转诊转院时，应按照逐级转诊规定进行转诊�?/span> 六、项目实施要�?/span> （一）加强组织领�?/span> 卫生局成立会泽县农村孕产妇住院分娩补助项目领导小组，具体组成人员如下： �?span lang="en-us"> 长：冯跃�?span lang="en-us"> 县卫生局党委书记、局�?/span> 副组长：糜祖�?span lang="en-us"> 县民政局党委副书记、纪委书�?/span> 陶凤�?span lang="en-us"> 县卫生局副局�?/span> �?span lang="en-us"> 员：罗忠�?span lang="en-us"> 县卫生局疾控科科�?/span> 陈旭�?span lang="en-us"> 县卫生局财务科科�?/span> �?span lang="en-us"> �?span lang="en-us"> 县保健院院长 葛玉�?span lang="en-us"> 县妇幼保健院副院�?/span> 杨福�?span lang="en-us"> 县妇幼保健院基层科长 龚朝�?span lang="en-us"> 县妇幼保健院财务科科�?span lang="en-us"> 办公室设在县妇幼保健院，由杨福金负责日常事务工作�?/span> （二）具体工作要�?/span> 各定点医疗保健机构在提供农村孕产妇住院分娩基本服务时不受新农合起付线限制，不得收取住院预交款�?/span> 各定点医疗保健机构要严格按规定执行全省统一的农村孕产妇住院分娩基本服务项目和限价标准，对农村孕产妇（含本地户籍和非本地户籍的云南省农业户籍孕产妇）住院分娩实行费用包干制，做到在定点医疗卫生机构住院分娩全免费，并实行现场减免，确保全省农村孕产妇住院分娩均能方便地享受国家补助政策�?/span> 各定点机构原则上不得收取额外的住院分娩费用。如确需收取规定服务项目之外的其他服务费用，或提供孕产妇本人或家属主动要求增加的服务内容，需征得孕产妇本人或家属同意并签字�?/span> （三�?span style="mso-bidi-font-weight: bold;">经费专款专用 农村孕产妇住院分娩项目补助经费必须专门用于农村孕产妇住院分娩补助，任何单位和个人不得以任何形式截留、挤占和挪用专项补助资金。农村孕产妇住院分娩专项补助资金的管理使用，以及享受补助的孕产妇等情况将定期向社会公布，接受群众监督。对故意虚报有关数字和情况骗取专项补助资金或截留、挤占和挪用专项补助资金的，除责令改正、追回有关财政资金外，还要按照有关法律法规追究有关单位和人员责任�?/span> （四）强化监督管�?/span> 县级卫生局将加大母婴保健执法工作力度，重点加强对各定点机构的监督管理，严格进行机构资质及助产人员资格审核，对不能提供安全有效助产服务的医疗保健机构，坚决停止其助产服务资格，保障医疗服务质量和医疗安全�?/span> （五）控制剖宫产�?/span> 各定点机构要严格控制剖宫产手术比例（剖宫产率要控制在25%以下）。剖宫产手术应尽可能安排在有条件的县级医疗保健机构实施，避免在乡镇卫生院实施。对于无剖宫产指征而家属要求实施剖宫产的，由孕产妇本人或家属签字确认，按顺产标准给予补助，超出部分由个人负担�?/span> 七、项目信息管�?/span> 县卫生局负责项目信息管理工作的领导，组织协调各级开展项目信息管理工作�?/span> 各定点医疗保健机构负责项目基础数据的采集，准确填写农村孕产妇住院分娩补助项目基本情况登记表、孕产妇补助经费四联单和出院结算清单等，收集农村孕产妇身份证明材料�?/span> 县级项目办负责辖区项目信息管理。完成项目信息的收集、整理、汇总、分析、上报和反馈，负责辖区医疗保健机构数据的初审，定期召开例会和培训，定期开展质量控制及分析评价等工作。在对非定点医疗保健机构住院分娩的农村孕产妇报销补助经费时，需填写“农村孕产妇住院分娩补助项目基本情况登记表”�?/span> 八、项目监督与评估 （一）项目实行逐级监督指导与评估。县卫生局将根据卫生部制订的督导评估方案，定期或不定期组织有关人员对项目实施情况进行检查评估，资金使用情况应每年上报州（市）项目办；接受县（市、区）审计部门的审计监督，对不符合补助资金规定、超出限价的不予报销，超出部分金额由相应医疗卫生机构承担，情节严重的要给予通报批评�?/span> （二）督导评估主要内容�?/span> 1.了解各医疗保健机�?span style="mso-bidi-font-weight: bold;">产妇数（包括产妇总数、农业户籍和非农业户籍产妇数）、活产数、住院分娩人数、住院分娩补助人数、危重孕产妇及补助人数、孕产妇死亡情况等�?/span> 2.了解各医疗保健机构对项目的宣传动员及执行进度情况�?/span> 3.了解补助资金使用及运行情况。重点查看全县补助对象名单、补助资金数额明细表、基本服务项目及限价分娩执行情况�?/span>�?/span> 4.了解本县剖宫产率及助产机构剖宫产构成情况�?/span> 5．了解并反馈补助资金使用及项目实施中存在的主要问题及建议等�?/span> 九、本方案�?span lang="en-us">2012�?span lang="en-us">7�?span lang="en-us">1日起执行�?/span> 附件�?/span> 1.2012年会泽县农村孕产妇住院分娩补助标准表 2�?/span>2012年会泽县农村孕产妇住院分娩定点机构限价标准表 3．会泽县农村孕产妇住院分娩基本服务项�?/span> 4．农村孕产妇住院分娩补助流程示意图（供参考） 5．农村孕产妇住院分娩补助经费四联单（供参考） 6. 会泽县农村孕产妇住院分娩补助项目基本情况登记�?span lang="en-us"> </div> <span style="font-size: 16pt; font-family: 仿宋_gb2312; mso-bidi-font-size: 10.0pt; mso-font-kerning: 1.0pt; mso-hansi-font-family: 宋体; mso-bidi-font-family: 'times new roman'; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;" lang="en-us"> <div class="section2"> 附件1�?/span> 2012年会泽县农村孕产妇住院分娩补助标准表 （单位：�?span lang="en-us">/例） <table class="msotablegrid" style="width: 471.75pt; border-collapse: collapse; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 480; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext;" width="629" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 40.6pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes;"> <td style="padding-right: 5.4pt; padding-left: 5.4pt; padding-bottom: 0cm; width: 114.85pt; padding-top: 0cm; height: 40.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; border: windowtext 1pt solid;" rowspan="2" width="153"> 服务项目 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 188.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 40.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" colspan="2" width="251"> 乡镇卫生�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 168.8pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 40.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" colspan="2" width="225"> 县级医疗保健机构 </td> </tr> <tr style="height: 29.2pt; mso-yfti-irow: 1;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 农补资金补助 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 新农合补�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 农补资金 补助 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 新农�?/span> 补助 </td> </tr> <tr style="height: 35.5pt; mso-yfti-irow: 2;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 114.85pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="153"> 单胎顺产 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 700 </td> </tr> <tr style="height: 35.5pt; mso-yfti-irow: 3;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 114.85pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="153"> 双胎、阴道手术助�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 600 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 900 </td> </tr> <tr style="height: 35.5pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 114.85pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="153"> 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 1600 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 2100 </td> </tr> </tbody> </table> 附件2�?/span> 2012年会泽县农村孕产妇住院分娩定点机构限价标准表 （单位：元） <table class="msotablegrid" style="width: 470.4pt; border-collapse: collapse; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 480; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext;" width="627" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 32pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes;"> <td style="padding-right: 5.4pt; padding-left: 5.4pt; padding-bottom: 0cm; width: 157pt; padding-top: 0cm; height: 32pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; border: windowtext 1pt solid;" width="209"> 服务项目 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 32pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 乡镇卫生院限�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 32pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 县级医疗保健机构限价 </td> </tr> <tr style="height: 34.55pt; mso-yfti-irow: 1;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 157pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="209"> 单胎顺产 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 800 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 1100 </td> </tr> <tr style="height: 34.55pt; mso-yfti-irow: 2;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 157pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="209"> 双胎、阴道手术助�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 1000 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 1300 </td> </tr> <tr style="height: 34.55pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 157pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="209"> 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 2000 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 2500 </td> </tr> </tbody> </table> 注：1.单胎顺产含会阴切开与缝合术�?/span> 2.阴道手术助产包括胎头吸引、产钳、臀位助产、臀位牵引术�?/span> 附件3�?/span> 会泽县农村孕产妇住院分娩基本服务项目 一、单胎顺�? 　　（一）基本护�?/span> 　　床位，护理（一般护理、产前护理、产后护理）�?/span> 　　（二）常规检�?/span> 1．一般检�?/span> 体格检查、产科检查（含骨盆测量、宫颈评分）�?/span> 2．辅助检�?/span> �?span lang="en-us">1）必查项�?/span> ①血常规或血液分析（含血小板）：包括全血细胞计数、全血细胞计数+分类、全血细胞计数+五分类�?/span> �?尿常规（尿液常规分析）：仪器法，8-11项�?/span> �?凝血四项：包�?span lang="en-us"> (a)血浆凝血酶原时间�?span lang="en-us">pt）�?span lang="en-us">(b)活化部分凝血活酶时间测定�?span lang="en-us">aptt）�?span lang="en-us">(c)凝血酶时间测定（tt）�?span lang="en-us">(d)血浆纤维蛋白原测定�?span lang="en-us">fib）�?span lang="en-us"> �?血型（仅限于孕期未查者）：包括：(a)abo血型测定（正反定）�?span lang="en-us">(b)rh血型（指仅鉴定rhd�?span lang="en-us">0），不查其他抗体）�?/span> �?感染性疾病筛查（仅限于孕期未查者）：乙肝两对半、丙肝、梅毒、艾滋病检测�?/span> �?span lang="en-us">2）根据需要选择项目 �?肝功能：包括(a)血清丙氨酸氨基转移酶（alt）�?span lang="en-us">(b)血清天门冬氨酸氨基转移酶（ast）�?span lang="en-us">(c)血清总蛋白（tp）�?span lang="en-us">(d)血清白蛋白�?span lang="en-us">alb）�?span lang="en-us">(e)血清总胆红素(tbil)�?span lang="en-us">(f)血清直接胆红素(dbil)�?span lang="en-us">(g)血清间接胆红素(tbil)�?/span> �?肾功能：包括 (a)尿素�?span lang="en-us">(b)肌酐�?span lang="en-us">(c)血清尿酸�?/span> �?血糖（空腹及餐�?span lang="en-us">2小时）�?/span> �?span lang="en-us"> b超常规检查：产科（含胎儿及宫腔）�?/span> �?常规心电图检查：含单通道、常规导联�?/span> �?胎心监护等�?/span> （三）接产和产后服务 1．观察产程及处理：测体温、脉搏、血压，听胎心，查胎位、宫缩，阴道或肛门检查等，必要时胎心监护�?/span> 2．接生�?/span> 3．新生儿护理：脐带处理、呼吸道清理、肌注维生素k1、新生儿体检等�?/span> 4．新生儿窒息复苏（如发生）�?/span> 5．产房观察（产后2小时）：体温、脉搏、血压，宫缩、宫底高度、阴道出血，新生儿一般情况及卫生宣教等�?/span> 6．评估产后子宫复旧、恶露、会阴切口、乳房及哺乳情况，指导母乳喂养，必要时复查血常规、尿常规�?/span> （四）基本药�?/span> 缩宫素、生理盐水或平衡液、盐酸利多卡因、维生素k1，必要时使用促进子宫复旧药�?/span> （五）标准住院日2�?span lang="en-us">4天�?/span> 二、双胎、阴道手术助�?/span> （一）基本护�?/span> 床位，护理（一般护理、产前护理、产后护理）�?/span> （二）常规检�?/span> 1．一般检�?/span> 体格检查、产科检查（含骨盆测量、宫颈评分）�?/span> 2．辅助检�?/span> �?span lang="en-us">1）必查项�?/span> ①血常规或血液分析（含血小板）：包括全血细胞计数、全血细胞计数+分类、全血细胞计数+五分类�?/span> �?尿常规（尿液常规分析）：仪器法，8-11项�?/span> �?凝血四项：包�?span lang="en-us"> (a)血浆凝血酶原时间�?span lang="en-us">pt）�?span lang="en-us">(b)活化部分凝血活酶时间测定�?span lang="en-us">aptt）�?span lang="en-us">(c)凝血酶时间测定（tt）�?span lang="en-us">(d)血浆纤维蛋白原测定�?span lang="en-us">fib）�?/span> �?血型（仅限于孕期未查者）：包括：(a)abo血型测定（正反定）�?span lang="en-us">(b)rh血型（指仅鉴定rhd�?span lang="en-us">0），不查其他抗体）�?/span> �?感染性疾病筛查（仅限于孕期未查者）：乙肝两对半、丙肝、梅毒、艾滋病检测�?/span> �?span lang="en-us">2）根据需要选择项目 �?肝功能：包括(a)血清丙氨酸氨基转移酶（alt）�?span lang="en-us">(b)血清天门冬氨酸氨基转移酶（ast）�?span lang="en-us">(c)血清总蛋白（tp）�?span lang="en-us">(d)血清白蛋白�?span lang="en-us">alb）�?span lang="en-us">(e)血清总胆红素(tbil)�?span lang="en-us">(f)血清直接胆红素(dbil)�?span lang="en-us">(g)血清间接胆红素(tbil)�?/span> �?肾功能：包括 (a)尿素�?span lang="en-us">(b)肌酐�?span lang="en-us">(c)血清尿酸�?/span> �?血糖（（空腹及餐后2小时）�?/span> �?span lang="en-us"> b超常规检查：产科（含胎儿及宫腔）�?/span> �?常规心电图检查：含单通道、常规导联�?/span> �?胎心监护等�?/span> （三）接产和产后服务 1．观察产程及处理：测体温、脉搏、血压，听胎心，查胎位、宫缩，阴道或肛门检查等，必要时胎心监护�?/span> 2．阴道手术助产：包括臀位助产术、臀位牵引术、胎头吸引术、产钳助产术等�?/span> 3．新生儿护理：脐带处理、呼吸道清理、肌注维生素k1、、新生儿体检等�?/span> 4．新生儿窒息复苏（如发生）�?/span> 5．产房观察（产后2小时）：体温、脉搏、血压，宫缩、宫底高度、阴道出血，新生儿一般情况及卫生宣教等�?/span> 6．评估产后子宫复旧、恶露、会阴切口、乳房及哺乳情况，指导母乳喂养，必要时复查血常规、尿常规�?/span> （四）基本药�?/span> 缩宫素、抗生素（第一代头孢类）、生理盐水（或平衡液）、盐酸利多卡因、维生素k1、，必要时使用促进子宫复旧药 �?/span> （五）标准住院日2�?span lang="en-us">4天�?/span> 三、剖宫产 （一）基本护�?/span> 床位，护理（一般护理、术前护理、术后护理）�?/span> （二）常规检�?/span> 1．一般检�?/span> 体格检查、产科检查（含骨盆测量、宫颈评分）�?/span> 2．辅助检�?/span> �?span lang="en-us">1）必查项�?/span> �?血常规或血液分析（含血小板）：包括全血细胞计数、全血细胞计数+分类、全血细胞计数+五分类�?/span> �?尿常规（尿液常规分析）：仪器法，8-11项�?/span> �?凝血四项：包�?span lang="en-us"> (a)血浆凝血酶原时间�?span lang="en-us">pt）�?span lang="en-us">(b)活化部分凝血活酶时间测定�?span lang="en-us">aptt）�?span lang="en-us">(c)凝血酶时间测定（tt）�?span lang="en-us">(d)血浆纤维蛋白原测定�?span lang="en-us">fib）�?/span> �?血型（仅限于孕期未查者）：包括：(a)abo血型测定（正反定）�?span lang="en-us">(b)rh血型（指仅鉴定rhd�?span lang="en-us">0），不查其他抗体）�?/span> �?感染性疾病筛查（仅限于孕期未查者）：乙肝两对半、丙肝、梅毒、艾滋病检测�?/span> �?span lang="en-us">2）根据需要选择项目 �?肝功能：包括(a)血清丙氨酸氨基转移酶（alt）�?span lang="en-us">(b)血清天门冬氨酸氨基转移酶（ast）�?span lang="en-us">(c)血清总蛋白（tp）�?span lang="en-us">(d)血清白蛋白�?span lang="en-us">alb）�?span lang="en-us">(e)血清总胆红素(tbil)�?span lang="en-us">(f)血清直接胆红素(dbil)�?span lang="en-us">(g)血清间接胆红素(tbil)�?/span> �?肾功能：包括 (a)尿素�?span lang="en-us">(b)肌酐�?span lang="en-us">(c)血清尿酸�?/span> �?血糖（空腹及餐�?span lang="en-us">2小时）�?/span> �?span lang="en-us"> b超常规检查：产科（含胎儿及宫腔）�?/span> �?常规心电图检查：含单通道、常规导联�?/span> �?胎心监护等�?/span> （三）接产及产后服务 1．观察产程及处理：测体温、脉搏、血压，听胎心，查胎位、宫缩，阴道或肛门检查，胎心监护�?/span> 2．剖宫产手术：包括古典式、子宫下段及腹膜外剖宫取胎术�?/span> 3．新生儿护理：脐带处理、呼吸道清理、肌注维生素k1、、新生儿体检等； 4．新生儿窒息复苏（如发生）�?/span> 5．评估术后子宫复旧、恶露、腹部切口、乳房及哺乳情况，指导母乳喂养，复查血常规、尿常规�?/span> （四）基本药�?/span> 缩宫素、抗生素（第一代头孢类）、生理盐水、糖盐水、复方林格氏液、葡萄糖液，酌情使用促进子宫复旧药、维生素k1�?/span> （五）标准住院日7�?span lang="en-us">9天�?/span> �?span lang="en-us">5�?/span> 农村孕产妇住院分娩补助流程示意图（供参考） <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 下拨 资金 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 上报资料 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 村医�?/span> 妇女干部 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 掌握孕情，宣传告知，动员住院分娩，初筛高危孕产妇，公示受益名单�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 乡镇卫生�?/span> 县级妇幼保健�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 县级财政部门 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 定点机构接受农村孕产妇住院分娩。规范执行基本服务项目及限价标准，实行现场减免�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 开展项目监督管理和产科质量管理，审核定点医疗保健机构上报资料，向县级财政部门定期汇总报送审核情况。开展项目追踪问效工作�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 县级卫生行政部门 （项目办�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> <p class="msonormal" style="margin: 6pt 0cm 0pt; layout-grid-mode: char; line-height: 12pt; text-align: center; mso-line-height-rule: exactly; mso-layout-grid-align: none; mso-para-margin-top: .5gd;" align="center">通过妇幼保健工作网络管理孕产妇，开展产前检查、孕产妇系统管理等�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 定点医疗保健机构按要求定期向县项目办报账。机构经办人、审核人、负责人签名，并附产妇的出院结算资料，单位盖章�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 审核、拨付项目资金，对资金管理运行情况进行监督�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 农村孕妇家庭 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 宣传 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 动员 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 住院分娩 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 监督指导 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 信息反馈 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 监督指导 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 信息反馈 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 上报资料 </div> </td> </tr> </tbody> </table> </div> <span style="font-size: 16pt; font-family: 仿宋_gb2312; mso-bidi-font-size: 10.0pt; mso-font-kerning: 1.0pt; mso-hansi-font-family: 宋体; mso-bidi-font-family: 'times new roman'; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;" lang="en-us"> 附件6�?/span> 农村孕产妇住院分娩补助经费四联单（供参考） 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> <div align="center"> <table class="msonormaltable" style="border-collapse: collapse; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 480; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-table-layout-alt: fixed;" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 28.2pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-height-rule: exactly;"> <td style="width: 111.35pt; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-height-rule: exactly; border: windowtext 1pt solid; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 18.05pt; mso-yfti-irow: 1;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 18.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 13.9pt; mso-yfti-irow: 2; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 31.85pt; mso-yfti-irow: 3; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 31.85pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 31.85pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 21.9pt; mso-yfti-irow: 4;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 5; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1.5pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1.5pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1.5pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 6; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 18.45pt; mso-yfti-irow: 7;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1.5pt solid; height: 18.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1.5pt solid; height: 18.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 10.4pt; mso-yfti-irow: 8;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt dashed; height: 10.4pt; background-color: transparent; mso-border-top-alt: solid 1.5pt; mso-border-left-alt: solid .5pt; mso-border-bottom-alt: dot-dash .75pt; mso-border-right-alt: solid .5pt; mso-border-color-alt: windowtext; padding: 0cm;" colspan="12" width="605"> 注：此联由县项目办保存（第四联） </td> </tr> <tr style="height: 33.45pt; mso-yfti-irow: 9;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt dashed; height: 33.45pt; background-color: transparent; mso-border-top-alt: dot-dash .75pt; mso-border-left-alt: solid .5pt; mso-border-bottom-alt: dot-dash .75pt; mso-border-right-alt: solid .5pt; mso-border-color-alt: windowtext; padding: 0cm;" colspan="12" width="605"> 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> </td> </tr> <tr style="height: 25.95pt; mso-yfti-irow: 10; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 17.35pt; mso-yfti-irow: 11;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 17.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 14.55pt; mso-yfti-irow: 12;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 45.75pt; mso-yfti-irow: 13; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 45.75pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 45.75pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 1pt; mso-yfti-irow: 14;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 33.6pt; mso-yfti-irow: 15;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1.5pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1.5pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1.5pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 51.1pt; mso-yfti-irow: 16; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 51.1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 51.1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 45.15pt; mso-yfti-irow: 17; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1.5pt solid; height: 45.15pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1.5pt solid; height: 45.15pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 16.65pt; mso-yfti-irow: 18;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt dashed; height: 16.65pt; background-color: transparent; mso-border-top-alt: solid 1.5pt; mso-border-left-alt: solid .5pt; mso-border-bottom-alt: dot-dash .75pt; mso-border-right-alt: solid .5pt; mso-border-color-alt: windowtext; padding: 0cm;" colspan="12" width="605"> 注：此联由医疗机构保存（第三联） </td> </tr> <tr style="height: 41.05pt; mso-yfti-irow: 19;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 41.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; padding: 0cm;" colspan="12" width="605"> 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> </td> </tr> <tr style="height: 1cm; mso-yfti-irow: 20; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 41.45pt; mso-yfti-irow: 21;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 41.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 38.25pt; mso-yfti-irow: 22; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 35.35pt; mso-yfti-irow: 23; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 35.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 35.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 1pt; mso-yfti-irow: 24;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 25; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 26; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 55.9pt; mso-yfti-irow: 27; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 55.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 55.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 28;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 注：此联由新农合经办机构保存（第二联�?/span> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 29;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; padding: 0cm;" colspan="12" width="605"> 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 30;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 23.15pt; mso-yfti-irow: 31;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 23.15pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 32;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 33;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 1pt; mso-yfti-irow: 34;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 36.35pt; mso-yfti-irow: 35; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 26.05pt; mso-yfti-irow: 36;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 26.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 26.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 39.45pt; mso-yfti-irow: 37; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 39.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 39.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 19.85pt; mso-yfti-irow: 38; mso-yfti-lastrow: yes;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 19.85pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 注：此联由补助对象保存（第一联） </td> </tr> <tr> <td style="background-color: transparent; border: #ece9d8;" width="77"> </td> <td style="background-color: transparent; border: #ece9d8;" width="72"> </td> <td style="background-color: transparent; border: #ece9d8;" width="33"> </td> <td style="background-color: transparent; border: #ece9d8;" width="63"> </td> <td style="background-color: transparent; border: #ece9d8;" width="47"> </td> <td style="background-color: transparent; border: #ece9d8;" width="13"> </td> <td style="background-color: transparent; border: #ece9d8;" width="96"> </td> <td style="background-color: transparent; border: #ece9d8;" width="12"> </td> <td style="background-color: transparent; border: #ece9d8;" width="12"> </td> <td style="background-color: transparent; border: #ece9d8;" width="84"> </td> <td style="background-color: transparent; border: #ece9d8;" width="32"> </td> <td style="background-color: transparent; border: #ece9d8;" width="65"> </td> </tr> </tbody> </table> </div> 说明: 1．住院总费用：住院分娩的所有医药费用合计�?/span> 2．农村孕产妇住院分娩补助金额：本地区农村孕产妇住院分娩的人均财政补助金额�?/span> 3．新农合报销金额：按新型农村合作医疗制度规定给予报销的费用�?/span> 4．补助及报销总额：本地区农村孕产妇住院分娩的人均财政补助金额与按新型农村合作医疗制度规定给予报销的费用之和�?/span> 5．自费项目金额：在新型农村合作医疗制度报销范围之外的费用�?/span> 6．个人付费合计：个人承担的住院分娩费用�?/span> 7．表中逻辑关系�?/span> �?span lang="en-us">1）住院总费�?span lang="en-us">=农村孕产妇住院分娩补助金�?span lang="en-us">+新农合报销金额+个人付费合计�?/span> �?span lang="en-us">2）补助及报销总额=农村孕产妇住院分娩补助金�?span lang="en-us">+新农合报销金额�?/span> �?span lang="en-us">3）个人付费合�?span lang="en-us">=住院总费�?span lang="en-us">-补助及报销总额�?/span> </div> </div> <div class="f_tb"> <div class="f_tb_hr"> </div> <div class="fl"> 上一篇：<a href="/html/newsa201211068711120.html" title="会泽县开展消除麻风运动实施方�?>会泽县开展消除麻风运动实施方�?/a> 下一篇：<a href="/html/newsa201209049863847.html" title="会泽�?012年新型农村合作医疗实施方�?>会泽�?012年新型农村合作医疗实</a> </div> </div> </div> </div> <div class="red_line w"></div> <div class="foot w"> 主办：中共会泽县委员�?承办：会泽县党务公开领导小组办公�?技术支持：曲靖市建功星有限责任公司 建议使用Internet Explorer 6.0或以�?, 1024×768分辨率浏览本网站 </div> <script type="text/javascript" src="/tongji.js"></script></body> </html>

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mso-layout-grid-char-alt: -849;"> <div class="section1" style="layout-grid: 28.95pt none; mso-layout-grid-char-alt: -849;"> 会泽�?span lang="en-us">2012年农村孕产妇住院分娩补助实施方案 为认真落实省政府“妇幼健康计划”工作方案要求，保障母婴安全，降低孕产妇死亡率，依据卫生部、财政部《关于印发〈关于进一步加强农村孕产妇住院分娩工作的指导意见〉的通知》（卫妇社发�?span lang="en-us">2009�?span lang="en-us">12号），财政部、卫生部《关于印发〈农村孕产妇住院分娩专项补助资金管理暂行办法〉的通知》（财社�?span lang="en-us">2009�?span lang="en-us">36号）和�?/span>曲靖市卫生局 曲靖市民政局关于印发2012年农村孕产妇住院分娩补助实施方案的通知》（曲卫字�?span lang="en-us">2012�?span lang="en-us">277号）精神，结合我县实际，制定本方案�?/span> 一、项目对�?/span> 会泽县农业户籍孕产妇�?/span> 二、工作目�?/span> 2012年会泽县农村（农业户籍）孕产妇住院分娩率达到97%�?/span> 三、项目内�?/span> （一）对我县农村孕产妇住院分娩给予补助。农村孕产妇住院分娩实行限价，中央财政补助人�?span lang="en-us">400元，资金分配表见附件2；不足部分由新型农村合作医疗按照标准给予补助，补助标准见附件3�?/span> （二）对贫困农村孕产妇住院分娩给予生活救助。民政部门负责对农村低保对象、农村五保对象孕产妇住院分娩�?span lang="en-us">200�?span lang="en-us">/例的标准给予一次性临时生活困难救助�?/span> （三）定点医疗保健机构对农村孕产妇住院分娩实行限价，限价标准见附�?span lang="en-us">4；在提供全部基本服务项目的前提下费用包干，基本服务项目具体内容见附件5�?/span> （四）农村孕产妇在定点医疗保健机构住院分娩全免费�?/span> 四、资金来�?/span> （一）中央农村孕产妇住院分娩补助资金�?/span> （二）省、市、县级财政安排的农村孕产妇住院分娩项目配套资金�?/span> （三）新型农村合作医疗资金�?/span> 五、项目实施流�?/span> 按照“限价包干、现场减免、定期核�?rdquo;的原则，落实农村孕产妇住院分娩补助工作，努力提高农村孕产妇住院分娩率（流程示意图见附�?span lang="en-us">6）�?/span> （一）指定定点机构：会泽县辖区内政府举办的公立医疗卫生保健机构均为我县农村孕产妇住院分娩定点医疗机构�?/span> （二）开展宣传动员：各级医疗卫生机构要结合本单位实际，在广泛宣传、充分告知的情况下，动员符合条件的农村孕产妇到定点医疗保健机构住院分娩�?/span> （三）落实住院分娩：定点医疗保健机构核实补助对象身份（可以身份证、户口簿、新农合证、住院分娩补助卡，或经确认有效证明材料等）。对确认为本县农业户籍孕产妇的，应按基本服务项目和限价标准为其提供住院分娩服务，并按人均财政补助标准现场减免农村孕产妇住院分娩的相关费用，填�?ldquo;孕产妇住院分娩补助经费四联单”（附�?span lang="en-us">7）�?/span> （四）定期审核报销：定点医疗保健机构定期凭农业户籍孕产妇身份证明材料，“云南省农村孕产妇住院分娩补助项目基本情况登记�?rdquo;（附�?span lang="en-us">8），孕产妇补助经费第三、四联单和出院结算清单等资料，到县级项目办办理报账手续�?/span> 县级项目办对上报材料进行逐一审核后（也可委托中介机构进行审核），上报项目领导小组审批�?span style="mso-bidi-font-weight: bold;">按照定点机构开展农村孕产妇住院分娩服务的例数和限价标准，将经费核补至该机构，同时返还第三联单�?/span>县级项目办应保管好所有原始材料和单据，以备核查�?/span> 为避免定点机构过多垫资影响工作运转，县级项目办可采取先预拨后结算的方式拨付项目经费，具体经费管理核拨办法由各地根据本方案所列基本原则和当地实际情况进行规定�?/span> 省级按照“当年全额预拨、次年考核结算、差额多退少补”的原则和各县实际补助情况，在次年核拨中央农村孕产妇住院分娩补助资金�?/span> （五）落实生活救助：农村低保对象、农村五保对象孕产妇住院分娩一次性临时生活困难救助，由补助对象持出院结算清单等相关证明材料到户籍地县级民政部门领取�?/span> （六）参加新型农村合作医疗的农村孕产妇在财政补助之外的住院分娩费用由新型农村合作医疗按照规定金额和程序给予补助�?/span> 未参加新型农村合作医疗的农村孕产妇，只享受国家对农村孕产妇住院分娩补助的相应补助金�?/span> （七）农村孕产妇在市级上医疗保健机构住院分娩的补助和报销，补助标准按�?span lang="en-us">400�?span lang="en-us">/人执行，携带出院结算清单等相关证明材料回户籍地县级项目办报销，做到应补尽补。新农合补偿部分按照户籍地新农合有关规定执行�?/span> （八）建�?ldquo;绿色通道”：进一步建立和完善孕产妇急救“绿色通道”和危急症抢救中心，提高危重孕产妇抢救能力�?/span> 省级危重孕产妇抢救中心应对曲靖市的是省第一人民医院，市级危重孕产妇抢救中心由市第一人民医院承担。县级危重孕产妇抢救中心由县人民医院承担�?/span> 各级在对本级危急症抢救中心不能处理的危重孕产妇进行转诊转院时，应按照逐级转诊规定进行转诊�?/span> 六、项目实施要�?/span> （一）加强组织领�?/span> 卫生局成立会泽县农村孕产妇住院分娩补助项目领导小组，具体组成人员如下： �?span lang="en-us"> 长：冯跃�?span lang="en-us"> 县卫生局党委书记、局�?/span> 副组长：糜祖�?span lang="en-us"> 县民政局党委副书记、纪委书�?/span> 陶凤�?span lang="en-us"> 县卫生局副局�?/span> �?span lang="en-us"> 员：罗忠�?span lang="en-us"> 县卫生局疾控科科�?/span> 陈旭�?span lang="en-us"> 县卫生局财务科科�?/span> �?span lang="en-us"> �?span lang="en-us"> 县保健院院长 葛玉�?span lang="en-us"> 县妇幼保健院副院�?/span> 杨福�?span lang="en-us"> 县妇幼保健院基层科长 龚朝�?span lang="en-us"> 县妇幼保健院财务科科�?span lang="en-us"> 办公室设在县妇幼保健院，由杨福金负责日常事务工作�?/span> （二）具体工作要�?/span> 各定点医疗保健机构在提供农村孕产妇住院分娩基本服务时不受新农合起付线限制，不得收取住院预交款�?/span> 各定点医疗保健机构要严格按规定执行全省统一的农村孕产妇住院分娩基本服务项目和限价标准，对农村孕产妇（含本地户籍和非本地户籍的云南省农业户籍孕产妇）住院分娩实行费用包干制，做到在定点医疗卫生机构住院分娩全免费，并实行现场减免，确保全省农村孕产妇住院分娩均能方便地享受国家补助政策�?/span> 各定点机构原则上不得收取额外的住院分娩费用。如确需收取规定服务项目之外的其他服务费用，或提供孕产妇本人或家属主动要求增加的服务内容，需征得孕产妇本人或家属同意并签字�?/span> （三�?span style="mso-bidi-font-weight: bold;">经费专款专用 农村孕产妇住院分娩项目补助经费必须专门用于农村孕产妇住院分娩补助，任何单位和个人不得以任何形式截留、挤占和挪用专项补助资金。农村孕产妇住院分娩专项补助资金的管理使用，以及享受补助的孕产妇等情况将定期向社会公布，接受群众监督。对故意虚报有关数字和情况骗取专项补助资金或截留、挤占和挪用专项补助资金的，除责令改正、追回有关财政资金外，还要按照有关法律法规追究有关单位和人员责任�?/span> （四）强化监督管�?/span> 县级卫生局将加大母婴保健执法工作力度，重点加强对各定点机构的监督管理，严格进行机构资质及助产人员资格审核，对不能提供安全有效助产服务的医疗保健机构，坚决停止其助产服务资格，保障医疗服务质量和医疗安全�?/span> （五）控制剖宫产�?/span> 各定点机构要严格控制剖宫产手术比例（剖宫产率要控制在25%以下）。剖宫产手术应尽可能安排在有条件的县级医疗保健机构实施，避免在乡镇卫生院实施。对于无剖宫产指征而家属要求实施剖宫产的，由孕产妇本人或家属签字确认，按顺产标准给予补助，超出部分由个人负担�?/span> 七、项目信息管�?/span> 县卫生局负责项目信息管理工作的领导，组织协调各级开展项目信息管理工作�?/span> 各定点医疗保健机构负责项目基础数据的采集，准确填写农村孕产妇住院分娩补助项目基本情况登记表、孕产妇补助经费四联单和出院结算清单等，收集农村孕产妇身份证明材料�?/span> 县级项目办负责辖区项目信息管理。完成项目信息的收集、整理、汇总、分析、上报和反馈，负责辖区医疗保健机构数据的初审，定期召开例会和培训，定期开展质量控制及分析评价等工作。在对非定点医疗保健机构住院分娩的农村孕产妇报销补助经费时，需填写“农村孕产妇住院分娩补助项目基本情况登记表”�?/span> 八、项目监督与评估 （一）项目实行逐级监督指导与评估。县卫生局将根据卫生部制订的督导评估方案，定期或不定期组织有关人员对项目实施情况进行检查评估，资金使用情况应每年上报州（市）项目办；接受县（市、区）审计部门的审计监督，对不符合补助资金规定、超出限价的不予报销，超出部分金额由相应医疗卫生机构承担，情节严重的要给予通报批评�?/span> （二）督导评估主要内容�?/span> 1.了解各医疗保健机�?span style="mso-bidi-font-weight: bold;">产妇数（包括产妇总数、农业户籍和非农业户籍产妇数）、活产数、住院分娩人数、住院分娩补助人数、危重孕产妇及补助人数、孕产妇死亡情况等�?/span> 2.了解各医疗保健机构对项目的宣传动员及执行进度情况�?/span> 3.了解补助资金使用及运行情况。重点查看全县补助对象名单、补助资金数额明细表、基本服务项目及限价分娩执行情况�?/span>�?/span> 4.了解本县剖宫产率及助产机构剖宫产构成情况�?/span> 5．了解并反馈补助资金使用及项目实施中存在的主要问题及建议等�?/span> 九、本方案�?span lang="en-us">2012�?span lang="en-us">7�?span lang="en-us">1日起执行�?/span> 附件�?/span> 1.2012年会泽县农村孕产妇住院分娩补助标准表 2�?/span>2012年会泽县农村孕产妇住院分娩定点机构限价标准表 3．会泽县农村孕产妇住院分娩基本服务项�?/span> 4．农村孕产妇住院分娩补助流程示意图（供参考） 5．农村孕产妇住院分娩补助经费四联单（供参考） 6. 会泽县农村孕产妇住院分娩补助项目基本情况登记�?span lang="en-us"> </div> <span style="font-size: 16pt; font-family: 仿宋_gb2312; mso-bidi-font-size: 10.0pt; mso-font-kerning: 1.0pt; mso-hansi-font-family: 宋体; mso-bidi-font-family: 'times new roman'; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;" lang="en-us"> <div class="section2"> 附件1�?/span> 2012年会泽县农村孕产妇住院分娩补助标准表 （单位：�?span lang="en-us">/例） <table class="msotablegrid" style="width: 471.75pt; border-collapse: collapse; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 480; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext;" width="629" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 40.6pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes;"> <td style="padding-right: 5.4pt; padding-left: 5.4pt; padding-bottom: 0cm; width: 114.85pt; padding-top: 0cm; height: 40.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; border: windowtext 1pt solid;" rowspan="2" width="153"> 服务项目 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 188.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 40.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" colspan="2" width="251"> 乡镇卫生�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 168.8pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 40.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" colspan="2" width="225"> 县级医疗保健机构 </td> </tr> <tr style="height: 29.2pt; mso-yfti-irow: 1;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 农补资金补助 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 新农合补�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 农补资金 补助 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 29.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 新农�?/span> 补助 </td> </tr> <tr style="height: 35.5pt; mso-yfti-irow: 2;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 114.85pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="153"> 单胎顺产 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 700 </td> </tr> <tr style="height: 35.5pt; mso-yfti-irow: 3;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 114.85pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="153"> 双胎、阴道手术助�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 600 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 900 </td> </tr> <tr style="height: 35.5pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 114.85pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="153"> 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 99pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="132"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 89.1pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="119"> 1600 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 94.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="126"> 400 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 74.3pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 35.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="99"> 2100 </td> </tr> </tbody> </table> 附件2�?/span> 2012年会泽县农村孕产妇住院分娩定点机构限价标准表 （单位：元） <table class="msotablegrid" style="width: 470.4pt; border-collapse: collapse; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 480; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext;" width="627" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 32pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes;"> <td style="padding-right: 5.4pt; padding-left: 5.4pt; padding-bottom: 0cm; width: 157pt; padding-top: 0cm; height: 32pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; border: windowtext 1pt solid;" width="209"> 服务项目 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 32pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 乡镇卫生院限�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: windowtext 1pt solid; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 32pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 县级医疗保健机构限价 </td> </tr> <tr style="height: 34.55pt; mso-yfti-irow: 1;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 157pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="209"> 单胎顺产 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 800 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 1100 </td> </tr> <tr style="height: 34.55pt; mso-yfti-irow: 2;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 157pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="209"> 双胎、阴道手术助�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 1000 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 1300 </td> </tr> <tr style="height: 34.55pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: windowtext 1pt solid; width: 157pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt;" width="209"> 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 126.9pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="169"> 2000 </td> <td style="border-right: windowtext 1pt solid; padding-right: 5.4pt; border-top: #ece9d8; padding-left: 5.4pt; padding-bottom: 0cm; border-left: #ece9d8; width: 186.5pt; padding-top: 0cm; border-bottom: windowtext 1pt solid; height: 34.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt;" width="249"> 2500 </td> </tr> </tbody> </table> 注：1.单胎顺产含会阴切开与缝合术�?/span> 2.阴道手术助产包括胎头吸引、产钳、臀位助产、臀位牵引术�?/span> 附件3�?/span> 会泽县农村孕产妇住院分娩基本服务项目 一、单胎顺�? 　　（一）基本护�?/span> 　　床位，护理（一般护理、产前护理、产后护理）�?/span> 　　（二）常规检�?/span> 1．一般检�?/span> 体格检查、产科检查（含骨盆测量、宫颈评分）�?/span> 2．辅助检�?/span> �?span lang="en-us">1）必查项�?/span> ①血常规或血液分析（含血小板）：包括全血细胞计数、全血细胞计数+分类、全血细胞计数+五分类�?/span> �?尿常规（尿液常规分析）：仪器法，8-11项�?/span> �?凝血四项：包�?span lang="en-us"> (a)血浆凝血酶原时间�?span lang="en-us">pt）�?span lang="en-us">(b)活化部分凝血活酶时间测定�?span lang="en-us">aptt）�?span lang="en-us">(c)凝血酶时间测定（tt）�?span lang="en-us">(d)血浆纤维蛋白原测定�?span lang="en-us">fib）�?span lang="en-us"> �?血型（仅限于孕期未查者）：包括：(a)abo血型测定（正反定）�?span lang="en-us">(b)rh血型（指仅鉴定rhd�?span lang="en-us">0），不查其他抗体）�?/span> �?感染性疾病筛查（仅限于孕期未查者）：乙肝两对半、丙肝、梅毒、艾滋病检测�?/span> �?span lang="en-us">2）根据需要选择项目 �?肝功能：包括(a)血清丙氨酸氨基转移酶（alt）�?span lang="en-us">(b)血清天门冬氨酸氨基转移酶（ast）�?span lang="en-us">(c)血清总蛋白（tp）�?span lang="en-us">(d)血清白蛋白�?span lang="en-us">alb）�?span lang="en-us">(e)血清总胆红素(tbil)�?span lang="en-us">(f)血清直接胆红素(dbil)�?span lang="en-us">(g)血清间接胆红素(tbil)�?/span> �?肾功能：包括 (a)尿素�?span lang="en-us">(b)肌酐�?span lang="en-us">(c)血清尿酸�?/span> �?血糖（空腹及餐�?span lang="en-us">2小时）�?/span> �?span lang="en-us"> b超常规检查：产科（含胎儿及宫腔）�?/span> �?常规心电图检查：含单通道、常规导联�?/span> �?胎心监护等�?/span> （三）接产和产后服务 1．观察产程及处理：测体温、脉搏、血压，听胎心，查胎位、宫缩，阴道或肛门检查等，必要时胎心监护�?/span> 2．接生�?/span> 3．新生儿护理：脐带处理、呼吸道清理、肌注维生素k1、新生儿体检等�?/span> 4．新生儿窒息复苏（如发生）�?/span> 5．产房观察（产后2小时）：体温、脉搏、血压，宫缩、宫底高度、阴道出血，新生儿一般情况及卫生宣教等�?/span> 6．评估产后子宫复旧、恶露、会阴切口、乳房及哺乳情况，指导母乳喂养，必要时复查血常规、尿常规�?/span> （四）基本药�?/span> 缩宫素、生理盐水或平衡液、盐酸利多卡因、维生素k1，必要时使用促进子宫复旧药�?/span> （五）标准住院日2�?span lang="en-us">4天�?/span> 二、双胎、阴道手术助�?/span> （一）基本护�?/span> 床位，护理（一般护理、产前护理、产后护理）�?/span> （二）常规检�?/span> 1．一般检�?/span> 体格检查、产科检查（含骨盆测量、宫颈评分）�?/span> 2．辅助检�?/span> �?span lang="en-us">1）必查项�?/span> ①血常规或血液分析（含血小板）：包括全血细胞计数、全血细胞计数+分类、全血细胞计数+五分类�?/span> �?尿常规（尿液常规分析）：仪器法，8-11项�?/span> �?凝血四项：包�?span lang="en-us"> (a)血浆凝血酶原时间�?span lang="en-us">pt）�?span lang="en-us">(b)活化部分凝血活酶时间测定�?span lang="en-us">aptt）�?span lang="en-us">(c)凝血酶时间测定（tt）�?span lang="en-us">(d)血浆纤维蛋白原测定�?span lang="en-us">fib）�?/span> �?血型（仅限于孕期未查者）：包括：(a)abo血型测定（正反定）�?span lang="en-us">(b)rh血型（指仅鉴定rhd�?span lang="en-us">0），不查其他抗体）�?/span> �?感染性疾病筛查（仅限于孕期未查者）：乙肝两对半、丙肝、梅毒、艾滋病检测�?/span> �?span lang="en-us">2）根据需要选择项目 �?肝功能：包括(a)血清丙氨酸氨基转移酶（alt）�?span lang="en-us">(b)血清天门冬氨酸氨基转移酶（ast）�?span lang="en-us">(c)血清总蛋白（tp）�?span lang="en-us">(d)血清白蛋白�?span lang="en-us">alb）�?span lang="en-us">(e)血清总胆红素(tbil)�?span lang="en-us">(f)血清直接胆红素(dbil)�?span lang="en-us">(g)血清间接胆红素(tbil)�?/span> �?肾功能：包括 (a)尿素�?span lang="en-us">(b)肌酐�?span lang="en-us">(c)血清尿酸�?/span> �?血糖（（空腹及餐后2小时）�?/span> �?span lang="en-us"> b超常规检查：产科（含胎儿及宫腔）�?/span> �?常规心电图检查：含单通道、常规导联�?/span> �?胎心监护等�?/span> （三）接产和产后服务 1．观察产程及处理：测体温、脉搏、血压，听胎心，查胎位、宫缩，阴道或肛门检查等，必要时胎心监护�?/span> 2．阴道手术助产：包括臀位助产术、臀位牵引术、胎头吸引术、产钳助产术等�?/span> 3．新生儿护理：脐带处理、呼吸道清理、肌注维生素k1、、新生儿体检等�?/span> 4．新生儿窒息复苏（如发生）�?/span> 5．产房观察（产后2小时）：体温、脉搏、血压，宫缩、宫底高度、阴道出血，新生儿一般情况及卫生宣教等�?/span> 6．评估产后子宫复旧、恶露、会阴切口、乳房及哺乳情况，指导母乳喂养，必要时复查血常规、尿常规�?/span> （四）基本药�?/span> 缩宫素、抗生素（第一代头孢类）、生理盐水（或平衡液）、盐酸利多卡因、维生素k1、，必要时使用促进子宫复旧药 �?/span> （五）标准住院日2�?span lang="en-us">4天�?/span> 三、剖宫产 （一）基本护�?/span> 床位，护理（一般护理、术前护理、术后护理）�?/span> （二）常规检�?/span> 1．一般检�?/span> 体格检查、产科检查（含骨盆测量、宫颈评分）�?/span> 2．辅助检�?/span> �?span lang="en-us">1）必查项�?/span> �?血常规或血液分析（含血小板）：包括全血细胞计数、全血细胞计数+分类、全血细胞计数+五分类�?/span> �?尿常规（尿液常规分析）：仪器法，8-11项�?/span> �?凝血四项：包�?span lang="en-us"> (a)血浆凝血酶原时间�?span lang="en-us">pt）�?span lang="en-us">(b)活化部分凝血活酶时间测定�?span lang="en-us">aptt）�?span lang="en-us">(c)凝血酶时间测定（tt）�?span lang="en-us">(d)血浆纤维蛋白原测定�?span lang="en-us">fib）�?/span> �?血型（仅限于孕期未查者）：包括：(a)abo血型测定（正反定）�?span lang="en-us">(b)rh血型（指仅鉴定rhd�?span lang="en-us">0），不查其他抗体）�?/span> �?感染性疾病筛查（仅限于孕期未查者）：乙肝两对半、丙肝、梅毒、艾滋病检测�?/span> �?span lang="en-us">2）根据需要选择项目 �?肝功能：包括(a)血清丙氨酸氨基转移酶（alt）�?span lang="en-us">(b)血清天门冬氨酸氨基转移酶（ast）�?span lang="en-us">(c)血清总蛋白（tp）�?span lang="en-us">(d)血清白蛋白�?span lang="en-us">alb）�?span lang="en-us">(e)血清总胆红素(tbil)�?span lang="en-us">(f)血清直接胆红素(dbil)�?span lang="en-us">(g)血清间接胆红素(tbil)�?/span> �?肾功能：包括 (a)尿素�?span lang="en-us">(b)肌酐�?span lang="en-us">(c)血清尿酸�?/span> �?血糖（空腹及餐�?span lang="en-us">2小时）�?/span> �?span lang="en-us"> b超常规检查：产科（含胎儿及宫腔）�?/span> �?常规心电图检查：含单通道、常规导联�?/span> �?胎心监护等�?/span> （三）接产及产后服务 1．观察产程及处理：测体温、脉搏、血压，听胎心，查胎位、宫缩，阴道或肛门检查，胎心监护�?/span> 2．剖宫产手术：包括古典式、子宫下段及腹膜外剖宫取胎术�?/span> 3．新生儿护理：脐带处理、呼吸道清理、肌注维生素k1、、新生儿体检等； 4．新生儿窒息复苏（如发生）�?/span> 5．评估术后子宫复旧、恶露、腹部切口、乳房及哺乳情况，指导母乳喂养，复查血常规、尿常规�?/span> （四）基本药�?/span> 缩宫素、抗生素（第一代头孢类）、生理盐水、糖盐水、复方林格氏液、葡萄糖液，酌情使用促进子宫复旧药、维生素k1�?/span> （五）标准住院日7�?span lang="en-us">9天�?/span> �?span lang="en-us">5�?/span> 农村孕产妇住院分娩补助流程示意图（供参考） <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 下拨 资金 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 上报资料 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 村医�?/span> 妇女干部 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 掌握孕情，宣传告知，动员住院分娩，初筛高危孕产妇，公示受益名单�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 乡镇卫生�?/span> 县级妇幼保健�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 县级财政部门 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 定点机构接受农村孕产妇住院分娩。规范执行基本服务项目及限价标准，实行现场减免�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 开展项目监督管理和产科质量管理，审核定点医疗保健机构上报资料，向县级财政部门定期汇总报送审核情况。开展项目追踪问效工作�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 县级卫生行政部门 （项目办�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> <p class="msonormal" style="margin: 6pt 0cm 0pt; layout-grid-mode: char; line-height: 12pt; text-align: center; mso-line-height-rule: exactly; mso-layout-grid-align: none; mso-para-margin-top: .5gd;" align="center">通过妇幼保健工作网络管理孕产妇，开展产前检查、孕产妇系统管理等�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 定点医疗保健机构按要求定期向县项目办报账。机构经办人、审核人、负责人签名，并附产妇的出院结算资料，单位盖章�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 审核、拨付项目资金，对资金管理运行情况进行监督�?/span> </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 农村孕妇家庭 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 宣传 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 动员 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 住院分娩 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 监督指导 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 信息反馈 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 监督指导 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 信息反馈 </div> </td> </tr> </tbody> </table> <table width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <td style="background-color: transparent; border: #ece9d8;"> <div> 上报资料 </div> </td> </tr> </tbody> </table> </div> <span style="font-size: 16pt; font-family: 仿宋_gb2312; mso-bidi-font-size: 10.0pt; mso-font-kerning: 1.0pt; mso-hansi-font-family: 宋体; mso-bidi-font-family: 'times new roman'; mso-ansi-language: en-us; mso-fareast-language: zh-cn; mso-bidi-language: ar-sa;" lang="en-us"> 附件6�?/span> 农村孕产妇住院分娩补助经费四联单（供参考） 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> <div align="center"> <table class="msonormaltable" style="border-collapse: collapse; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 480; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-table-layout-alt: fixed;" border="1" cellspacing="0" cellpadding="0"> <tbody> <tr style="height: 28.2pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-height-rule: exactly;"> <td style="width: 111.35pt; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-height-rule: exactly; border: windowtext 1pt solid; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: windowtext 1pt solid; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 28.2pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 18.05pt; mso-yfti-irow: 1;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 18.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 13.9pt; mso-yfti-irow: 2; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 13.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 31.85pt; mso-yfti-irow: 3; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 31.85pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 31.85pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 21.9pt; mso-yfti-irow: 4;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 21.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 5; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1.5pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1.5pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1.5pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 6; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 18.45pt; mso-yfti-irow: 7;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1.5pt solid; height: 18.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1.5pt solid; height: 18.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 10.4pt; mso-yfti-irow: 8;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt dashed; height: 10.4pt; background-color: transparent; mso-border-top-alt: solid 1.5pt; mso-border-left-alt: solid .5pt; mso-border-bottom-alt: dot-dash .75pt; mso-border-right-alt: solid .5pt; mso-border-color-alt: windowtext; padding: 0cm;" colspan="12" width="605"> 注：此联由县项目办保存（第四联） </td> </tr> <tr style="height: 33.45pt; mso-yfti-irow: 9;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt dashed; height: 33.45pt; background-color: transparent; mso-border-top-alt: dot-dash .75pt; mso-border-left-alt: solid .5pt; mso-border-bottom-alt: dot-dash .75pt; mso-border-right-alt: solid .5pt; mso-border-color-alt: windowtext; padding: 0cm;" colspan="12" width="605"> 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> </td> </tr> <tr style="height: 25.95pt; mso-yfti-irow: 10; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.95pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 17.35pt; mso-yfti-irow: 11;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 17.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 14.55pt; mso-yfti-irow: 12;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 14.55pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 45.75pt; mso-yfti-irow: 13; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 45.75pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 45.75pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 1pt; mso-yfti-irow: 14;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 33.6pt; mso-yfti-irow: 15;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1.5pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1.5pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1.5pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 33.6pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 51.1pt; mso-yfti-irow: 16; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 51.1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 51.1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 45.15pt; mso-yfti-irow: 17; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1.5pt solid; height: 45.15pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1.5pt solid; height: 45.15pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext 1.5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 16.65pt; mso-yfti-irow: 18;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt dashed; height: 16.65pt; background-color: transparent; mso-border-top-alt: solid 1.5pt; mso-border-left-alt: solid .5pt; mso-border-bottom-alt: dot-dash .75pt; mso-border-right-alt: solid .5pt; mso-border-color-alt: windowtext; padding: 0cm;" colspan="12" width="605"> 注：此联由医疗机构保存（第三联） </td> </tr> <tr style="height: 41.05pt; mso-yfti-irow: 19;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 41.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; padding: 0cm;" colspan="12" width="605"> 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> </td> </tr> <tr style="height: 1cm; mso-yfti-irow: 20; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1cm; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 41.45pt; mso-yfti-irow: 21;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 41.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 38.25pt; mso-yfti-irow: 22; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 38.25pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 35.35pt; mso-yfti-irow: 23; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 35.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 35.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 1pt; mso-yfti-irow: 24;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 25; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 25.5pt; mso-yfti-irow: 26; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 25.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 55.9pt; mso-yfti-irow: 27; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 55.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 55.9pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 28;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 注：此联由新农合经办机构保存（第二联�?/span> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 29;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; padding: 0cm;" colspan="12" width="605"> 医疗卫生机构名称�?span style="text-decoration: underline;"> 编号�?/span> �?span style="text-decoration: underline;"> �?span style="text-decoration: underline;"> �?/span> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 30;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; padding: 0cm;" colspan="2" width="148"> 孕产妇姓�?span lang="en-us">/户主�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="96"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 45.2pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="60"> 分娩时间 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.2pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="108"> �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 95.5pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="3" width="127"> 农业户籍证明 （附复印件） </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: dot-dash windowtext .75pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 23.15pt; mso-yfti-irow: 31;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 23.15pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 身份证号码： </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 32;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="148"> 家庭住址 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 189.05pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="5" width="252"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 81.05pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="3" width="108"> 分娩限价 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 72.4pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="97"> </td> </tr> <tr style="height: 19.5pt; mso-yfti-irow: 33;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 218.5pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="5" width="291"> 分娩方式�?正常�?span lang="en-us"> 阴道手术助产 剖宫�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 235.35pt; border-bottom: windowtext 1pt solid; height: 19.5pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="7" width="314"> 危重孕产妇：�?span lang="en-us"> 是（疾病�?span style="text-decoration: underline;">�?span lang="en-us"> �?/span> </td> </tr> <tr style="height: 1pt; mso-yfti-irow: 34;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 57.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" width="77"> 住院总费�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 78.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="105"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 82.5pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="110"> 农村孕产妇住院分娩补助金�?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="4" width="133"> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 新农合报销金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 1pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 36.35pt; mso-yfti-irow: 35; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 111.35pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="2" width="148"> 县项目办盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 107.15pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="3" width="143"> 医疗卫生机构盖章 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 99.9pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" rowspan="3" colspan="4" width="133"> 补助人或家属签名 �?span lang="en-us"> �?span lang="en-us"> �?/span> </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 补助及报销总额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 36.35pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 26.05pt; mso-yfti-irow: 36;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 26.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" colspan="2" width="116"> 自费项目金额 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 26.05pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 39.45pt; mso-yfti-irow: 37; mso-height-rule: exactly;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 86.85pt; border-bottom: windowtext 1pt solid; height: 39.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" colspan="2" width="116"> 个人付费合计 </td> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: #ece9d8; width: 48.6pt; border-bottom: windowtext 1pt solid; height: 39.45pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-height-rule: exactly; padding: 0cm;" width="65"> </td> </tr> <tr style="height: 19.85pt; mso-yfti-irow: 38; mso-yfti-lastrow: yes;"> <td style="border-right: windowtext 1pt solid; border-top: #ece9d8; border-left: windowtext 1pt solid; width: 453.85pt; border-bottom: windowtext 1pt solid; height: 19.85pt; background-color: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm;" colspan="12" width="605"> 注：此联由补助对象保存（第一联） </td> </tr> <tr> <td style="background-color: transparent; border: #ece9d8;" width="77"> </td> <td style="background-color: transparent; border: #ece9d8;" width="72"> </td> <td style="background-color: transparent; border: #ece9d8;" width="33"> </td> <td style="background-color: transparent; border: #ece9d8;" width="63"> </td> <td style="background-color: transparent; border: #ece9d8;" width="47"> </td> <td style="background-color: transparent; border: #ece9d8;" width="13"> </td> <td style="background-color: transparent; border: #ece9d8;" width="96"> </td> <td style="background-color: transparent; border: #ece9d8;" width="12"> </td> <td style="background-color: transparent; border: #ece9d8;" width="12"> </td> <td style="background-color: transparent; border: #ece9d8;" width="84"> </td> <td style="background-color: transparent; border: #ece9d8;" width="32"> </td> <td style="background-color: transparent; border: #ece9d8;" width="65"> </td> </tr> </tbody> </table> </div> 说明: 1．住院总费用：住院分娩的所有医药费用合计�?/span> 2．农村孕产妇住院分娩补助金额：本地区农村孕产妇住院分娩的人均财政补助金额�?/span> 3．新农合报销金额：按新型农村合作医疗制度规定给予报销的费用�?/span> 4．补助及报销总额：本地区农村孕产妇住院分娩的人均财政补助金额与按新型农村合作医疗制度规定给予报销的费用之和�?/span> 5．自费项目金额：在新型农村合作医疗制度报销范围之外的费用�?/span> 6．个人付费合计：个人承担的住院分娩费用�?/span> 7．表中逻辑关系�?/span> �?span lang="en-us">1）住院总费�?span lang="en-us">=农村孕产妇住院分娩补助金�?span lang="en-us">+新农合报销金额+个人付费合计�?/span> �?span lang="en-us">2）补助及报销总额=农村孕产妇住院分娩补助金�?span lang="en-us">+新农合报销金额�?/span> �?span lang="en-us">3）个人付费合�?span lang="en-us">=住院总费�?span lang="en-us">-补助及报销总额�?/span> </div> </div> <div class="f_tb"> <div class="f_tb_hr"> </div> <div class="fl"> 上一篇：<a href="/html/newsa201211068711120.html" title="会泽县开展消除麻风运动实施方�?>会泽县开展消除麻风运动实施方�?/a> 下一篇：<a href="/html/newsa201209049863847.html" title="会泽�?012年新型农村合作医疗实施方�?>会泽�?012年新型农村合作医疗实</a> </div> </div> </div> </div> <div class="red_line w"></div> <div class="foot w"> 主办：中共会泽县委员�?承办：会泽县党务公开领导小组办公�?技术支持：曲靖市建功星有限责任公司 建议使用Internet Explorer 6.0或以�?, 1024×768分辨率浏览本网站 </div> <script type="text/javascript" src="/tongji.js"></script></body> </html>