ВЕДОМОСТЬ-РАСШИФРОВКА ИЗДЕРЖЕК ОБРАЩЕНИЯ ПО РАЗНЫМ ЖУРНАЛАМ-ОРДЕРАМ


Утверждена
Приказом Министерства
здравоохранения СССР
от 31 марта 1987 г. No. 468
ВЕДОМОСТЬ-РАСШИФРОВКА ИЗДЕРЖЕК
ОБРАЩЕНИЯ ПО РАЗНЫМ ЖУРНАЛАМ-ОРДЕРАМ
ЗА ____________ М-Ц 19__ Г. ПО ЦБ _________ Р-НА
Приложение 2 к ж/о No. 2
------T---T------T------T------T------T------T------T------T------T------T------T------T------T------T-----------------------------------------T-----¬
¦ NNo.¦No.¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ ст. _____ ¦Итого¦
¦аптек¦ж/о+------+------+------+------+------+------+------+------+------+------+------+------+------+------T------T------T------T------T------+ ¦
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ст. __¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ 1 ¦ 2 ¦ 3 ¦ 4 ¦ 5 ¦ 6 ¦ 7 ¦ 8 ¦ 9 ¦ 10 ¦ 11 ¦ 12 ¦ 13 ¦ 14 ¦ 15 ¦ 16 ¦ 17 ¦ 18 ¦ 19 ¦ 20 ¦ 21 ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦Итого¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦Итого¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦Итого¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
¦по +---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦стр. ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+-----+
¦Всего¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
L-----+---+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------+------
Главный бухгалтер __________ Исполнитель ___________
(подпись) (подпись)

ТАБЛИЦА УЧЕТА ПРОДАННЫХ БИЛЕТОВ (ПРИ УЧАСТКОВОМ ТАРИФЕ). ФОРМА no. 14  »
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