837
| ID | 837 |
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| Data | 2012-05-15 |
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| Symbol | 2012/05/15/837 |
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| Instytucja | Minister Zdrowia |
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| Nazwa | Sprawozdanie o leczonych w poradni gruźlicy i chorób płuc |
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| Czy Aktualny | 1 |
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Ustawy (1)
| URI://Dziennik_Ustaw/2011/83/453/2a/17/8 | ROZPORZĄDZENIE PREZESA RADY MINISTRÓW z dnia 1 kwietnia 2011 r.
w sprawie określenia wzorów formularzy sprawozdawczych, objaśnień co do sposobu ich wypełniania oraz wzorów kwestionariuszy i ankiet statystycznych stosowanych w badaniach statystycznych... |
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Pliki
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<?xml version="1.0" encoding="UTF-8"?><xsl:stylesheet xmlns:xsl="http://www.w3.org/1999/XSL/Transform" version="1.0" xmlns:adr="http://crd.gov.pl/xml/schematy/adres/2009/11/09/" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:inst="http://crd.gov.pl/xml/schematy/instytucja/2009/11/16/" xmlns:meta="http://crd.gov.pl/xml/schematy/meta/2009/11/16/" xmlns:oso="http://crd.gov.pl/xml/schematy/osoba/2009/11/16/" xmlns:str="http://crd.gov.pl/xml/schematy/struktura/2009/11/16/" xmlns:wnio="http://crd.gov.pl/wzor/2012/05/15/837/" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><xsl:template match="/"><xsl:for-each select="wnio:Dokument"><html xmlns="http://www.w3.org/1999/xhtml"><head/><body> <table width="860" cellspacing="0" cellpadding="0" border="1" style="margin-left: 6pt; border-collapse: collapse; border: 1px none; height: 424px;"><tbody><tr><td width="718" valign="top" colspan="6" style="width: 538.7pt; border-width: 1.5pt 1.5pt 1pt; border-style: solid; border-color: windowtext windowtext black; -moz-border-top-colors: none; -moz-border-right-colors: none; -moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-image: none; padding: 0cm 6pt;"><p class="MsoNormal"><span style="font-size: 10pt">MINISTERSTWO ZDROWIA</span></p><p class="MsoNormal" style="margin-left: 360pt; text-indent: -360pt"><span style="font-size: 10pt">CENTRUM SYSTEMÓW INFORMACYJNYCH OCHRONY ZDROWIA<span> </span></span></p></td><td width="0" style="border: medium none;"><p class="MsoNormal"> </p></td></tr><tr style="page-break-inside: avoid;"><td width="208" valign="top" colspan="2" style="width: 155.9pt; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: -moz-use-text-color black black windowtext; padding: 0cm 6pt;"><p class="MsoNormal"><font size="1" face="times new roman,times"><span style="font-size: 10pt">Nazwa jednostki sprawozdawczej</span></font></p><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID0"/></span></xsl:if></span></p><p class="MsoNormal"><font size="2" face="times new roman,times">Adres jednostki sprawozdawczej</font></p><p class="MsoNormal" style="margin-bottom: 2.9pt"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID1"/></span></xsl:if></span> <span style="font-size: 10pt"><br/></span></p></td><td width="295" valign="top" colspan="2" rowspan="3" style="width: 221.1pt; border-width: medium 1pt 1.5pt medium; border-style: none solid solid none; border-color: -moz-use-text-color black black -moz-use-text-color; padding: 0cm 6pt;"><p align="center" class="MsoNormal" style="text-align: center"><strong><span style="font-size: 10pt">MZ-13</span></strong></p><p align="center" class="MsoNormal" style="text-align: center"><strong><span style="font-size: 10pt"> </span></strong></p><p align="center" class="MsoNormal" style="text-align: center"><strong><span style="font-size: 10pt">Roczne</span></strong></p> <p align="center" class="MsoNormal" style="text-align: center"><strong><span style="font-size: 10pt">sprawozdanie o leczonych</span></strong></p><p align="center" class="MsoNormal" style="text-align: center"><strong><span style="font-size: 10pt">w poradni</span></strong></p> <p align="center" class="MsoNormal" style="text-align: center"><strong><span style="font-size: 10pt">gruźlicy i chorób płuc</span></strong></p><p align="center" class="MsoNormal" style="margin-bottom: 2.9pt; text-align: center"><strong><span style="font-size: 10pt"> </span></strong></p></td><td width="216" valign="top" colspan="2" rowspan="2" style="width: 161.7pt; border-width: medium 1.5pt 1pt medium; border-style: none solid solid none; border-color: -moz-use-text-color windowtext black -moz-use-text-color; padding: 0cm 6pt;"><p class="MsoNormal" style="margin-bottom: 2.9pt"><strong><span style="font-size: 10pt">Adresat:</span></strong></p><p class="MsoNormal" style="margin-bottom: 2.9pt"><strong><span style="font-size: 10pt">Centrum Systemów Informacyjnych Ochrony Zdrowia</span></strong></p><p class="MsoNormal" style="margin-bottom: 2.9pt"><strong><span style="font-size: 10pt">Ul. Stanisława Dubois 5A</span></strong></p><p class="MsoNormal" style="margin-bottom: 2.9pt"><strong><span style="font-size: 10pt">00-184 Warszawa</span></strong></p></td><td width="0" style="border: medium none;"><p class="MsoNormal"> </p></td></tr><tr style="page-break-inside: avoid; height: 14.4pt;"><td width="208" valign="top" colspan="2" rowspan="2" style="width: 155.9pt; border-width: medium 1pt 1.5pt 1.5pt; border-style: none solid solid; border-color: -moz-use-text-color black black windowtext; padding: 0cm 6pt; height: 14.4pt;"><p class="MsoNormal" style="margin-bottom: 2.9pt"><span style="font-size: 10pt">Numer identyfikacyjny REGON</span></p><p class="MsoNormal" style="margin-bottom: 2.9pt"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID2"/></span></xsl:if></span> <span style="font-size: 10pt"><br/></span></p></td><td width="0" height="19" style="height: 14.4pt; border: medium none;"> </td></tr><tr style="page-break-inside: avoid;"><td width="216" colspan="2" style="width: 161.7pt; border-width: medium 1.5pt 1.5pt medium; border-style: none solid solid none; border-color: -moz-use-text-color windowtext black -moz-use-text-color; padding: 0cm 6pt;"><p class="MsoNormal" style="margin-bottom: 2.9pt"><span style="font-size: 10pt">Przekazać do dnia 28 lutego 2012 r. z danymi za rok 2011</span></p></td><td width="0" style="border: medium none;"><p class="MsoNormal"> </p></td></tr><tr style="page-break-inside: avoid;"><td width="113" rowspan="2" style="width: 3cm; border-width: medium medium 1.5pt 1.5pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p class="MsoNormal"><span style="font-size: 10pt">KOD RESORTOWY</span></p></td><td width="161" valign="top" colspan="2" style="width: 120.5pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID3"/></span></xsl:if></span><sup><span style="font-size: 9pt"><br/></span></sup></p></td><td width="161" valign="top" style="width: 120.5pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><sup><span style="font-size: 9pt"> </span></sup><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID4"/></span></xsl:if></span></p></td><td width="142" valign="top" style="width: 106.3pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><sup><span style="font-size: 9pt"> </span></sup><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID5"/></span></xsl:if></span></p></td><td width="142" valign="bottom" style="width: 106.3pt; border-width: medium 1.5pt 1pt 1pt; border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID6"/></span></xsl:if></span> <span style="font-size: 9pt"><br/></span></p></td><td width="0" style="border: medium none;"><p class="MsoNormal"> </p></td></tr><tr style="page-break-inside: avoid;"><td width="161" colspan="2" style="width: 120.5pt; border-width: medium medium 1.5pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><font size="1" face="times new roman,times"><span style="font-size: 10pt">miejsce położenia zakładu (część II –TERYT)</span></font></p></td><td width="161" style="width: 120.5pt; border-width: medium medium 1.5pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><font size="1" face="times new roman,times"><span style="font-size: 10pt">kod podmiotu, który utworzył zakład<span> </span> (część III)</span></font></p></td><td width="142" style="width: 106.3pt; border-width: medium medium 1.5pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><font size="1" face="times new roman,times"><span style="font-size: 10pt">kod jednostki organizacyjnej</span></font><font size="1" face="times new roman,times"><span style="font-size: 10pt">(część V)</span></font></p></td><td width="142" style="width: 106.3pt; border-width: medium 1.5pt 1.5pt 1pt; border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; padding: 0cm 3.5pt;"><p align="center" class="MsoNormal" style="text-align: center"><font size="1" face="times new roman,times"><span style="font-size: 10pt">nr. księgi rejestrowej</span></font></p></td><td width="0" style="border: medium none;"><p class="MsoNormal"> </p></td></tr><tr height="0"><td width="113" style="border: medium none;"> </td><td width="94" style="border: medium none;"> </td><td width="66" style="border: medium none;"> </td><td width="161" style="border: medium none;"> </td><td width="74" style="border: medium none;"> </td><td width="142" style="border: medium none;"> </td><td width="0" style="border: medium none;"><p class="MsoNormal"> </p></td></tr></tbody></table><p class="MsoNormal"><span style="font-size: 10pt"> </span><strong><span style="font-size: 10pt">Dział I. Zarejestrowani w poradni/gabinecie specjalistycznym chorób płuc i gruźlicy</span></strong></p><table width="865" cellspacing="0" cellpadding="0" border="2" style="border-collapse: collapse; border: 2px solid rgb(0, 0, 0); height: 742px;"><tbody><tr><td valign="middle" align="center" colspan="3" rowspan="2" style="width: 203px; border-width: 1px; border-style: none solid solid; border-color: rgb(0, 0, 0); padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">Wyszczególnienie</span></p></td><td valign="middle" align="center" rowspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">Osoby zarejestrowane</span></p><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">(stan w dniu</span></p><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">31.12 roku ubiegłego)</span></p></td><td valign="middle" align="center" rowspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">Osoby nowo zarejestrowane</span></p><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt"><span> </span>w roku sprawozdawczym</span></p></td><td valign="middle" align="center" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">Skreśleni z ewidencji w roku sprawozdawczym</span></p></td><td valign="middle" align="center" rowspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">Osoby zarejestrowane</span></p><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">(stan w dniu</span></p><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt"><span> </span>31.12 roku sprawozdawczego)</span></p></td></tr><tr><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">razem</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">w tym</span></p><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">z powodu zgonu</span></p></td></tr><tr><td valign="middle" align="center" colspan="3" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">00</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">01</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">02</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">03</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">04</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">05</span></p></td></tr><tr><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">gruźlica płuc potwierdzona bakteriologicznie</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">01</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID7"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID8"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID45"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID46"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID47"/></span></xsl:if></span></p></td></tr><tr style="height: 22.7pt;"><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">w tym chronicy</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">02</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID9"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID10"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID48"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID49"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID50"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">gruźlica płuc niepotwierdzona bakteriologicznie</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">03</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID11"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID12"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID51"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID52"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID53"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">Razem gruźlica płuc (w. 01+03)</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">04</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID13"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID14"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID54"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID55"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID56"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">gruźlica pozapłucna potwierdzona bakteriologicznie</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">05</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID15"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID16"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID57"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID58"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID59"/></span></xsl:if></span> <span style="font-size: 10pt"><br/></span></p></td></tr><tr><td valign="middle" align="center" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">gruźlica pozapłucna niepotwierdzona bakteriologicznie</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">06</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID17"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID18"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID60"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID61"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID62"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">Razem gruźlica pozapłucna<br/> (w. 05+06)</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">07</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID19"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID20"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID63"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID64"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID65"/></span></xsl:if></span></p></td></tr><tr style="height: 22.7pt;"><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">Gruźlica ogółem (04+07)</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">08</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID21"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID22"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID66"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID67"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID68"/></span></xsl:if></span></p></td></tr><tr style="height: 22.7pt;"><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">Lekooporni ogółem</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">09</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID23"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID24"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID69"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID70"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID71"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">w tym wielolekooporni (INH+RMP)</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">10</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID25"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID26"/></span></xsl:if></span><span style="font-size: 10pt"> </span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID72"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID73"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID74"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="center" rowspan="4" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="margin: 0cm 5.65pt 0.0001pt; text-align: center"><span style="font-size: 10pt">Osoby ze zwiększonym ryzykiem zachorowania</span></p></td><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal" style="margin-right: -2.85pt"><span style="font-size: 10pt">styczność z gruźlicą prątkującą</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">11</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID27"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID28"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID75"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID76"/></span></xsl:if></span></p></td></tr><tr style="height: 19.85pt;"><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">wzmożony OT</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">12</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID29"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID30"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID77"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID78"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">drobne zmiany włókniste</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">13</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID31"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID32"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID79"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID80"/></span></xsl:if></span></p></td></tr><tr style="height: 22.7pt;"><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal" style="margin-right: -2.85pt"><span style="font-size: 10pt">inne kliniczne/społeczne</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">14</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID33"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID34"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID81"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID82"/></span></xsl:if></span></p></td></tr><tr style="height: 22.7pt;"><td valign="middle" align="center" rowspan="4" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="margin: 0cm 5.65pt 0.0001pt; text-align: center"><span style="font-size: 10pt">Inne choroby układu oddechowego</span></p></td><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">POCHP</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">15</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID35"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID36"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID83"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID84"/></span></xsl:if></span></p></td></tr><tr style="height: 22.7pt;"><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">astma</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">16</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID37"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID38"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID85"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID86"/></span></xsl:if></span></p></td></tr><tr><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">nowotwory układu oddechowego</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">17</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID39"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID40"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID87"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID88"/></span></xsl:if></span></p></td></tr><tr style="height: 19.85pt;"><td valign="middle" align="left" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">inne</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">18</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID41"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID42"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID89"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">x</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID90"/></span></xsl:if></span></p></td></tr><tr style="height: 19.85pt;"><td valign="middle" align="left" colspan="2" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt">Ogółem w. 08+(w. 11 do w. 18)</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p align="center" class="MsoNormal" style="text-align: center"><span style="font-size: 10pt">19</span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID43"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID44"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID91"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID93"/></span></xsl:if></span></p></td><td valign="middle" align="center" style="width: 203px; border-width: medium 1pt 1pt 1.5pt; border-style: none solid solid; border-color: windowtext; padding: 0cm 5.4pt;"><p class="MsoNormal"><span style="font-size: 10pt"> </span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID92"/></span></xsl:if></span></p></td></tr></tbody></table><p class="MsoNormal"> </p><table width="283" border="1" style="border-color: rgb(0, 0, 0); border-width: 1px; border-style: solid; height: 84px;"><tbody><tr><td colspan="2" style="border-style: solid; border-width: 1px;">Dane osob, która sprządziła sprawozdanie</td></tr><tr><td>Imię<br/></td><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID94"/></span></xsl:if></span></td></tr><tr><td>Nazwisko<br/></td><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID95"/></span></xsl:if></span></td></tr><tr><td>Telefon<br/></td><td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ID96"/></span></xsl:if></span></td></tr></tbody></table><p class="MsoNormal"> </p></body></html></xsl:for-each></xsl:template></xsl:stylesheet>