<div>&#160;</div>
<div style="margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="center"><span style="font-size: 16pt"><strong><font face="宋体">信息系统需求确诊单</font></strong></span></div>
<div align="center">&#160;</div>
<div align="center">
<table class="xdLayout" tabindex="65535" border="1" bordercolor="#ffffff" style="border-bottom: medium none; border-left: medium none; width: 693px; border-collapse: collapse; word-wrap: break-word; table-layout: fixed; border-top: medium none; border-right: medium none">
    <colgroup><col style="width: 99px" /><col style="width: 99px" /><col style="width: 99px" /><col style="width: 99px" /><col style="width: 99px" /><col style="width: 99px" /><col style="width: 99px" /></colgroup>
    <tbody valign="top">
        <tr style="min-height: 40px">
            <td style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font face="宋体"><span><font face="宋体" style="font-size: 10.5pt">
            <div align="center"><font face="宋体" style="font-size: 10.5pt"><span style="font-size: 10.5pt"><font face="宋体">经办人</font></span></font></div>
            </font></span></font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div>
            <div>{DATA_4}</div>
            </div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div>
            <div align="center"><font face="宋体" style="font-size: 10.5pt"><span style="font-size: 10.5pt"><font face="宋体">日期</font></span></font></div>
            </div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font face="宋体" style="font-size: 10.5pt"><span style="font-size: 10.5pt"><font face="宋体">
            <div>{DATA_5}</div>
            </font></span></font></div>
            </td>
            <td style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div>
            <div align="center"><font face="宋体" style="font-size: 10.5pt"><span style="font-size: 10.5pt"><font face="宋体">版本号</font></span></font></div>
            </div>
            </td>
            <td colspan="2" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: #000000 2.25pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div>{DATA_6}</div>
            </td>
        </tr>
        <tr style="min-height: 40px">
            <td style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: black 1pt solid; padding-top: 1px">
            <div align="center"><font face="宋体" style="font-size: 10.5pt"><span style="font-size: 10.5pt"><font face="宋体">上线日期</font></span></font></div>
            </td>
            <td colspan="6" style="border-bottom: black 1pt solid; border-left: black 1pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: middle; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div>{DATA_7}{OTHER_1}</div>
            </td>
        </tr>
        <tr style="min-height: 100px">
            <td colspan="7" style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify"><font face="宋体">需求内容：</font></div>
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify">{DATA_8}</div>
            </td>
        </tr>
        <tr style="min-height: 100px">
            <td colspan="7" style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify"><font face="宋体">业务部门意见：</font></div>
            <div style="text-align: right; line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt">{DATA_9}<span style="font-size: 10.5pt"><font face="宋体">签字：{DATA_14}</font></span></div>
            </td>
        </tr>
        <tr style="min-height: 100px">
            <td colspan="7" style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify"><font face="宋体">业务主管主任意见：</font></div>
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify">{DATA_10}</div>
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="right"><span style="font-size: 10.5pt"><font face="宋体">签字：{DATA_15}</font></span></div>
            </td>
        </tr>
        <tr style="min-height: 100px">
            <td colspan="7" style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="line-height: 1.5"><font face="宋体" style="font-size: 10.5pt"><span style="font-size: 10.5pt"><font face="宋体">信息部负责人意见：</font></span></font></div>
            <div style="line-height: 1.5">{DATA_11}</div>
            <div style="line-height: 1.5" align="right"><font face="宋体" style="font-size: 10.5pt"><span style="font-size: 10.5pt"><span style="font-size: 10.5pt"><font face="宋体">签字：{DATA_16}</font></span></span></font></div>
            </td>
        </tr>
        <tr style="min-height: 100px">
            <td colspan="7" style="border-bottom: black 1pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify"><font face="宋体">信息部主管主任意见：</font></div>
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify">{DATA_12}</div>
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="right"><span style="font-size: 10.5pt"><font face="宋体">签字：{DATA_17}</font></span></div>
            </td>
        </tr>
        <tr style="min-height: 100px">
            <td colspan="7" style="border-bottom: #000000 2.25pt solid; border-left: #000000 2.25pt solid; padding-bottom: 1px; padding-left: 1px; padding-right: 1px; vertical-align: top; border-top: black 1pt solid; border-right: #000000 2.25pt solid; padding-top: 1px">
            <div style="line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt" align="justify"><font face="宋体">中心主任意见：<br />
            {DATA_13}<br />
            </font></div>
            <div style="text-align: right; line-height: 1.5; margin-top: 0cm; padding-left: 0cm; padding-right: 0cm; margin-bottom: 0pt; font-size: 10.5pt"><font face="宋体">签字：{DATA_18}</font></div>
            </td>
        </tr>
    </tbody>
</table>
</div>