117 lines
3.1 KiB
HTML
117 lines
3.1 KiB
HTML
<!DOCTYPE html>
|
||
<html lang="cs">
|
||
<head>
|
||
<title>Odeslání vyúčtování | Elektronická přepážka</title>
|
||
<meta http-equiv="Content-Language" content="cs" />
|
||
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
|
||
<style type="text/css" media="screen,projection,print">
|
||
body {margin: 0; padding: 0; font-size: 70%; text-align: left;}
|
||
* {font-family: "arial ce", arial, sans-serif; color: #555555;}
|
||
.main {width: 600px; margin: 0 auto; background: #fff; text-align: left; padding: 0 20px;}
|
||
.top h1 {font-size: 140%; width: 160px; height: 42px; overflow: hidden; text-decoration: none;}
|
||
.top h1 span {visibility: hidden;}
|
||
.top h2 {font-size: 160%;color: #B60606; padding: 0px; margin: 15px 0 0 0;}
|
||
.left {float: left;}
|
||
.right {float: right;}
|
||
.content table {font-size: 100%; margin: 0; padding: 0; border-spacing: 0; border-collapse: collapse; width: 100%;}
|
||
.content table th, .content table td {text-align: left; padding: 4px; border: 1px solid black;}
|
||
.content table th {color: white; background-color: black;}
|
||
.cleaner {clear: both;}
|
||
</style>
|
||
</head>
|
||
<body>
|
||
<div class="main">
|
||
<div class="top">
|
||
<div class="left">
|
||
<h1>
|
||
<img src="https://portal.cpzp.cz/img/logo-prot-cpzp.gif" alt="Logo ČPZP"/>
|
||
<span>Česká průmyslová<br/> zdravotní pojišťovna</span>
|
||
</h1>
|
||
</div>
|
||
<div class="right">
|
||
<h2>Odeslání vyúčtování</h2>
|
||
01.04.2026 10:35
|
||
</div>
|
||
<div class="cleaner"></div>
|
||
</div>
|
||
<div class="content">
|
||
Odeslání vyúčtování bylo přijato pod referenčním číslem: 26262675
|
||
<br /><br />
|
||
<div class="data">
|
||
<h2>Obsah nahraných dávek</h2>
|
||
<br>
|
||
<h2>FDAVKA</h2>
|
||
<table>
|
||
<tr>
|
||
<th>IČZ</th>
|
||
<th>IČO</th>
|
||
<th style="text-align: right;">Rok</th>
|
||
<th style="text-align: right;">Měsíc</th>
|
||
<th>Číslo faktury</th>
|
||
<th>Datum vystavení</th>
|
||
<th>Počet dávek</th>
|
||
<th style="text-align: right;">Fakturovaná částka (Kč)</th>
|
||
<th>Paušál / Kapitace</th>
|
||
<th>Částka za paušál / kapitaci</th>
|
||
</tr>
|
||
<tr>
|
||
<td>09305000</td>
|
||
<td>68366370</td>
|
||
<td style="text-align: right;">2025</td>
|
||
<td style="text-align: right;">12</td>
|
||
<td>260032</td>
|
||
<td>01.04.2026</td>
|
||
<td>1</td>
|
||
<td style="text-align: right;">2 528,99 Kč</td>
|
||
<td>Není</td>
|
||
<td>0,00Kč</td>
|
||
</tr>
|
||
</table>
|
||
|
||
<br>
|
||
<h2>KDAVKA</h2>
|
||
<table>
|
||
<tr>
|
||
<th>Charakter</th>
|
||
<th>Typ</th>
|
||
<th>IČZ</th>
|
||
<th style="text-align: right;">Rok</th>
|
||
<th style="text-align: right;">Měsíc</th>
|
||
<th style="text-align: right;">Číslo<br>dávky</th>
|
||
<th style="text-align: right;">Počet<br>dokladů</th>
|
||
<th style="text-align: right;">Body</th>
|
||
<th style="text-align: right;">Kč/mat.</th>
|
||
</tr>
|
||
<tr>
|
||
<td>P</td>
|
||
<td>98</td>
|
||
<td>09305000</td>
|
||
<td style="text-align: right;">2025</td>
|
||
<td style="text-align: right;">12</td>
|
||
<td style="text-align: right;">20</td>
|
||
<td style="text-align: right;">1</td>
|
||
<td style="text-align: right;">2 019</td>
|
||
<td style="text-align: right;">0,00 Kč</td>
|
||
</tr>
|
||
|
||
</table>
|
||
|
||
<br><hr><br>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="cleaner"></div>
|
||
<br>
|
||
<div class="footer right">
|
||
Uživatel: Michaela Buzalková (UID: 1015608)
|
||
</div>
|
||
<div class="cleaner"></div>
|
||
</div>
|
||
<div style="display: none;">
|
||
</div>
|
||
|
||
<div id="signedDataBase64" style="display: none;"></div>
|
||
<div id="serverSignature" style="display: none;"></div>
|
||
</body>
|
||
</html>
|