117 lines
3.1 KiB
HTML
117 lines
3.1 KiB
HTML
<!DOCTYPE html>
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<html lang="cs">
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<head>
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<title>Odeslání vyúčtování | Elektronická přepážka</title>
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<meta http-equiv="Content-Language" content="cs" />
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<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
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<style type="text/css" media="screen,projection,print">
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body {margin: 0; padding: 0; font-size: 70%; text-align: left;}
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* {font-family: "arial ce", arial, sans-serif; color: #555555;}
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.main {width: 600px; margin: 0 auto; background: #fff; text-align: left; padding: 0 20px;}
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.top h1 {font-size: 140%; width: 160px; height: 42px; overflow: hidden; text-decoration: none;}
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.top h1 span {visibility: hidden;}
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.top h2 {font-size: 160%;color: #B60606; padding: 0px; margin: 15px 0 0 0;}
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.left {float: left;}
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.right {float: right;}
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.content table {font-size: 100%; margin: 0; padding: 0; border-spacing: 0; border-collapse: collapse; width: 100%;}
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.content table th, .content table td {text-align: left; padding: 4px; border: 1px solid black;}
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.content table th {color: white; background-color: black;}
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.cleaner {clear: both;}
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</style>
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</head>
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<body>
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<div class="main">
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<div class="top">
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<div class="left">
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<h1>
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<img src="https://portal.cpzp.cz/img/logo-prot-cpzp.gif" alt="Logo ČPZP"/>
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<span>Česká průmyslová<br/> zdravotní pojišťovna</span>
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</h1>
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</div>
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<div class="right">
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<h2>Odeslání vyúčtování</h2>
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01.04.2026 22:05
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</div>
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<div class="cleaner"></div>
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</div>
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<div class="content">
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Odeslání vyúčtování bylo přijato pod referenčním číslem: 26274350
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<br /><br />
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<div class="data">
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<h2>Obsah nahraných dávek</h2>
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<br>
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<h2>FDAVKA</h2>
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<table>
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<tr>
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<th>IČZ</th>
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<th>IČO</th>
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<th style="text-align: right;">Rok</th>
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<th style="text-align: right;">Měsíc</th>
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<th>Číslo faktury</th>
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<th>Datum vystavení</th>
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<th>Počet dávek</th>
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<th style="text-align: right;">Fakturovaná částka (Kč)</th>
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<th>Paušál / Kapitace</th>
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<th>Částka za paušál / kapitaci</th>
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</tr>
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<tr>
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<td>09305000</td>
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<td>68366370</td>
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<td style="text-align: right;">2026</td>
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<td style="text-align: right;">03</td>
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<td>260036</td>
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<td>01.04.2026</td>
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<td>1</td>
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<td style="text-align: right;">2 558,93 Kč</td>
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<td>Kapitace</td>
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<td>1 817,44Kč</td>
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</tr>
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</table>
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<br>
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<h2>KDAVKA</h2>
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<table>
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<tr>
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<th>Charakter</th>
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<th>Typ</th>
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<th>IČZ</th>
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<th style="text-align: right;">Rok</th>
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<th style="text-align: right;">Měsíc</th>
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<th style="text-align: right;">Číslo<br>dávky</th>
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<th style="text-align: right;">Počet<br>dokladů</th>
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<th style="text-align: right;">Body</th>
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<th style="text-align: right;">Kč/mat.</th>
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</tr>
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<tr>
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<td>P</td>
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<td>98</td>
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<td>09305000</td>
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<td style="text-align: right;">2026</td>
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<td style="text-align: right;">3</td>
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<td style="text-align: right;">4</td>
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<td style="text-align: right;">6</td>
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<td style="text-align: right;">624</td>
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<td style="text-align: right;">12,22 Kč</td>
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</tr>
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</table>
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<br><hr><br>
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</div>
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</div>
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<div class="cleaner"></div>
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<br>
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<div class="footer right">
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Uživatel: Michaela Buzalková (UID: 1015608)
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</div>
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<div class="cleaner"></div>
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</div>
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<div style="display: none;">
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</div>
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<div id="signedDataBase64" style="display: none;"></div>
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<div id="serverSignature" style="display: none;"></div>
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</body>
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</html>
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