physical.html.html
2.7 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta name="viewport" content="width=device-width,initial-scale=1,maximum-scale=1,minimum-scale=1,user-scalable=no">
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<link rel="stylesheet" type="text/css" href="css/base.css" />
<link rel="stylesheet" type="text/css" href="css/style.css" />
<link href="css/common.css" rel="stylesheet" type="text/css" />
<link rel="stylesheet" type="text/css" href="css/tanchu.css" />
<script src="js/base.js" type="text/javascript" charset="utf-8"></script>
<script type="text/javascript" src="js/jquery-1.9.1.js" ></script>
<script type="text/javascript" src="js/date.js" ></script>
<script type="text/javascript" src="js/iscroll.js" ></script>
<script type="text/javascript">
$(function(){
$('#beginTime').date();
$('#endTime').date({theme:"datetime"});
});
</script>
<title>新增体检报告</title>
</head>
<body>
<div style="background-color:#fff;">
<div class="perheader center">
<div class="left perback"><a href="#" onClick="javascript:history.back(-1);"><img src="images/care_03.jpg"/></a></div>
<div class="bloodtext">新增体检报告</div>
</div>
</div>
<form action="#">
<div class="perpart1">
<div id="datePlugin"></div>
<div class="phyp"><span>体检日期</span><span class="right"><input type="text" id="beginTime" placeholder="日期" /><img src="images/pergo_03.jpg"/></span></div>
<div class="phyp"><span>体检名称</span><span class="right"><input type="text" class="select-value25" placeholder="名称" /><img src="images/pergo_03.jpg"/></span></div>
<div class="phyp"><span>体检机构</span><span class="right"><input type="text" class="select-value16" placeholder="慈界医养" /><img src="images/pergo_03.jpg"/></span></div>
<div style="height:0.05rem; background-color:#f5f5f5;"></div>
<div class="phyp"><span>具体描述</span></div>
<div class="phyarea">
<img src="images/phyarea_03.jpg" class="areaimg1" style="width:0.44rem;"/>
<textarea rows="3" cols="20" class="pharea" placeholder="请您详细描述客观情况，以便更好为您提供分析解读服务。（最多支持输入200字）"></textarea>
</div>
<div style="height:0.05rem; background-color:#f5f5f5;"></div>
<div class="phyp"><span>上传照片或扫描报告</span></div>
<div class="phyimg"><a href="#"><img src="images/phy_03.png"/></a><a href="#"><img src="images/phy_05.png"/></a></div>
</div>
<div><button type="button" class="phybut"/>保存</div>
</form>
<script src="js/per.js"></script><div class="mPicker hide"><div class="mPicker-mask hide"></div></div>
</body>