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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1,user-scalable=no">
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<title>我要转诊</title>
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<script src="__TMPL__/public/assets/js/fontsize.js"></script>
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<link rel="stylesheet" href="__TMPL__/public/assets/css/init.css">
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<link rel="stylesheet" href="__TMPL__/public/assets/css/swiper-3.4.2.min.css">
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<link rel="stylesheet" href="http://at.alicdn.com/t/font_793738_tlxymah92x.css">
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<link rel="stylesheet" href="__TMPL__/public/assets/css/weui.css">
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<link rel="stylesheet" href="__TMPL__/public/assets/css/myweui.css">
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<link rel="stylesheet" href="__TMPL__/public/assets/css/referralModule.css">
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<link rel="stylesheet" href="__TMPL__/public/assets/css/comment.css">
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</head>
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<body>
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<div class="container">
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<div class="inquary_box">
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<div class="content_item">
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<!--<div class="tab_title">接诊信息(同意转诊时需要填写此表单)</div>-->
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<div class="info_box">
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<div class="info_item">
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<div class="title">
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<text>姓名</text>
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</div>
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<div class="info_input"><input class="" type="text" placeholder="请填写姓名" id="user_name"></div>
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</div>
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<div class="info_item sex_type">
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<div class="title">
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<text>性别</text>
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</div>
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<div class="info_input"><input class="sex_value" type="text" placeholder="请选择性别" readonly onfocus="this.focus()" id="user_sex">
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<text class="iconfont icon-xiala"></text>
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</div>
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</div>
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<div class="info_item">
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<div class="title">
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<text>年龄</text>
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</div>
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<div class="info_input"><input class="" type="number" placeholder="请填写年龄" id="user_age"></div>
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</div>
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<div class="info_item">
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<div class="title">
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<text>地址</text>
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</div>
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<div class="info_input"><input class="" type="text" placeholder="请填写地址" id="user_address"></div>
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</div>
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<div class="info_item inquiry_type">
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<div class="title">
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<text>疾病分类</text>
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</div>
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<div class="info_input"><input class="inquiry_value" type="text" placeholder="请选择疾病种类" readonly onfocus="this.focus()" id="disease_type">
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<text class="iconfont icon-xiala"></text>
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</div>
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</div>
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<div class="info_item expert">
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<div class="title">
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<text>转诊专家</text>
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</div>
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<div class="info_input"><input class="expert_value" type="text" placeholder="请选择转诊专家" readonly onfocus="this.focus()" id="expert">
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<text class="iconfont icon-xiala"></text>
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</div>
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</div>
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<div class="info_item" >
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<div class="title" data-id="1">
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<text>临床表现</text>
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<text class="iconfont icon-huatong voice_btn"></text>
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<text class="iconfont icon-tianxie"></text>
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</div>
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<div class="textarea_box">
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<textarea class="area" type="text" placeholder="请输入临床表现" maxlength="1000" id="behavior"></textarea>
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<p class="text_num"><span class="text-count">0</span>/1000</p>
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</div>
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<div class="voice_module" video-id="1">
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<div class="voice_box voice_third">
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<div class="voice_item">
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<text class="iconfont icon-luyin voice_icon"></text>
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<text class="voice_font luyin">点击图标可播放 时长:10秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao"></text>
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<text class="iconfont icon-tianjia add_voice"></text>
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</div>
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</div>
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<div class="voice_box voice_second">
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<div class="voice_item">
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<text class="iconfont icon-luying_ongoing voice_icon"></text>
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<text class="voice_font luying_ongoing">正在播放 10秒/60秒</text>
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</div>
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</div>
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<div class="voice_list">
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<div class="voice_box voice_first">
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<div class="voice_item">
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<text class="iconfont icon-huatong mike voice_icon"></text>
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<text class="voice_font huatong">点击图标开始语音语音最长60秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao icon_cancle"></text>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="info_item">
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<div class="title" data-id="2">
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<text>已做检查</text>
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<text class="iconfont icon-huatong voice_btn"></text>
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<text class="iconfont icon-tianxie"></text>
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</div>
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<div class="textarea_box">
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<textarea class="area" type="text" placeholder="请输入你已做的检查 " maxlength="1000" id="examination"></textarea>
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<p class="text_num"><span class="text-count">0</span>/1000</p>
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</div>
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<div class="voice_module" video-id="2">
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<div class="voice_box voice_third">
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<div class="voice_item">
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<text class="iconfont icon-luyin voice_icon"></text>
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<text class="voice_font luyin">点击图标可播放 时长:10秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao"></text>
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<text class="iconfont icon-tianjia add_voice"></text>
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</div>
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</div>
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<div class="voice_box voice_second">
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<div class="voice_item">
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<text class="iconfont icon-luying_ongoing voice_icon"></text>
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<text class="voice_font luying_ongoing">正在播放 10秒/60秒</text>
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</div>
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</div>
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<div class="voice_list">
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<div class="voice_box voice_first">
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<div class="voice_item">
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<text class="iconfont icon-huatong mike voice_icon"></text>
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<text class="voice_font huatong">点击图标开始语音语音最长60秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao icon_cancle"></text>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="info_item">
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<div class="title" data-id="3">
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<text>目前诊断</text>
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<text class="iconfont icon-huatong voice_btn"></text>
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<text class="iconfont icon-tianxie"></text>
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</div>
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<div class="textarea_box">
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<textarea class="area" type="text" placeholder="请输入目前诊断" maxlength="1000" id="diagnosis"></textarea>
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<p class="text_num"><span class="text-count">0</span>/1000</p>
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</div>
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<div class="voice_module" video-id="3">
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<div class="voice_box voice_third">
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<div class="voice_item">
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<text class="iconfont icon-luyin voice_icon"></text>
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<text class="voice_font luyin">点击图标可播放 时长:10秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao"></text>
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<text class="iconfont icon-tianjia add_voice"></text>
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</div>
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</div>
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<div class="voice_box voice_second">
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<div class="voice_item">
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<text class="iconfont icon-luying_ongoing voice_icon"></text>
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<text class="voice_font luying_ongoing">正在播放 10秒/60秒</text>
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</div>
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</div>
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<div class="voice_list">
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<div class="voice_box voice_first">
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<div class="voice_item">
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<text class="iconfont icon-huatong mike voice_icon"></text>
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<text class="voice_font huatong">点击图标开始语音语音最长60秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao icon_cancle"></text>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="info_item">
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<div class="title" data-id="4">
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<text>已用药物</text>
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<text class="iconfont icon-huatong voice_btn"></text>
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<text class="iconfont icon-tianxie"></text>
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</div>
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<div class="textarea_box">
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<textarea class="area" type="text" placeholder="请输入已用药物" maxlength="1000" id="drugs"></textarea>
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<p class="text_num"><span class="text-count">0</span>/1000</p>
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</div>
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<div class="voice_module" video-id="4">
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<div class="voice_box voice_third">
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<div class="voice_item">
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<text class="iconfont icon-luyin voice_icon"></text>
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<text class="voice_font luyin">点击图标可播放 时长:10秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao"></text>
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<text class="iconfont icon-tianjia add_voice"></text>
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</div>
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</div>
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<div class="voice_box voice_second">
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<div class="voice_item">
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<text class="iconfont icon-luying_ongoing voice_icon"></text>
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<text class="voice_font luying_ongoing">正在播放 10秒/60秒</text>
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</div>
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</div>
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<div class="voice_list">
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<div class="voice_box voice_first">
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<div class="voice_item">
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<text class="iconfont icon-huatong mike voice_icon"></text>
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<text class="voice_font huatong">点击图标开始语音语音最长60秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao icon_cancle"></text>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="info_item">
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<div class="title" data-id="5">
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<text>当前困惑</text>
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<text class="iconfont icon-huatong voice_btn"></text>
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<text class="iconfont icon-tianxie"></text>
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</div>
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<div class="textarea_box">
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<textarea class="area" type="text" placeholder="请输入你的困惑" maxlength="1000" id="confused"></textarea>
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<p class="text_num"><span class="text-count">0</span>/1000</p>
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</div>
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<div class="voice_module" video-id="5">
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<div class="voice_box voice_third">
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<div class="voice_item">
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<text class="iconfont icon-luyin voice_icon"></text>
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<text class="voice_font luyin">点击图标可播放 时长:10秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao"></text>
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<text class="iconfont icon-tianjia add_voice"></text>
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</div>
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</div>
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<div class="voice_box voice_second">
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<div class="voice_item">
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<text class="iconfont icon-luying_ongoing voice_icon"></text>
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<text class="voice_font luying_ongoing">正在播放 10秒/60秒</text>
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</div>
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</div>
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<div class="voice_list">
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<div class="voice_box voice_first">
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<div class="voice_item">
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<text class="iconfont icon-huatong mike voice_icon"></text>
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<text class="voice_font huatong">点击图标开始语音语音最长60秒</text>
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</div>
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<div class="voice_btn_box">
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<text class="iconfont icon-quxiao icon_cancle"></text>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div>
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<div class="weui-uploader__hd">
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<p class="title">报告单(最多上传30张)</p>
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</div>
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<div class="weui-uploader__bd">
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<ul class="weui-uploader__files" id="uploaderFiles">
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</ul>
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<div class="weui-uploader__input-box">
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<input id="uploaderInput" class="weui-uploader__input" type="file" accept="image/*"
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multiple/>
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</div>
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</div>
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</div>
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<div class="agree_btn submit referral_btn">提交</div>
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</div>
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</div>
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<!--表单判断弹窗-->
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<div class="form_popup_box" hidden>
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<text></text>
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</div>
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<!--弹窗-->
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<div class="box" hidden>
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<div class="public_popup_box">
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<text>您已签到成功!</text>
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<text>恭喜您获得10个积分</text>
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</div>
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</div>
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<!--录音弹窗-->
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<div class="mask_box first" hidden>
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<div class="popup_box">
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<div class="popup_title">录制语音</div>
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<div class="popup_time">
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<div>00:00:00</div>
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<div class="popup_info">还可以录制 <span>5</span> 秒</div>
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</div>
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<div class="popup_btn_box">
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<div class="popup_item start ">
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<img class="popup_icon" src="__TMPL__/public/assets/images/eicon09@2x.png" alt="">
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<div>开始</div>
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</div>
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<div class="popup_item pause" hidden>
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<img class="popup_icon" src="__TMPL__/public/assets/images/eicon13@2x.png" alt="">
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<div>暂停</div>
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</div>
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<div class="popup_item stop" hidden>
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<img class="popup_icon" src="__TMPL__/public/assets/images/eicon14@2x.png" alt="">
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<div>已停止</div>
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</div>
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<div class="popup_center play start">
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<img class="" src="__TMPL__/public/assets/images/eicon11@2x.png" alt="">
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</div>
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<div class="popup_center stopping" hidden>
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<img class="" src="__TMPL__/public/assets/images/eicon12@2x.png" alt="">
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</div>
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<div class="popup_item next_step">
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<img class="popup_icon" src="__TMPL__/public/assets/images/eicon10@2x.png" alt="">
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<div>下一步</div>
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</div>
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</div>
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</div>
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</div>
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<!---->
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<div class="mask_box second" hidden>
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<div class="popup_box">
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<div class="popup_title">录制语音</div>
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<div class="popup_time">
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<div class="popup_btn audition">点击试听</div>
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<div class="popup_info">时长:4分58秒</div>
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</div>
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<div class="popup_btn_box">
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<div class="large_icon rerecord">
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<img class="popup_icon " src="__TMPL__/public/assets/images/eicon15@2x.png" alt="">
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<div>重新录制</div>
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</div>
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<div class="large_icon">
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<img class="popup_icon" src="__TMPL__/public/assets/images/eicon16@2x.png" alt="">
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<div>我要发送</div>
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</div>
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</div>
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</div>
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</div>
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<script src="__TMPL__/public/assets/js/jquery-2.1.0.js"></script>
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<script src="__TMPL__/public/assets/js/weui.js"></script>
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<script src="__TMPL__/public/assets/js/myweui.js"></script>
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<script src="__TMPL__/public/assets/js/referral.js"></script>
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</body>
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</html> |
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