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Amoy2
/
sr-iHealthApp
دنبال کردن 2
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انشعاب 0
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درخت: 2e97ab1bbe
شاخه‌ها تگ‌ها
sr-iHealthApp
/
html
/
mine
/
html
/
dailiqianyue.html

dailiqianyue.html 6.5 KB
تاريخچه خام

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  1. <!doctype html>
    2. 

  2. <html>
    3. 

  3. 

  4. 	<head>
    5. 

  5. 		<meta charset="utf-8">
    6. 

  6. 		<title>手工代签约</title>
    7. 

  7. 		<meta name="author" content="yihu.com" />
    8. 

  8. 		<meta name="format-detection" content="telephone=no" />
    9. 

  9. 		<meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=0" />
    10. 

  10. 		<meta name="apple-mobile-web-app-capable" content="yes" />
    11. 

  11. 		<meta name="apple-mobile-web-app-status-bar-style" content="black" />
    12. 

  12. 		<link rel="stylesheet" type="text/css" href="../../../css/mui.min.css">
    13. 

  13. 		<link rel="stylesheet" type="text/css" href="../../../common/iconfont/iconfont.css">
    14. 

  14. 		<link rel="stylesheet" type="text/css" href="../../../common/cross/css/cross.css">
    15. 

  15. 		<link rel="stylesheet" href="../../../common/cross/css/cross.ui.css" type="text/css" />
    16. 

  16. 		<link rel="stylesheet" type="text/css" href="../../../common/css/jy-style.css">
    17. 

  17. 		<link rel="stylesheet" type="text/css" href="../../../common/css/doc-style.css" />
    18. 

  18. 		<link rel="stylesheet" type="text/css" href="../../../widget/artDialog/6.0.5/css/ui-dialog.min.css" />
    19. 

  19. 		<link rel="stylesheet" type="text/css" href="../../../widget/mobiscroll/2.17.1/css/mobiscroll.css" />
    20. 

  20. 		<link rel="stylesheet" type="text/css" href="../../css/select-committee.css"/>
    21. 

  21. 		<link rel="stylesheet" type="text/css" href="../css/dailiqianyue.css" />
    22. 

  22. 	</head>
    23. 

  23. 

  24. 	<body>
    25. 

  25. 		<div class="h45">
    26. 

  26. 			<div class="demo-comtop">
    27. 

  27. 				<a class="mui-action-back"></a>
    28. 

  28. 				<h1 class="c-f17">手工代理签约</h1>
    29. 

  29. 			</div>
    30. 

  30. 		</div>
    31. 

  31. 		<div class="c-main mui-content">
    32. 

  32. 			<div id="scan_ssc_info">
    33. 

  33. 				<span>扫描医保卡,可自动识别居民信息</span>
    34. 

  34. 				<a href="javascript:void(0);" class="scan-btn">立即使用</a>
    35. 

  35. 			</div>
    36. 

  36. 			<div id="rescan_ssc_info" >
    37. 

  37. 				<span>信息有误？重新扫描</span>
    38. 

  38. 				<a href="javascript:void(0);" class="scan-btn">重新扫描</a>
    39. 

  39. 			</div>
    40. 

  40. 			<ul class="n-list edit-list c-border-tb mt10" id="info_list">
    41. 

  41. 				<li class="n-list-cover" id="name">
    42. 

  42. 					<div class="n-list-key w3em"><i class="required"></i>姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</div>
    43. 

  43. 					<div class="n-list-info pl10 mui-input-row">
    44. 

  44. 						<input value="" type="text" class="c-input width-100 mui-input-clear c-t-right" placeholder="请输入居民姓名" />
    45. 

  45. 					</div> 
    46. 

  46. 				</li>
    47. 

  47. 				<li class="n-list-cover" id="idcard">
    48. 

  48. 					<div class="n-list-key w3em"><i class="required"></i>身份证号</div>
    49. 

  49. 					<div class="n-list-info pl10 mui-input-row">
    50. 

  50. 						<input value="" type="text" class="c-input width-100 mui-input-clear c-t-right" placeholder="请输入身份证号" maxlength="18" />
    51. 

  51. 					</div>
    52. 

  52. 				</li> 
    53. 

  53. 				<li class="n-list-cover" id="ssc">
    54. 

  54. 					<div class="n-list-key w3em"><i class="required"></i>医保卡号</div>
    55. 

  55. 					<div class="n-list-info pl10 mui-input-row">
    56. 

  56. 						<input value="" type="text" class="c-input width-100 mui-input-clear c-t-right" placeholder="请输入医保卡号" />
    57. 

  57. 					</div>
    58. 

  58. 				</li>
    59. 

  59. 				<li class="n-list-cover" id="medicareNumber">
    60. 

  60. 					<div class="n-list-key w3em"><i class="required"></i>医疗保险号</div>
    61. 

  61. 					<div class="n-list-info pl10 mui-input-row">
    62. 

  62. 						<input value="" type="text" class="c-input width-100 mui-input-clear c-t-right" placeholder="请输入医疗保险号" />
    63. 

  63. 					</div>
    64. 

  64. 				</li>
    65. 

  65. 				<li class="n-list-cover" id="selectType">
    66. 

  66. 					<div class="n-list-key w3em"><i class="required"></i>所属居委会</div>
    67. 

  67. 					<div class="n-list-info pl10 mui-input-row">
    68. 

  68. 						<input id="committee" data-code="" value="" type="text" class="c-input width-100 c-t-right" readonly="readonly" placeholder="请选择居委会" />
    69. 

  69. 						<span class="dl-input-icon"></span>
    70. 

  70. 					</div>
    71. 

  71. 				</li>
    72. 

  72. 				<li class="n-list-cover" id="mobile">
    73. 

  73. 					<div class="n-list-key w3em">手机号码</div>
    74. 

  74. 					<div class="n-list-info pl10 mui-input-row">
    75. 

  75. 						<input value="" type="text" class="ajax c-input width-100 mui-input-clear c-t-right" placeholder="请输入手机号码" maxlength="11" />
    76. 

  76. 					</div>
    77. 

  77. 				</li>
    78. 

  78. 				<!--<li class="jge pt5 pb5" style="font-size: 12px; ">签约时，后台将自动把15位身份证号转换为18位身份证号</li>-->
    79. 

  79. 				<!--
    80. 

  80.                 	描述：bug#3014 【医生端】代理签约：删除联系人电话（福州i健康也要修改）。对emerMoblie进行隐藏。
    81. 

  81.                 -->
    82. 

  82. 				<li class="n-list-cover" id="emerMoblie" style="display: none;">
    83. 

  83. 					<div class="n-list-key w3em">联系人电话</div>
    84. 

  84. 					<div class="n-list-info pl10 mui-input-row">
    85. 

  85. 						<input id='emerMoblieIpt' type="text" class="c-input width-100 mui-input-clear c-t-right" placeholder="请输入联系人的手机号码" maxlength="11" />
    86. 

  86. 					</div>
    87. 

  87. 				</li>
    88. 

  88. 				
    89. 

  89. 			</ul>
    90. 

  90. 

  91. 			<ul class="n-list edit-list-file c-border-tb mt10">
    92. 

  92. 				<li class="ptb12 n-list-cover c-border-b">
    93. 

  93. 					<div class="n-list-key">
    94. 

  94. 						添加附件<span class="c-f14 c-909090">（居民身份证及医保卡照片）</span>
    95. 

  95. 					</div>
    96. 

  96. 				</li>
    97. 

  97. 

  98. 				<li>
    99. 

  99. 					<div class="upload-img" style="width:100%;">
    100. 

  100. 						<ul class="add-img dai-ul" style="width:100%;">
    101. 

  101. 							<li class="add"></li>
    102. 

  102. 						</ul>
    103. 

  103. 					</div>
    104. 

  104. 				</li>
    105. 

  105. 			</ul>
    106. 

  106. 

  107. 			<div class="plr10 mt15 pb20">
    108. 

  108. 				<a class="c-btn c-btn-full c-btn-37a6ec border-radius-rounded" id="next_step">下一步</a>
    109. 

  109. 			</div>
    110. 

  110. 		</div>
    111. 

  111. 

  112. 		<!-- 放置要缩放的图片的容器 -->
    113. 

  113. 		<section class="imgzoom-pack"> 
    114. 

  114. 			<div class="imgzoom-x">关闭</div>
    115. 

  115. 			<div class="imgzoom-del" style="display: none;"><i class="iconfont icon-laji"></i></div>
    116. 

  116. 			<div class="imgzoom-img"><img src="" /></div>
    117. 

  117. 		</section>
    118. 

  118. 		<script src="../../../js/jquery/2.1.3/jquery.js"></script>
    119. 

  119. 		<script type="text/javascript" src="../../../js/mui.min.js"></script>
    120. 

  120. 		<script src="../../../js/es6-promise.js" type="text/javascript" charset="utf-8"></script>
    121. 

  121. 		<script src="../../../js/underscore.js" type="text/javascript" charset="utf-8"></script>
    122. 

  122. 		<script src="../../../widget/artDialog/6.0.5/js/dialog-plus.min.js" type="text/javascript" charset="utf-8"></script>
    123. 

  123. 		<script src="../../../widget/mobiscroll/2.17.1/js/mobiscroll.js" type="text/javascript" charset="utf-8"></script>
    124. 

  124. 		<script src="../../../widget/scale/scale.js" type="text/javascript" charset="utf-8"></script>
    125. 

  125. 		<script src="../../../js/upload_preview.js" type="text/javascript" charset="utf-8"></script>
    126. 

  126. 		<script src="../../../js/common_http.js" type="text/javascript" charset="utf-8"></script>
    127. 

  127. 		<script src="../../../js/security.js" type="text/javascript" charset="utf-8"></script>
    128. 

  128. 		<script src="../js/auto_rec_ssc_photo.js" type="text/javascript" charset="utf-8"></script>
    129. 

  129. 		<script src="../../js/select-committee.js"></script>
    130. 

  130. 		<script src="../js/dailiqianyue.js" type="text/javascript" charset="utf-8"></script>
    131. 

  131. 	</body>
    132. 

  132. 

  133. </html>
    134.