Amoy2
/
sr-iHealthApp


			
				
					
						
						
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							<!DOCTYPE html>
<html>
	<head>
		<meta charset="UTF-8">
		<title>代理注册</title>
		<meta name="author" content="yihu.com" />
        <meta name="format-detection" content="telephone=no" />
        <meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0, maximum-scale=1.0, user-scalable=0" />
        <meta name="apple-mobile-web-app-capable" content="yes" />
        <meta name="apple-mobile-web-app-status-bar-style" content="black" />
        <!--引入样式文件-->
        <link rel="stylesheet" type="text/css" href="../../../css/mui.min.css">
        <link rel="stylesheet" type="text/css" href="../../../common/cross/css/cross.css">
        <link rel="stylesheet" type="text/css" href="../../../common/cross/css/cross.ui.css"/>
        <link rel="stylesheet" type="text/css" href="../../../common/css/jy-style.css">
        <link rel="stylesheet" type="text/css" href="../../../common/css/doc-style.css" />
        <link rel="stylesheet" type="text/css" href="../css/dailizhuce.css" />
	</head>
	<body>
	    <div class="h45">
            <div class="demo-comtop"> 
                <a class="mui-action-back"></a> 
                <h1 class="c-f17">代理注册</h1>
            </div>
        </div>
        <div class="c-main mui-content">
            <ul class="n-list edit-list c-border-tb mt10" id="infoList">
                <li class="n-list-cover" id="name">
                    <div class="n-list-key w3em"><i class="required"></i>姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</div>
                    <div class="n-list-info pl10 mui-input-row">
                        <input value="张三" type="text" class="c-input width-100 c-t-right" readonly="readonly" />
                    </div> 
                </li>
                <li class="n-list-cover" id="idcard">
                    <div class="n-list-key w3em"><i class="required"></i>身份证号</div>
                    <div class="n-list-info pl10 mui-input-row">
                        <input value="" type="text" class="c-input width-100 c-t-right" placeholder="请输入身份证号" maxlength="18" />
                    </div>
                </li> 
            </ul>
        </div>
        <div class="c-main mui-content mt15"> 
            <ul class="n-list edit-list c-border-tb mt10" id="info_list">
                <li class="n-list-cover" id="ybcard">
                    <div class="n-list-key w3em"><i class="required"></i>医保卡号</div>
                    <div class="n-list-info pl10 mui-input-row">
                        <input value="" type="text" class="c-input width-100 c-t-right" placeholder="请输入居民医保卡号" />
                    </div> 
                </li>
                <li class="n-list-cover" id="mobilephone">
                    <div class="n-list-key w3em"><i class="required"></i>手机号码</div>
                    <div class="n-list-info pl10 mui-input-row">
                        <input value="" type="text" class="c-input width-100 c-t-right" placeholder="请输入居民手机号码" maxlength="11" />
                    </div>
                </li> 
            </ul>
        </div>
        <!--点击下一步-->
        <div class="plr10 mt15 pb20"> 
            <a class="c-btn c-btn-full c-btn-37a6ec border-radius-rounded" id="next_step">提交</a>
        </div>
        <!--引入脚本文件--> 
        <script src="../../../js/jquery/2.1.3/jquery.js"></script>
        <script type="text/javascript" src="../../../js/mui.min.js"></script>
        <script src="../../../js/common_http.js" type="text/javascript" charset="utf-8"></script>
		<script src="../../../js/security.js" type="text/javascript" charset="utf-8"></script>
        <script src="../../../js/es6-promise.js" type="text/javascript" charset="utf-8"></script>
        <script src="../../../js/underscore.js" type="text/javascript" charset="utf-8"></script>
        <script type="text/javascript" src="../js/dailizhuce.js"></script> 
	</body>  
</html>