Amoy2
/
sr-iHealthwx


			
				
					
						
						
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							<!DOCTYPE html>
<html lang="en">
    <head>
        <meta charset="utf-8">
        <title>计免预约-信息确认</title>
        <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"/>
        <link rel="stylesheet" href="../../../css/cross.css" type="text/css"/>
        <link rel="stylesheet" href="../../../css/cross.ui.css" type="text/css"/>
        <link rel="stylesheet" type="text/css" href="../../../iconfont/iconfont.css" />
        <link rel="stylesheet" type="text/css" href="../../../widget/mobiscroll/2.15.1/css/mobiscroll.css">
        <link rel="stylesheet" type="text/css" href="../../../widget/artDialog/6.0.5/css/ui-dialog.min.css">
        <link rel="stylesheet" type="text/css" href="../../../css/ss-style.css">
        <link rel="stylesheet" type="text/css" href="../../../css/iscroll.css" /> 
        <link rel="stylesheet" href="../css/detail-appointment.css?v=1.3.4" type="text/css"/>
        <style type="text/css">
            .text-input{
                height: 24px;
                line-height: 24px;
                border: 1px solid #dcdcdc;
                border-radius: 2px;
                padding: 0 10px;
            }
        </style>
    </head>
    <body>
   <div class="main">
            <div id="wrapper">
                <div class="iScroller">
                    <div style="width: 40px;height: 36px;line-height: 36px;text-align: center;vertical-align: middle;margin: 0 auto;position: absolute;">
                        <img src="../images/tixing_icon.png" style="width: 20px;height: 20px;background-size: 20px;vertical-align: middle;">
                    </div>
                    <div style="background-color: #FFE1CD;color: #FF6A56;font-size: 12px;padding: 10px 10px 10px 40px;">
                        如果您一个月内连续取消预约三次，系统自动把您列入黑名单，三个月后您才可以再次预约。若有疑问，请咨询96166
                    </div>
                    <ul class="visit-ul mb10">
                        <li class="c-f14">
                            接种医院：<span class="c-f14 c-323232" id="hospitalName"></span>
                        </li>
                        <li class="c-f14">
                            接种时间：<span class="c-f14 c-323232" id="yyTime"></span>
                        </li>
                    </ul>
                    <ul class="visit-ul mb10">
                        <li class="c-f14">
                            接种儿童：
                            <input class="c-f14 c-323232 text-input" id='userName' readonly="readonly" placeholder="请选择接种疫苗的儿童"/>
                        </li>
                        <li class="c-f14">
                            身份证号：
                            <input class="c-f14 c-323232 text-input" id='idCard' readonly="readonly"/>
                        </li>
                        <li class="c-f14">
                            手机号码：
                            <input class="c-f14 c-323232 text-input" id='mobile' maxlength="11" placeholder="请输入联系电话"/>
                        </li>
                    </ul>
                    
                    <ul class="visit-ul">
                        <li class="c-f14">
                            验证码：
                            <input class="c-f14 c-323232" id='validateCode' maxlength="4" style="border:1px solid #DCDCDC;width:40%;margin-left: 15px;padding-left: 5px;" value=""/>
                            <img id='validateDiv' src="../images/2cb43dc2e9cd14a49fd33b23df780dfa.png" style="width: 25%;height: 29px;float: right;margin: 5px 5px 0px 0px;background-size: 90% 29px;"/>
                        </li>
                        
                    </ul>
                    <!--底部内容开始-->
                    <div class="cb-ffffff ptb5 mt20">
                        <div class="c-row btn-wrap ml10 mr10 mb5 mt5">
                            <div class="br10 c-100 c-tac height-50 lheight-50 bc-75bf00 c-fff div-immediately-btn">
                                <a class="c-fff c-f16" id="confirmBtn">立即预约</a>
                            </div>
                        </div>
                    </div>
                    <!--底部内容结束-->
                </div>
            </div>
        
    </div>
    
        
        
        
        <script src="../../../js/jquery/2.1.3/jquery.js"></script> 
        <link rel="stylesheet" href="../../../widget/artDialog/6.0.5/css/ui-dialog.min.css" type="text/css" />
        <script src="../../../widget/artDialog/6.0.5/js/dialog-plus.min.js"></script>    
        <script type="text/javascript" src="../../../js/weixin_common.js" ></script>
        <script type="text/javascript" src="../../../js/common_http.js" ></script>
        <script type="text/javascript" src="../../../js/commit_validate.js" ></script>
        <script type="text/javascript" src="../../../js/app.js" ></script>
        <script src="../../../widget/mobiscroll/2.17.1/js/mobiscroll.min.js"></script>
        <script src="../../../widget/artDialog/6.0.5/js/dialog-plus.min.js"></script>
        <script src="../../../js/iscroll-probe.js"></script>
        <script src="../../../js/iscroll-pull-up-down.js"></script>
        <script src="../../../js/es6-promise.js"></script>
        <script src="../../../js/underscore.js"></script>
        <script src="../js/immune-confirm.js"></script>
    </body>
</html>