chenyue
/
sr-iHealthwx
fork de Amoy2/sr-iHealthwx


			
				
					
						
						
							12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152535455565758596061626364656667686970717273747576777879808182838485868788899091
							<!DOCTYPE html>
<html>
<head>
	<meta charset="utf-8" />
	<meta name="author" content="yihu.com" />
	<meta name="format-detection" content="telephone=no" />
	<meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=no, minimum-scale=1.0, maximum-scale=1.0">
	<meta name="apple-mobile-web-app-capable" content="yes" />
	<meta name="apple-mobile-web-app-status-bar-style" content="black" />
	<title>账号申诉</title>
	<link rel="stylesheet" type="text/css" href="../../../css/cross.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="../../../css/mui.min.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/feedback.css" />
</head>
	<body>
		<div class="feedback">
			<div class="mui-page-content">
				<div class="mt10 bgc-fff plr10 ptb10 c-border-tb">
                    <div class="mui-inline">问题和意见</div>
                    <a class="mui-pull-right mui-inline" href="#popover">
                        <span id="selected_name">选择类型</span>
                        <span class="mui-icon mui-icon-arrowdown"></span>
                    </a>
                    <div id="popover" class="mui-popover ab-h bg-w">
                        <div class="mui-popover-arrow"></div>
                        <div class="mui-scroll-wrapper">
                            <div class="mui-scroll">
                                <ul class="mui-table-view c-f14">
                                    <li class="mui-table-view-cell j-select-type" data-type="1"><a href="#popover">手机号码变更</a></li>
                                    <li class="mui-table-view-cell j-select-type" data-type="2"><a href="#popover">重置密码</a></li>
                                    <li class="mui-table-view-cell j-select-type" data-type="3"><a href="#popover">其他</a></li>
                                </ul>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="row mui-input-row c-border-b">
                    <textarea id='question' class="mui-input-clear question" placeholder="请在此处描述您的问题，我们会在会尽快联系您！可附带填写您的相关信息，以便我们更快审核，如：使用过的旧密码、旧手机号、所在机构及部门等"></textarea>
                </div>
                <p class="mt10 bgc-fff c-border-tb c-f16 ptb10 plr10 c-333">图片(选填，提供问题截图，最多选择3张)</p>
                <div class="upload-img img-bg">
					<ul id="img_ul">
						<li id="add_img_li" onclick="chooseImage()">
		                    <img src="../images/tianjiatupian_btn.png" width="65">
						</li>
					</ul>
				</div>
                
                <ul class="c-list mt10 c-border-tb plr10">
                    <li class="ptb10 ml0 ui-grid-middle">
                        <div class="c-list-key">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名：</div>
                        <div class="c-list-info pr0">
                            <input id='name' class="border-input" type="text" placeholder="请输入申诉人姓名">
                        </div>
                    </li>
                    <li class="ptb10 ml0 ui-grid-middle">
                        <div class="c-list-key">身份证号：</div>
                        <div class="c-list-info pr0">
                            <input id='idcard' class="border-input" type="text" placeholder="请输入申诉人身份证号">
                        </div>
                    </li>
                    <li class="ptb10 ml0 ui-grid-middle">
                        <div class="c-list-key">手机号码：</div>
                        <div class="c-list-info pr0">
                            <input id='phone' class="border-input" type="text" placeholder="请输入申诉人手机号码" maxlength="11">
                        </div>
                    </li>
                </ul>
                <p class="plr10 c-f12 c-909090 mt10">温馨提示：客服人员需要通过申诉人提交的信息识别并定位对应申诉账号，请填写您的真实信息</p>
            </div>
		</div>
		<div class="plr10 mt15 pb20">
			<a class="c-btn c-btn-full c-btn-4DCD70 border-radius-rounded c-f16" id="action_btn">提&#x3000;交</a>
		</div>
		<div class="plr10 mt15 pb20 c-t-center">
            <a class="c-btn border-radius-rounded c-f16 c-btn-rounded2" id="goToHistory">历史申诉记录</a>
        </div>
		<script type="text/javascript" src="../../../js/jquery/2.1.3/jquery.js"></script>
		<script src="../../../js/mui.min.js" type="text/javascript" charset="utf-8"></script>
		<script src="../../../js/es6-promise.js" type="text/javascript" charset="utf-8"></script>
		<script src="http://res.wx.qq.com/open/js/jweixin-1.2.0.js"></script>
		<script src="../../../js/weixin_common.js"></script>
        <script type="text/javascript" src="../../../js/app.js" ></script>
		<script src="../../../js/common_http.js" type="text/javascript" charset="utf-8"></script>
		<script src="../../../widget/artDialog/6.0.5/js/dialog-plus.min.js"></script>
		<script src="../js/account_back.js" type="text/javascript" charset="utf-8"></script>
	</body>
</html>