raolu
/
PC-prescription


			
				
					
						
						
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							<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta name="renderer" content="webkit">
    <meta http-equiv="Cache-Control" content="no-siteapp" />
    <title>随访登记</title>
    <meta name="keywords" content="">
    <meta name="description" content="">
    <link rel="shortcut icon" href="favicon.ico">
    <link rel="stylesheet" type="text/css" href="../../css/font-awesome.min93e3.css"/>
    <link href="../../css/bootstrap.min.css" rel="stylesheet">
    <link rel="stylesheet" type="text/css" href="../../css/plugins/toastr/toastr.min.css"/>
    <link rel="stylesheet" type="text/css" href="../../css/plugins/datetimepicker/bootstrap-datetimepicker.css"/>
    <link rel="stylesheet" type="text/css" href="../../css/plugins/chosen/chosen.css"/>
    <link rel="stylesheet" type="text/css" href="../../css/style.css"/>
    <link rel="stylesheet" type="text/css" href="../../css/followup.css"/>
    <style>
        form{
            width: 350px;
            margin: 0px auto;
        }
    </style>
</head>
<body>
    <div class="container">
    <form onsubmit="return false;" role="form" class="form-horizontal mt40">
        <div class="form-group">
            <label class="col-xs-3 control-label" for="doneDate"><span class="required"></span>完成时间</label>
            <div class="input-group col-xs-9 date ">
                <input type="text" class="form-control input-sm form_datetime" id="doneDate" data-val="date" readonly="readonly" placeholder="">
                <i class="fa fa-angle-down c-arrow"></i>
            </div>
        </div>
        <div class="form-group">
            <label class="col-xs-3 control-label" for="followupType"><span class="required"></span>随访方式</label>
            <div class="input-group col-xs-9">
                <input type="text" class="form-control input-sm" readonly="readonly" id="followupType">
            </div>
        </div>
        <div class="form-group">
            <label class="col-xs-3 control-label" for="followupClass"><span class="required"></span>随访类型</label>
            <div class="input-group col-xs-9">
                <input type="text" class="form-control input-sm" readonly="readonly" id="followupClass">
            </div>
        </div>
        <div class="form-group">
            <label class="col-xs-3 control-label" for="followupStatus">随访状态</label>
            <div class="input-group col-xs-9">
                <select id="followupStatus" class="form-control my_select_box" tabindex="-1"></select>
            </div>
        </div>
        <div class="form-group">
            <label class="col-xs-3 control-label" for="nextDate"><span class="required"></span>下次随访</label>
            <div class="input-group col-xs-9 date">
                <input type="text" class="form-control input-sm form_datetime" id="nextDate" data-val="date" readonly="readonly" placeholder="">
                <i class="fa fa-angle-down c-arrow"></i>
            </div>
        </div>
    </form>
    </div>
    <div class="mt60 text-center">
        <a class="btn btn-blue" id="startFU" disabled>登记随访结果</a>
    </div>
    <script src="../../js/jquery.min.js?v=2.1.4"></script>
    <script src="../../js/es6-promise.js" type="text/javascript" charset="utf-8"></script>
    <script src="../../js/bootstrap.min.js?v=3.3.6"></script>
    <script src="../../js/plugins/toastr/toastr.min.js"></script>
    <script src="../../js/plugins/pace/pace.min.js"></script>
    <script src="../../js/plugins/datetimepicker/bootstrap-datetimepicker.js" type="text/javascript" charset="utf-8"></script>
    <script src="../../js/plugins/datetimepicker/bootstrap-datetimepicker.zh-CN.js" type="text/javascript" charset="utf-8"></script>
    <script src="../../js/plugins/chosen/chosen.jquery.js " type="text/javascript" charset="utf-8"></script>
    <script src="../../js/template.js"></script>
    <script src="../../js/util.js"></script>
    <script src="../../js/api-service.js"></script>
    <script src="../../js/followup-api.js" type="text/javascript" charset="utf-8"></script>
    <script src="../../js/buz/followup/followup-register.js" type="text/javascript" charset="utf-8"></script>
</body>
</html>