ywt
/
nfywt-wx


			
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							<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <title></title>
    <link type="text/css" rel="stylesheet" href="css/icoline.min.css">
    <link type="text/css" rel="stylesheet" href="css/comm.min.css">
    <link type="text/css" rel="stylesheet" href="css/pages.min.css">
    <link type="text/css" rel="stylesheet" href="css/popup.min.css">
    <link type="text/css" rel="stylesheet" href="js/asset/asset.min.css">

    <meta name="viewport"
          content="width=device-width,initial-scale=1.0,maximum-scale=1.0,minimum-scale=1.0,user-scalable=no">
    <meta name="format-detection" content="telephone=no">
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta http-equiv="pragma" content="no-cache">

    <style>
        article.containerNoBottom{
            background: #fff;
        }

        .containerNoBottom{
            background: #fff;
        }
        .lists li.line1{
            border-bottom: 0;
        }

        .lists li .title{
            width: 15%;
            font-size: 1rem;
            line-height: 3rem;
            margin-left: .5em;
            color: #333;
            box-sizing: border-box;
            display: inline-block;
            float: none;
        }
        .lists li .word{
            text-align: right;
            color: #999;
            font-size: 1rem;
            line-height: 3em;
            margin-right: 1rem;
            width: 77%;
            display: inline-block;
            border-bottom: 1px #ebebeb solid;
            margin: 0;
        }
        .padl14{
            position: fixed;
            width: 100%;
            bottom: 0;
            left: 0;
            margin: 0;
            padding: 0;
            border-radius: unset;
        }
    </style>

</head>

<body>

<header id="header" class="head">

    <div class="wrap">

        <i class="menu_back icon-arrow-left"></i>

        <div class="title">

            <span class="title_d"><p>预约挂号确认</p></span>

            <div class="clear"></div>

        </div>

        <i class="menu_home icon-home"></i>

    </div>

</header>


<article id="container" class="containerNoBottom">

    <section id="content" class="content">

        <div id="list" class="lists">

            <div class="wrap">

                <ul id="form">
                    <li class="line1">
                        <div class="title">医&nbsp;&nbsp;&nbsp;生</div>
                        <div class="word">[%this.doctorName%]</div>
                    </li>
                    <li class="line1">
                        <div class="title">医&nbsp;&nbsp;&nbsp;院</div>
                        <div id="hospitalName" class="word">[%this.hospitalName%]</div>
                    </li>

                    <li class="line1">
                        <i></i>

                        <div class="title">诊查费</div>
                        <div class="word">[%this.regFee/100 + this.treatFee/100 %]元</div>
                    </li>
                    <!--<li class="line1">-->
                        <!--<div class="title">职称</div>-->
                        <!--<div class="word">[%this.title%]</div>-->
                    <!--</li>-->
                    <li class="line1">
                        <div class="title">日&nbsp;&nbsp;&nbsp;期</div>
                        <div class="word">[%this.regDate%]</div>
                    </li>
                    <li class="line1">
                        <div class="title">时&nbsp;&nbsp;&nbsp;间</div>
                        <div class="word"> [%this.startTime%]-[%this.endTime%]</div>
                    </li>
                </ul>

                <!--<ul id="family" style="margin: 0 !important;">-->
                    <!--<li class="line1">-->
                        <!--<div class="title">就诊人</div>-->
                        <!--<div class="word" >-->
                            <!--<select id="customerFamilyId" name="customerFamilyId" style="width: 70%;height: 3rem;">-->
                                <!--[% if(this.phone){ %]-->
                                <!--<option value="[%this.id%]">[%this.trueName%]－[%this.sex%]－[%this.ownership%]</option>-->
                                <!--[% } %]-->
                            <!--</select>-->
                        <!--</div>-->
                    <!--</li>-->
                <!--</ul>-->

                <!-- todo 缺少诊疗卡余额 -->

            </div>

        </div>

        <div id="tips" class="lists">
            <div class="wrap">
                <div class="tips left"><i class="icon-comment"></i> 选以下就诊患者,或“＋”按钮添加其它 <i class="icon-addRound add"></i></div>
                <ul id="family">
                    <li class="tip">
                        <input type="radio" name="customerFamilyId" value="[%this.id%]">[%this.trueName%]－[%this.sex%]－[%this.ownership%]
                    </li>
                </ul>

                <div class="padl14">
                    <a id="sure" class="btn btn-ok btn-large">确认</a>
                </div>

            </div>
        </div>


    </section>

</article>

<div class="hzApp-over-layer">

    <div class="asort">

        <div class="hd">

            <div class="fl">
                <i class="menu_close_layer icon-arrow-left"></i>
                <div class="clear"></div>
            </div>

            <div class="fl">

                <span>添加家庭成员</span>

                <div class="clear"></div>

            </div>

            <div class="fr"><i>保存</i></div>

            <div class="clear"></div>

        </div>

        <div class="inNewWrap">

            <div class="lists">

                <form id="testForm">

                    <div class="wrap">

                        <div class="tips"><i class="icon-comment"></i> 姓名、手机号码、身份证号码提交后不能修改</div>
                        <ul style="display: block;">
                            <li class="line1">
                                <div class="title">与本人关系</div>
                                <div class="word table">
                                    <select id="ownership" required="select">
                                        <option value="父母">父母</option>
                                        <option value="兄弟">兄弟</option>
                                        <option value="姐妹">姐妹</option>
                                        <option value="子女">子女</option>
                                        <option value="夫妻">夫妻</option>
                                        <option value="其它">其它</option>
                                    </select>
                                </div>
                            </li>
                            <li class="line1">
                                <div class="title">真实姓名</div>
                                <div class="word table"><input class="red" id="trueName" required></div>
                            </li>
                            <li class="line1">
                                <div class="title">性别</div>
                                <div class="word table">
                                    <select id="sex" required="select">
                                        <option selected="selected" value="父母">男</option>
                                        <option value="兄弟">女</option>
                                    </select>
                                </div>
                            </li>
                            <li class="line1">
                                <div class="title">民族</div>
                                <div class="word table">
                                    <select id="nation" required="select">
                                        <option selected="selected" value="汉族">汉族</option>
                                        <option value="蒙古族">蒙古族</option>
                                        <option value="彝族">彝族</option>
                                        <option value="侗族">侗族</option>
                                        <option value="哈萨克族">哈萨克族</option>
                                        <option value="畲族">畲族</option>
                                        <option value="纳西族">纳西族</option>
                                        <option value="仫佬族">仫佬族</option>
                                        <option value="仡佬族">仡佬族</option>
                                        <option value="怒族">怒族</option>
                                        <option value="保安族">保安族</option>
                                        <option value="鄂伦春族">鄂伦春族</option>
                                        <option value="回族">回族</option>
                                        <option value="壮族">壮族</option>
                                        <option value="瑶族">瑶族</option>
                                        <option value="傣族">傣族</option>
                                        <option value="高山族">高山族</option>
                                        <option value="景颇族">景颇族</option>
                                        <option value="羌族">羌族</option>
                                        <option value="锡伯族">锡伯族</option>
                                        <option value="乌孜别克族">乌孜别克族</option>
                                        <option value="裕固族">裕固族</option>
                                        <option value="赫哲族">赫哲族</option>
                                        <option value="藏族">藏族</option>
                                        <option value="布依族">布依族</option>
                                        <option value="白族">白族</option>
                                        <option value="黎族">黎族</option>
                                        <option value="拉祜族">拉祜族</option>
                                        <option value="柯尔克孜族">柯尔克孜族</option>
                                        <option value="布朗族">布朗族</option>
                                        <option value="阿昌族">阿昌族</option>
                                        <option value="俄罗斯族">俄罗斯族</option>
                                        <option value="京族">京族</option>
                                        <option value="门巴族">门巴族</option>
                                        <option value="维吾尔族">维吾尔族</option>
                                        <option value="朝鲜族">朝鲜族</option>
                                        <option value="土家族">土家族</option>
                                        <option value="傈僳族">傈僳族</option>
                                        <option value="水族">水族</option>
                                        <option value="土族">土族</option>
                                        <option value="撒拉族">撒拉族</option>
                                        <option value="普米族">普米族</option>
                                        <option value="鄂温克族">鄂温克族</option>
                                        <option value="塔塔尔族">塔塔尔族</option>
                                        <option value="珞巴族">珞巴族</option>
                                        <option value="苗族">苗族</option>
                                        <option value="满族">满族</option>
                                        <option value="哈尼族">哈尼族</option>
                                        <option value="佤族">佤族</option>
                                        <option value="东乡族">东乡族</option>
                                        <option value="达斡尔族">达斡尔族</option>
                                        <option value="毛南族">毛南族</option>
                                        <option value="塔吉克族">塔吉克族</option>
                                        <option value="德昂族">德昂族</option>
                                        <option value="独龙族">独龙族</option>
                                        <option value="基诺族">基诺族</option>
                                    </select>
                                </div>
                            </li>
                            <li class="line1">
                                <div class="title">手机号码</div>
                                <div class="word table">
                                    <input class="red" id="phone" required="phone">
                                </div>
                            </li>
                            <li class="line1">
                                <div class="title">电话</div>
                                <div class="word table"><input id="tel" placeholder="格式:020-61641888" format="tel">
                                </div>
                            </li>
                            <li class="line1">
                                <div class="title">电子邮箱</div>
                                <div class="word table"><input id="email" format="email" placeholder="格式:aa@aa.com">
                                </div>
                            </li>
                            <li class="line1">
                                <div class="title">身份证号码</div>
                                <div class="word table"><input class="red" id="idNo" required="idNo"></div>
                            </li>
                            <li class="line1">
                                <div class="title">常住地址</div>
                                <div class="word table"><input id="address" required="address"></div>
                            </li>
                        </ul>

                    </div>

                    <div class="reSize"></div>

                </form>

            </div>

        </div>

    </div>


</div>


<div id="dialog" class="popup_layer">

    <div class="popup_msk"></div>

    <div class="popup_layer_cont dialog">

        <div class="loading_cont">

        </div>

    </div>

</div>

<script type="text/javascript" src="js/asset/zepto.min.js"></script>
<script type="text/javascript" src="js/asset/dateUtil.min.js"></script>
<script type="text/javascript" src="js/asset/base.min.js?v=11"></script>
<script type="text/javascript" src="js/doctorBookingSure.min.js?v=1121"></script>

</body>

</html>