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- <!DOCTYPE html>
- <html style="overflow: visible">
- <head>
- <meta charset="utf-8">
- <title>南方医务通</title>
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- <body style="overflow: visible">
- <header id="header" class="head">
- <div class="wrap">
- <i class="menu_back icon-arrow-left"></i>
- <div class="title">
- <span class="title_d"><p>个人资料</p></span>
- <div class="clear"></div>
- </div>
- <i class="menu_home icon-home"></i>
- </div>
- </header>
- <article id="container" class="containerInput">
- <section id="content" class="content">
- <div class="wrap">
- <ul class="tabBlock-tabs">
- <li class="tabBlock-tab is-active"><i class="icon-profile"> 个人资料</i></li>
- <li class="tabBlock-tab"><i class="icon-creditCard"> 诊疗卡绑定</i></li>
- </ul>
- <div class="tabBlock-content">
- <div id="iData" class="lists">
- <form>
- <ul style="margin-top: 0;">
- <li class="line1">
- <div class="title">与本人关系</div>
- <div class="word table">
- <select id="ownership" disabled required="select">
- <option value="本人">本人</option>
- <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 id="trueName" class="word table"></div>
- </li>
- <li class="line1">
- <div class="title">性别</div>
- <div class="word table">
- <select id="sex" required="select">
- <option value="男">男</option>
- <option value="女">女</option>
- </select>
- </div>
- </li>
- <li class="line1">
- <div class="title">民族</div>
- <div class="word table">
- <select id="nation" required="select">
- <option 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 type="text" 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 type="email" 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 id="idNo" class="word table"></div>
- </li>
- <li class="line1">
- <div class="title">常住地址</div>
- <div class="word table"><input id="address" required="address"></div>
- </li>
- <li class="line1">
- <div class="padl14">
- <a id="iDataUpdate" class="btn btn-ok btn-large">保存</a>
- </div>
- </li>
- </ul>
- <div class="reSize"></div>
- </form>
- </div>
- <div id="iCard" class="lists hide">
- <form>
- <ul style="margin-top: 0;">
- <li class="line1">
- <div class="title">持卡人</div>
- <div id="card_trueName" class="word table">
- </div>
- </li>
- <li class="line1">
- <div class="title">医院</div>
- <div class="word table">
- <select id="hospitalId">
- <option checked value="1000">南方医科大学南方医院</option>
- </select>
- </div>
- </li>
- <li class="line1">
- <div class="title">诊疗卡号码</div>
- <div class="word table">
- <input type="text" class="red" id="cardId" required="cardId"
- placeholder="请输入诊疗卡号">
- </div>
- </li>
- <li id="cardMoneyBlock" class="line1">
- <div class="tips" style="text-align: right">
- <a id="cardMoney">该诊疗卡余额查看或进行支付<i class="icon-arrowright"></i></a>
- </div>
- </li>
- <li id="cardBindBlock" class="line1" style="display: none">
- <div class="padl14">
- <a id="cardBind" class="btn btn-ok btn-large">绑定</a>
- </div>
- </li>
- <li id="cardUnBindBlock" class="line1" style="display: none">
- <div class="padl14">
- <a id="cardUnBind" class="btn btn-ok btn-large">解除绑定</a>
- </div>
- </li>
- </ul>
- </form>
- </div>
- </div>
- </div>
- </section>
- </article>
- <div id="dialog" class="popup_layer">
- <div class="popup_msk"></div>
- <div class="popup_layer_cont dialog">
- <div class="loading_cont">
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