duhongyu
/
AnYang_UI


			
				
					
						
						
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							<!DOCTYPE html>
<html>
	<head>
		<meta charset="UTF-8">
		<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1,user-scalable=no">
		<meta name="apple-mobile-web-app-capable" content="yes">
		<meta name="apple-mobile-web-app-status-bar-style" content="black">
		<link rel="stylesheet" href="../layui/css/layui.mobile.css" />
		<link href="../css/mui.min.css" rel="stylesheet" />
		<link href="../css/mui.picker.css" rel="stylesheet" />
		<link href="../css/mui.poppicker.css" rel="stylesheet" />
		<link href="../css/feedback-page.css" rel="stylesheet" />
		<link rel="stylesheet" href="../css/inits.css" />
		<link rel="stylesheet" href="../css/addWorkOrder.css">
		<title>添加工单</title>
	</head>
	<body>
		<div class="mui-content">
			<div class="mui-card">
				<div class="mui-card-content">
					<div class="titleW">
						<span class="mui-icon mui-icon-info-filled"></span>
						<span class="warning">请填写真实信息，带 “ <i>*</i> ” 为必填项</span>
						<span class="result" onclick="seeResult()">查看结果</span>
					</div>
					<div style="margin: 10px 0;">
						<label class="label reaction" style="display: block;"><i>*</i>反映类型</label>
						<div class="mui-radio mui-left radio_box">
							<input type="radio" name="phoneType" value="9" checked="checked"/>
							<label>咨询</label>
						</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio" name="phoneType" value="10" />
							<label>求助</label>
						</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio" name="phoneType" value="11" />
							<label>投诉</label>
						</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio" name="phoneType" value="12" />
							<label>建议</label>
						</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio" name="phoneType" value="13" />
							<label>表扬</label>
						</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio" name="phoneType" value="89" />
							<label>举报</label>
						</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio"  name="phoneType" value="90" />
							<label>其他</label>
						</div>
					</div>
					<div class="mui-input-row phone">
						<label>姓名</label>
						<input type="text" placeholder="请输入姓名" id="cusname">
					</div>
					<div class="mui-input-row phone">
						<label><i>*</i> 手机号</label>
						<input type="text" placeholder="请输入手机号" id="cusphone">
						<span class="line" onclick="getCode()">获取验证码</span>
						<span class="codeTX">60s</span>
					</div>
					<div class="mui-input-row">
						<label><i>*</i> 验证码</label>
						<input type="text" class="mui-input-clear" placeholder="请输入验证码" id="code">
						
					</div>
					<div class="mui-input-row phone">
						<label><i>*</i> 反映标题</label>
						<input type="text" placeholder="请输入标题" id="title">
					</div>
					<div class="mui-input-row content">
						<label><i>*</i> 反映内容</label>
						<textarea class="ztext" name="" id="cont" placeholder="请输入您的反映内容..."></textarea>
					</div>
					<li class="mui-input-row" id="showCityPicker3">
						<label><i>*</i> 事发区域</label>
						<input type="text" id='cityResult3' data-index="" class="ui-alert type_con" placeholder="请选择区域"
							readonly="readonly" />
						<a href="javascript:void(0)"><span
								class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</li>
					<li class="mui-input-row" id="showCityPicker2">
						<label>乡镇</label>
						<input type="text" id='cityResult2' data-index="" class="ui-alert type_con" placeholder="请选择乡镇"
							readonly="readonly" />
						<a href="javascript:void(0)"><span
								class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</li>
					<li class="mui-input-row" id="showCityPicker1">
						<label>村</label>
						<input type="text" id='cityResult1' data-index="" class="ui-alert type_con" placeholder="请选择村"
							readonly="readonly" />
						<a href="javascript:void(0)"><span
								class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</li>
					<div class="mui-input-row content">
						<label>详细地址</label>
						<textarea class="ztext" name="" id="cusaddress" placeholder="请输入详细地址..."></textarea>
					</div>
					<div class="mui-input-row feedback">

						<label>添加附件 <span style="color: rgb(176,176,176);">（文件格式为jpj，png，mp4，avi，wmv，mp3，pdf，doc，docx，xls，xlsx）</span></label>
						<input class="input" type="file" name="upFile" id="upFileHandle" multiple="multiple"
							style="display: none;">
						<div class="showFile">
							<div id='scwjHandle' class="row image-item"></div>
							<div class="fileBoxHandle" style="margin-left: 5px;float: left;width: 78%;">

							</div>
						</div>
						<input type="hidden" id="fileHandle" />
					</div>
					<div style="margin: 10px 0;border-bottom: 1px solid #c9c9c9;padding-bottom: 20px;">
						<div style="font-weight: 600; padding: 13px 15px 8px;"><i>*</i> 您是否同意把您的姓名告知承办单位，以便承办单位调查审核？</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio"  name="select" value="1" checked="checked"/>
							<label>否</label>
						</div>
						<div class="mui-radio mui-left radio_box">
							<input type="radio"  name="select" value="0" />
							<label>是</label>
						</div>
						
					</div>
					<div class="btns">
						<button type="button" class="btn btnLeft" onclick="Reset()">重置</button>
						<button type="button" class="btn btnRight" onclick="Submit()">提交</button>
					</div>
				</div>
			</div>
		</div>

		<script src="../js/mui.min.js"></script>
		<script src="../js/mui.picker.js"></script>
		<script src="../js/mui.poppicker.js"></script>
		<script src="../js/jquery.min.js"></script>
		<script src="../Script/Common/huayi.config.js"></script>
		<script src="../Script/Common/huayi.http.js"></script>
		<script src="../layui/layui.js"></script>
		<script src="../js/addWorkOrder.js"></script>
	</body>
</html>