duhongyu
/
ShuangHui_UI


			
				
					
						
						
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							<!doctype html>
<html>

	<head>
		<meta charset="UTF-8">
		<title>我要投诉</title>
		<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 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/iconfont.css" />
		<link rel="stylesheet" href="css/word_add.css" />
	</head>

	<body>
		<header class="mui-bar mui-bar-nav" style="padding-right: 15px;color: #fff;">
			<a class="mui-action-back mui-icon mui-icon-left-nav mui-pull-left" style="color: #fff;"></a>
			<h1 class="mui-center mui-title">提出诉求</span></h1>
		</header>
		<div class="mui-content">
			<ul class="mui-table-view ">
				<li class="mui-table-view-cell" id="showUserPicker">
					<div class="mui-input-row">
						<label class="label">诉求类型：</label>
						<input type="text" id='F_Type' class="ui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href=""><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">姓名：</label>
						<input type="text" id="F_CusName" placeholder="请填写您的姓名" class="size-14">
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">电话：</label>
						<input type="number" id="F_CusPhone" placeholder="请填写您的电话" class="size-14">
					</div>
				</li>
				<li class="mui-table-view-cell" id="chouhuTi">
					<div class="mui-input-row">
						<label class="label  zaue">省：</label>
						<input type="text" id='choworder_rengin' class="mui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href="#"><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell" id="chowZhuTiPicker">
					<div class="mui-input-row">
						<label class="label">市：</label>
						<input type="text" id='shouorder_shi' class="mui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href="#"><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell" id="chowcounty">
					<div class="mui-input-row">
						<label class="label">区县：</label>
						<input type="text" id='chouorder_xian' class="mui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href="#"><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">详细地址：</label>
						<textarea class="ztext content size-14" name="" id="textarea" rows="3" cols="" placeholder="请输入详细地址..."></textarea>
					</div>
				</li>
				
				<li class="mui-table-view-cell" id="showUserPickerProduct">
					<div class="mui-input-row">
						<label class="label">产品代码：</label>
						<input type="text" id='F_ProductType' class="ui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href=""><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">产品名称：</label>
						<input type="text" id="F_ProductName" placeholder="请填写产品名称" class="size-14">
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">规格：</label>
						<input type="text" id="F_Specifications" placeholder="请填写规格" class="size-14">
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">生产日期：</label>
						<input type="number" id="F_ProductDate" placeholder="请填写生产日期" class="size-14">
					</div>
				</li>
				
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">产品编码：</label>
						<input type="text" id="F_BatchNumber" placeholder="请填写产品编码" class="size-14">
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">生产厂家：</label>
						<input type="text" id="F_Manufacturer" placeholder="请填写生产厂家" class="size-14">
					</div>
				</li>
				<li class="mui-table-view-cell" id="showUserPickerProblem">
					<div class="mui-input-row">
						<label class="label">问题代码：</label>
						<input type="text" id='F_ProblemCode' class="ui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href=""><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">质量问题：</label>
						<input type="text" id="F_QualityProblem" placeholder="请填写质量问题" class="size-14">
					</div>
				</li>
				<li class="mui-table-view-cell" id="showUserPickerDealTimely">
					<div class="mui-input-row">
						<label class="label">工单等级：</label>
						<input type="text" id='F_DealTimely' class="ui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href=""><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell" id="showUserPickerDealTimelyyy">
					<div class="mui-input-row">
						<label class="label">原因：</label>
						<input type="text" id='F_DealTimelyyy' class="ui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href=""><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell" id="showUserPickerArea" style="display: none;">
					<div class="mui-input-row">
						<label class="label">大区：</label>
						<input type="text" id='F_Area' class="mui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href="#"><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>
					</div>
				</li>
				<li class="mui-table-view-cell" id="showUserPickeClid" style="display: none;">
					<div class="mui-input-row">
						<label class="label">提交人：</label>
						<input type="text" id='F_Clid' class="mui-alert type_con size-14" data-index="" readonly="readonly" />
						<a href="#"><span class="type_down mui-icon mui-icon-arrowdown mui-pull-right"></span></a>

					</div>
				</li>
				<li class="mui-table-view-cell">
					<div class="mui-input-row">
						<label class="label">备注：</label>
						<textarea class="ztext content size-14" name="" id="F_Content" rows="3" cols="" placeholder="请输入备注"></textarea>
					</div>
				</li>
			</ul>
			<div style="padding: 10px;">
				<button type="button" data-loading-text="提交中" class="mui-btn mui-btn-warning mui-btn-block block_button submit" id="submit">提交</button>
			</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/zepto.js"></script>
		<script src="js/huayi.config.js"></script>
		<script src="js/jquery.min.js"></script>
		<script src="js/feedback-page.js"></script>
		<script src="js/Work-Add.js"></script>
	</body>

</html>