duhongyu
/
YHSF_UI


			
				
					
						
						
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							<!DOCTYPE html>
<html>

	<head>
		<meta charset="UTF-8">
		<title>问卷信息</title>
		<meta name="viewport" content="width=device-width, initial-scale=1.0">
		<script src="../Script/Common/huayi.load.js"></script>
		<script src="../Script/Common/huayi.config.js"></script>
		<link href="../css/Table/table1.css" rel="stylesheet" />
		<link href="../css/init.css" rel="stylesheet" />
		<link rel="stylesheet" type="text/css" href="../css/lookMsg.css" />
	</head>
	<style type="text/css">
		label {
			width: 60px !important;
			margin-right: 0;
		}
		
		li {
			width: 45% !important;
			margin-right: 10px;
		}
		
		.result li label {
			width: auto !important;
		}
		
		.result li input {
			display: inline-block !important;
		}
	</style>

	<body class="gray-bg">
		<div class="wrapper">
			<div class="content_1 clearfix">
				<div class="shark_content_title clearfix">
					<span>工单信息</span>
				</div>
				<div class="clearfix Phone_Text clearfix">
					<ul class="clearfix form-inline">
						<li>
							<label for="Name">姓名：</label>
							<span id="Name"></span>
						</li>
						<li>
							<label for="TelH">联系方式:</label>
							<a class="CallOut" id="CallOut"><span id="TelH"></span><img src="../img/Phones.png" alt="phone" /></a>
						</li>
						<li>
							<label for="Age">年龄:</label>
							<span id="Age"></span>
						</li>
						<li>
							<label for="Sex">性别:</label>
							<span id="Sex"></span>
						</li>
						<li>
							<label for="Add">住址:</label>
							<span id="Add"></span>
						</li>
						<li>
							<label for="Admloc">就诊科室:</label>
							<span id="Admloc"></span>
						</li>
						<li>
							<label for="Admdoc">就诊医生:</label>
							<span id="Admdoc"></span>
						</li>
						<li>
							<label for="DinoseT">就诊内容:</label>
							<span id="DinoseT"></span>
						</li>
					</ul>
				</div>
			</div>
			<div class="content_2  clearfix">
				<div class="shark_content_title clearfix">
					<span>回访记录</span>
				</div>
				<ul class="result">
					<li>
						<label for="Sex">患者反馈健康状况:</label>
						<input type="text" id="HealthCondition" class="form-control" placeholder="请输入患者健康状态" />
					</li>
					<li>
						<label for="Add">患者意见建议:</label>
						<input type="text" id="Advice" class="form-control" placeholder="请输入患者意见建议" />
					</li>
					<li>
						<label for="Admloc">处理结果:</label>
						<input type="text" id="ProcessingResults" class="form-control" placeholder="请输入处理结果" />
					</li>
				</ul>
			</div>
			<div class="content_2  clearfix">
				<div class="shark_content_title clearfix">
					<span>呼叫结果</span>
				</div>
				<div>
					<ul class="clearfix" id="Tgetruset">
						<li><input id="listR_0" type="radio" name="check" value="已回访"><label for="listR_0">已回访</label></li>
						<li><input id="listR_0" type="radio" name="check" value="未回访"><label for="listR_0">未回访</label></li>
					</ul>
				</div>
			</div>
			<div class="content_5 clearfix" style="text-align: center;">
				<div>
					<button type="button" id="btn_submit" class="btn btn-primary">提交</button>
					<input type="hidden" id="F_Id" />
				</div>
			</div>
		</div>
		<script src="../js/guid.js"></script>
		<script src="../visit/js/LookHZMessage.js"></script>
	</body>

</html>