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- <!DOCTYPE html>
- <html>
- <head>
- <meta charset="UTF-8">
- <title>回访</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>
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