miaofuhao
/
yiheRepair


			
				
					
						
						
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							<!DOCTYPE html>
<html>

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <link href="../css/init.css" rel="stylesheet" />
    <script src="../Script/Common/huayi.load.js"></script>
    <script src="../Script/Common/huayi.config.js"></script>
    <link rel="stylesheet" href="../css/WorkOrder/jquery.editable-select.css" />
    <link rel="stylesheet" href="../js/comboSelect/combo.select.css" />
    <link rel="stylesheet" href="../css/init.css" />
    <link rel="stylesheet" href="../css/WorkOrder/NewAddWorkOrder.css" />
	<link rel="stylesheet" href="../js/zTree/zTreeStyle.css" />
	<link href="../css/WorkOrder/Search.css" rel="stylesheet">
	<link rel="stylesheet" href="../js/comboSelect/combo.select.css" />
	<link href="../css/init.css" rel="stylesheet" />
    <title></title>
    <style>
        ul li {
            float: initial;
            list-style: none;
        }
        .repeat-btn{
        	width: 100%;
        	margin: 30px 0 0 0;
        	text-align: center;
        }
        .ckxq .gdxq  ul li{
        	width: 100%;
        	overflow: hidden;
        }
		.ckxq .gdxq  ul li .left{
        	width: 40%;
        	float: left;
        }
        .ckxq .gdxq  ul li .right{
        	width: 60%;
        	float: left;
        }
    </style>
</head>

<body class="gray-bg">
        <div class="ckxq">
			<div class="gdxq">
				<div style="width: 100%;">
					<ul>
						<li>
							<div class="left">转诊单位：</div>
							<div class="right"><input type="text" value="内科"></input></div>							
						</li>
						<li>
							<div class="left">联系方式：</div>
							<div class="right"><input type="text" value="1234567890"></input></div>	
						</li>
						<li>
							<div class="left">患者姓名：</div>
							<div class="right"><input type="text" value="张某某"></input></div>							
						</li>
						<li>
							<div class="left">性别：</div>
							<div class="right"><input type="text" value="男"></input></div>								
						</li>
						<li>
							<div class="left">年龄：</div>
							<div class="right"><input type="text" value="26"></input></div>
						</li>
						<li>
							<div class="left">诊断：</div>
							<div class="right"><input type="text" value="骨折"></input></div>
						</li>
						<li>
							<div class="left">接诊科室：</div>
							<div class="right"><input type="text" value="骨科"></input></div>							
						</li>
						<li>
							<div class="left">住院号：</div>
							<div class="right"><input type="text" value="1201"></input></div>								
						</li>
						<li>
							<div class="left">出车时间：</div>
							<div class="right"><input type="text" value="2020-08-15 11:00:00"></input></div>								
						</li>
						<li>
							<div class="left">接回时间：</div>
							<div class="right"><input type="text" value="2020-08-15 11:00:00"></input></div>								
						</li>
						<li>
							<div class="left">责任人：</div>
							<div class="right"><input type="text" value="孙某某"></input></div>	
						</li>
						<li>
							<div class="left">出院时间：</div>
							<div class="right"><input type="text" value="2020-08-15 11:00:00"></input></div>							
						</li>
						<li>
							<div class="left">住院费用：</div>
							<div class="right"><input type="text" value="$800"></input></div>								
						</li>
						<li>
							<div class="left">诊后追踪服务：</div>
							<div class="right"><input type="text" value="引导"></input></div>								
						</li>
						<li>
							<div class="left">反馈首诊医师：</div>
							<div class="right"><input type="text" value="钱医生"></input></div>								
						</li>
						<li>
							<div class="left">责任人：</div>
							<div class="right"><input type="text" value="刘某某"></input></div>
						</li>
					</ul>
				</div>
			</div>
			
		</div>
		<div class="repeat-btn">
            <button class="btns repeatSubmit">提&nbsp;交</button>
        </div>
        
	<script src="../js/WorkOrder/WorkOrderDetails.js"></script>
	<script src="../js/download/download.js"></script>
	<script>
		$('.repeatSubmit').on('click', function(){
			
			var index = parent.layer.getFrameIndex(window.name);
			parent.layer.close(index);
			parent.layer.msg("修改成功");
		});
	</script>
</body>

</html>