report/app/enterprise/view/api/hospital/to_add.html

{extend name="layout/content"}
{block name="content"}
<style>
    .panel-heading{
        color:#333;
        background-color:#f5f5f5;
        border-color:#ddd
    }
    .spacing {
        margin-bottom: 10px;
        padding-right:4px;
        padding-left: 4px;
    }
    .has-feedback label~.form-control-feedback{
        top: 35px;
    }
    .table .td-label{
        display: block;
        text-align: left;
        border-bottom: 1px solid #ccc;
        margin-bottom: 10px;
    }
    .word-wrap{
        width:100%;
        white-space:normal;
        word-wrap:break-word;
        word-break:break-all;
    }
</style>
<div class="ibox float-e-margins">
    <div class="ibox-content">                                
        <form id="ecr_form" class="form-horizontal" target="hiddenIframe" action="" method="post" enctype="multipart/form-data">
            <input type="hidden" id="special" name="special" value="{$ecr.special}"/>
            <input type="hidden" id="enterprise_id" name="enterprise_id" value="{$ecr.enterprise_id}"/>
            <input type="hidden" id="id" name="id" value="{$ecr.id}"/>
            <input type="hidden" id="type" name="type" value="{$ecr.type}"/>
            <div class="form-horizontal">
                <div class="panel panel-default">
                    <div class="panel-heading">基础信息</div>
                    <div class="panel-body">
                        <table style="width: 100%;border-collapse: collapse;" class="table table-bordered">
                            <tr>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>医院名称</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newName" name="newName" value="{$ecr.newName}"/>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>登记证</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newIdCard" name="newIdCard"  value="{$ecr.newIdCard}"/>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>法人代表</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newLegal" name="newLegal" value="{$ecr.newLegal}"/>
                                    </div>
                                </td>
                                <td rowspan="3" style="position:relative;">
                                    <button type="button" class="btn btn-info btn-sm" style="position:absolute;right:5px;top:5px;" onclick="$('#imgurl').click()"><i class="fa fa-upload" aria-hidden="true"></i>上传文件</button>
                                    <label class="control-label spacing"><span class="text-danger">*</span>医疗机构执业许可证</label>
                                    {if condition="$ecr['imgurl']"}
                                    {eq name="ecr.imgurl_is_img" value="1"}
                                    <img src="{$ecr.imgurl|getStoragePath}" style="height:60px;" onclick="Feng.showImg(this)">
                                    {else/}
                                    <img src="/static/img/Pdf.png" style="height:60px;" data-url="{$ecr.imgurl|getStoragePath}">
                                    {/eq}
                                    {else/}
                                    <img src="/static/img/yyzz.png" style="height:60px;">
                                    {/if}                                
                                    <input style="display: none" autocomplete="off" type="file" class="form-control" id="imgurl" name="imgurl" />
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>医共体</label>
                                        <select class="form-control" id="newMedicalCommunityId" name="newMedicalCommunityId" value="{$ecr.newMedicalCommunityId}">
                                            <option value=""></option>
                                            {volist name="medicalCommunities" id="mc"}
                                            <option value="{$mc.id}">{$mc.name}</option>
                                            {/volist}
                                        </select>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>是否总院</label>
                                        <select class="form-control" id="newIsGeneral" name="newIsGeneral" value="{$ecr.newIsGeneral}">
                                            <option value=""></option>
                                            <option value="2">否</option>
                                            <option value="1">是</option>
                                        </select>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>医院电话</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newEphone" name="newEphone" placeholder="固话格式0595-xxxx" value="{$ecr.newEphone}"/>
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td colspan="3">
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>医院地址</label>
                                        <div class="col-sm-12">
                                            <div class="col-sm-2">
                                                <select class="form-control" id="newProvince" name="newProvince" onchange="EpChangeEdit.afterSelectProvince();" value="{$ecr.newProvince}">
                                                    <option value="">---请选择---</option>
                                                </select>
                                            </div>
                                            <div class="col-sm-2">
                                                <select class="form-control" id="newCity" name="newCity" onchange="EpChangeEdit.afterSelectCity();" value="{$ecr.newCity}">
                                                    <option value="">---请选择---</option>
                                                </select>
                                            </div>
                                            <div class="col-sm-2">
                                                <select class="form-control" id="newCounty" name="newCounty" value="{$ecr.newCounty}">
                                                    <option value="">---请选择---</option>
                                                </select>
                                            </div>
                                            <div class="col-sm-6">
                                                <input autocomplete="off" type="text" class="form-control" id="newAddress" name="newAddress" placeholder="请填写详细地址" value="{$ecr.newAddress}"/>
                                            </div>
                                        </div>
                                    </div>
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>银行账号</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newBankCard" name="newBankCard" value="{$ecr.newBankCard}"/>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>开户银行</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newBank" name="newBank"  value="{$ecr.newBank}"/>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class=" control-label spacing td-label"><span style="color: red">*</span>开户银行网点</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newBankNetwork" name="newBankNetwork" value="{$ecr.newBankNetwork}"/>
                                    </div>
                                </td>
                                <td rowspan="1" style="position:relative;">
                                    <button type="button" class="btn btn-info btn-sm" style="position:absolute;right:5px;top:5px;" onclick="$('#bankImg').click()"><i class="fa fa-upload" aria-hidden="true"></i>上传文件</button>
                                    <label class="control-label spacing"><span class="text-danger">*</span>开户许可证/基本存款账户信息</label>
                                    {if condition="$ecr['bankImg']"}
                                    {eq name="ecr.bankImg_is_img" value="1"}
                                    <img src="{$ecr.bankImg|getStoragePath}" style="height:60px;" onclick="Feng.showImg(this)">
                                    {else/}
                                    <img src="/static/img/Pdf.png" style="height:60px;" data-url="{$ecr.bankImg|getStoragePath}">
                                    {/eq}
                                    {else/}
                                    <img src="/static/img/yyzz.png" style="height:60px;">
                                    {/if}                                
                                    <input style="display: none" autocomplete="off" type="file" class="form-control" id="bankImg" name="bankImg" />
                                </td>
                            </tr>
                        </table>
                    </div>
                </div>
                <div class="panel panel-default">
                    <div class="panel-heading">人才联络员信息</div>
                    <div class="panel-body">
                        <table style="width: 100%;border-collapse: collapse;" class="table table-bordered">
                            <tr>
                                <td>
                                    <div class="rowGroup">
                                        <label class="control-label spacing td-label"><span style="color: red">*</span>人才联络员</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newAgentName" name="newAgentName" value="{$ecr.newAgentName}"/>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class="control-label spacing td-label"><span style="color: red">*</span>电子邮箱</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newAgentEmail" name="newAgentEmail" value="{$ecr.newAgentEmail}"/>
                                    </div>
                                </td>
                                <td>
                                    <div class="rowGroup">
                                        <label class="control-label spacing td-label"><span style="color: red">*</span>人才联络员手机号</label>
                                        <input autocomplete="off" type="text" class="form-control" id="newAgentPhone" name="newAgentPhone" value="{$ecr.newAgentPhone}"/>
                                    </div>
                                </td>
                                <td style="position:relative;">
                                    <button type="button" class="btn btn-info btn-sm" style="position:absolute;right:5px;top:5px;" onclick="$('#beian').click()"><i class="fa fa-upload" aria-hidden="true"></i>上传文件</button>
                                    <label class="control-label spacing" style="text-align: center"><span style="color: red">*</span>人才联络员备案表<br /><a href="/beianbiao.doc" style="color: red">（点击此处下载模板）</a>  </label>
                                    {if condition="$ecr['beian']"}
                                    {eq name="ecr.beian_is_img" value="1"}
                                    <img src="{$ecr.beian|getStoragePath}" style="height:60px;" onclick="Feng.showImg(this)" >
                                    {else/}
                                    <img src="/static/img/Pdf.png" style="height:60px;" data-url="{$ecr.beian|getStoragePath}">
                                    {/eq}
                                    {else/}
                                    <img src="/static/img/yyzz.png" style="height:60px;">
                                    {/if}
                                    <input style="display: none" autocomplete="off" type="file" class="form-control" id="beian" name="beian" />
                                </td>
                            </tr>
                        </table>
                    </div>
                </div>
            </div>
        </form>
    </div>
</div>
<iframe style="display: none;" id="hiddenIframe" name="hiddenIframe"></iframe>
<!--<script src="${ctxPath}/static/modular/gate/enterprise/enterprise_change_edit.js"></script>-->
<script type="text/javascript">
    document.write('<script src="/static/modular/gate/enterprise/hospital/enterprise_change_edit.js?v=' + (new Date()).getTime() + '"><\/script>');
</script>
{/block}