zimoyin
105 lines
5.2 KiB
HTML
105 lines
5.2 KiB
HTML
<!DOCTYPE html>
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<html lang="zh-cn">
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<head>
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<meta charset="UTF-8">
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<title>新增医院</title>
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<link rel="stylesheet" href="/app/admin/component/pear/css/pear.css" />
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<link rel="stylesheet" href="/app/admin/admin/css/reset.css" />
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</head>
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<body>
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<form class="layui-form" action="">
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<div class="mainBox">
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<div class="main-container mr-5">
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<div class="layui-form-item">
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<label class="layui-form-label required">医院名称</label>
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<div class="layui-input-block">
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<input type="text" name="organ_name" lay-verify="required" placeholder="请输入医院名称" class="layui-input">
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">等级</label>
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<div class="layui-input-block">
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<select name="organ_level">
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<option value="0">未定级</option>
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<option value="1">一级</option>
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<option value="2">二级</option>
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<option value="3">三级</option>
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</select>
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">评级</label>
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<div class="layui-input-block">
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<select name="grade">
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<option value="0">未定级</option>
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<option value="1">甲等</option>
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<option value="2">乙等</option>
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</select>
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">地址</label>
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<div class="layui-input-block">
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<input type="text" name="address" placeholder="请输入地址" class="layui-input">
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">负责人</label>
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<div class="layui-input-block">
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<input type="text" name="leader" placeholder="请输入负责人" class="layui-input">
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">负责人电话</label>
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<div class="layui-input-block">
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<input type="text" name="leader_mobile" placeholder="请输入电话" class="layui-input" lay-verify="phone">
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">经销商</label>
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<div class="layui-input-block">
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<input type="text" name="dealer" placeholder="请输入经销商" class="layui-input">
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">经销商电话</label>
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<div class="layui-input-block">
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<input type="text" name="dealer_mobile" placeholder="请输入经销商电话" class="layui-input" lay-verify="phone">
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</div>
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</div>
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</div>
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</div>
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<div class="bottom">
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<div class="button-container">
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<button type="submit" class="pear-btn pear-btn-primary pear-btn-md" lay-submit="" lay-filter="save">提交</button>
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<button type="reset" class="pear-btn pear-btn-md">重置</button>
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</div>
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</div>
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</form>
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<script src="/app/admin/component/layui/layui.js?v=2.8.12"></script>
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<script src="/app/admin/component/pear/pear.js"></script>
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<script>
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const INSERT_API = "/app/admin/hospital/insert";
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layui.use(["form", "popup"], function () {
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layui.form.verify({
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phone: [/(^$)|^1\d{10}$/, "请输入正确的手机号"]
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});
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layui.form.on("submit(save)", function (data) {
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layui.$.ajax({
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url: INSERT_API, type: "POST", dateType: "json", data: data.field,
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success: function (res) {
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if (res.code) { return layui.popup.failure(res.msg); }
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return layui.popup.success("操作成功", function () {
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parent.refreshTable();
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parent.layer.close(parent.layer.getFrameIndex(window.name));
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});
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}
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});
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return false;
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});
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});
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</script>
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</body>
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</html>
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