fuyu
/
tjshop


			
				
					
						
						
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							<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>预约体检</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=no"/>
<link href="style/style.css" rel="stylesheet" />
</head>

<body>
	<div class="v-form">
    	<dl><dt>体检人</dt><dd><div><input name="" type="text" class="txt" /></div></dd></dl>
        <dl><dt>性别</dt><dd><div><input name="" type="radio" value="" /><label>男</label><input name="" type="radio" value="" /><label>女</label></div></dd></dl>
        <dl><dt>身份证号</dt><dd><div><input name="" type="text" class="txt" /></div></dd></dl>
        <dl><dt>手机号</dt><dd><div><input name="" type="text" class="txt" /></div></dd></dl>
        <dl><dt>体检时间</dt><dd><div><input name="" type="date" class="txt" /></div></dd></dl>
    </div>
</body>
</html>