zskk_bg
/
yuanchengpasc


			
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							<!DOCTYPE html>
<html>
    <head>
        <title>TODO supply a title</title>
        {include file="../application/manage/view/commons/headers.html" }
        <script >

            // 保存信息
            function save(){
                var data=$("#myform").serialize();
                $.ajax({
                        url:"/manage/patientinfo/save",
                        data:data,type:"get",
                        success:function(rs){
                            if(rs.indexOf("insert_ok")>=0){
                                    document.location.href="edit?id="+rs.split(";")[1];
                            }else if(rs=="success"){
                                alert('保存成功');
                                document.location.reload();
                            }else{
                                    alert("保存失败！");
                            }
                        },error:function(e,e1,e2){
                            alert(e2);
                        }
                });
            }

            $(function(){


            });
            
            
        </script>
        
        
    </head>
    <body >
        <form id="myform"  action="" method="get" >
            <input name="id" type="hidden" value="{if  isset($patient_info) }{$patient_info.id}{/if}" />
        <table class="editform" width="99%" border="0" style="margin: 5px auto;" cellpadding="1" cellspacing="1" >
            <tr>
                    <th width="105" height="38" align="right" >属性&nbsp;</th>
                    <th colspan="3" >信息</th>
            </tr>
            <tr>
                    <th height="32" align="right" >姓名：</th>
                    <td colspan="3" >
                        <input name="name" type="text" class="easyui-textbox" size="55" value="{if  isset($patient_info) }{$patient_info.name}{/if}" />
                    </td>
            </tr>
            <tr>
                    <th height="32" align="right" >性别：</th>
                    <td colspan="3" >
                        <input name="sex"  type="radio" size="35" value="F" {if isset($patient_info) && $patient_info.sex=='F' }checked="check"{/if} /><label>女</label>
                        <input name="sex"  type="radio" size="35" value="M" {if isset($patient_info) && $patient_info.sex=='M' }checked="check"{/if} /><label>男</label>
                    </td>
            </tr>
            <tr>
                <th height="32" align="right" >身份证号：</th>
                <td colspan="3" >
                    <input name="card_num" type="text" class="easyui-textbox" size="55" value="{if  isset($patient_info) }{$patient_info.card_num}{/if}" />
                </td>
            </tr>
            <tr>
                <th height="32" align="right" >手机号：</th>
                <td colspan="3" >
                    <input name="phone" type="text" class="easyui-textbox" size="55" value="{if  isset($patient_info) }{$patient_info.phone}{/if}" />
                </td>
            </tr>
            <tr>
                <th height="32" align="right" >生日：</th>
                <td  >
                    <input name="birthday" type="text" class="easyui-textbox" size="25"  class="easyui-datetimebox" value="{if  isset($patient_info) }{$patient_info.birthday}{/if}" />
                </td>
                <th height="32" align="right" >年龄：</th>
                <td >
                    <input name="age" type="text" size="25" class="easyui-textbox" value="{if  isset($patient_info) }{$patient_info.age}{/if}" />
                </td>
            </tr>
            <tr>
                <th height="32" align="right" >证件类型：</th>
                <td  >
                    <input name="card_type" type="text" class="easyui-textbox" size="25" value="{if  isset($patient_info) }{$patient_info.card_type}{/if}" />
                </td>
                <th height="32" align="right" >国籍：</th>
                <td >
                    <input name="nationality" type="text" class="easyui-textbox" size="25" value="{if  isset($patient_info) }{$patient_info.nationality}{/if}" />
                </td>
            </tr>
            <tr>
                <th height="32" align="right" >民族：</th>
                <td  >
                    <input name="nation" type="text" class="easyui-textbox" size="25" value="{if  isset($patient_info) }{$patient_info.nation}{/if}" />
                </td>
                <th height="32" align="right" >婚否：</th>
                <td  >
                    <input name="marry"  type="radio" size="35" value="0" {if isset($patient_info) && $patient_info.marry=='0' }checked="check"{/if} /><label>未婚</label>
                    <input name="marry"  type="radio" size="35" value="1" {if isset($patient_info) && $patient_info.marry=='1' }checked="check"{/if} /><label>已婚</label>
                </td>
            </tr>
            <tr>
                <th height="32" align="right" >检查临时患者id：</th>
                <td  >
                    <input name="temp_patient_id" type="text" class="easyui-textbox" size="25" value="{if  isset($patient_info) }{$patient_info.temp_patient_id}{/if}" />
                </td>
                <th height="32" align="right" >职业：</th>
                <td  >
                    <input name="professional" type="text" class="easyui-textbox" size="25" value="{if  isset($patient_info) }{$patient_info.professional}{/if}" />
                </td>
            </tr>
            <tr>
                <th height="32" align="right" >联系地址：</th>
                <td colspan="3" >
                    <input name="address" type="text" class="easyui-textbox" size="55" value="{if  isset($patient_info) }{$patient_info.address}{/if}" />
                </td>
            </tr>
            <tr>
            <th height="50" >&nbsp;</th>
            <td>
                <a type="button" class="easyui-linkbutton" data-options="iconCls:'icon-save'" icon="icon-save" onclick="save()" >保存</a>
                <a type="button" class="easyui-linkbutton" data-options="iconCls:'icon-cancel'" onclick="window.parent.closeEditWin('reload');" >关闭</a>
            </td>
            </tr>
            <tr >
                    <th height="32" >&nbsp;</th>
                    <td colspan="3" >
                    &nbsp;
                    </td>
            </tr>
        </table>
        </form>
        
        
    </body>
</html>