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							- {extend name="common/common2" /}
 
- {block name="main"}
 
- <div class="row">
 
-     <div class="col-sm-12">
 
-         <div class="ibox float-e-margins">
 
-             <!--<div class="ibox-title">-->
 
-                 <!--<h5>{$meta_title}</h5>-->
 
-                 <!--<div class="ibox-tools">-->
 
-                     <!--<a class="toback" href="{:url('index')}">-->
 
-                         <!--返回上一页-->
 
-                     <!--</a>-->
 
-                 <!--</div>-->
 
-             <!--</div>-->
 
-             <div class="ibox-content">
 
-                 <form method="post" action="{:url('add')}" class="form-horizontal">
 
-                     <input type="hidden" name="id" value="{$info['id']|default='0'}">
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">联系人 <span class="text-danger">*</span></label>
 
-                             <div class="col-xs-9">
 
-                                 <input type="text" class="form-control" name="contact" value="{$info.contact|default=''}">
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">联系手机号 <span class="text-danger">*</span></label>
 
-                             <div class="col-xs-9">
 
-                                 <input type="text" class="form-control" name="phone" value="{$info.phone|default=''}">
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">病人姓名</label>
 
-                             <div class="col-xs-9">
 
-                                 <input type="text" class="form-control" name="name" value="{$info.name|default=''}">
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">性别</label>
 
-                             <div class="col-xs-9">
 
-                                 <select name="gender" class="form-control">
 
-                                     <option value="1">男</option>
 
-                                     <option value="2">女</option>
 
-                                 </select>
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">服务开始时间 <span class="text-danger">*</span></label>
 
-                             <div class="col-xs-9">
 
-                                 <input type="text" class="form-control" readonly id="start" name="start" value="{$info.start|default=''}">
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">年龄</label>
 
-                             <div class="col-xs-9">
 
-                                 <input type="number" class="form-control" name="age" value="{$info.age|default=''}">
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">床号</label>
 
-                             <div class="col-xs-9">
 
-                                 <input type="text" class="form-control" name="bed" value="{$info.bed|default=''}">
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="col-xs-6">
 
-                         <div class="form-group">
 
-                             <label class="col-xs-3 control-label">所患疾病</label>
 
-                             <div class="col-xs-9">
 
-                                 <input type="text" class="form-control" name="ill" value="{$info.ill|default=''}">
 
-                             </div>
 
-                         </div>
 
-                     </div>
 
-                     <div class="form-group">
 
-                         <label class="col-sm-2 control-label">科室/部门 <span class="text-danger">*</span></label>
 
-                         <div class="col-sm-7">
 
-                             <select name="depId" class="form-control">
 
-                                 <option value="">选择科室/部门</option>
 
-                                 {volist name="dep" id="v"}
 
-                                 <option value="{$v.id}">{$v.title}</option>
 
-                                 {/volist}
 
-                             </select>
 
-                         </div>
 
-                     </div>
 
-                     <div class="form-group">
 
-                         <label class="col-sm-2 control-label">陪护服务<span class="text-danger">*</span></label>
 
-                         <div class="col-sm-7">
 
-                             <select name="cateId" class="form-control" onchange="changeService(this)">
 
-                                 <option value="">选择服务</option>
 
-                                 {volist name="cate" id="v"}
 
-                                 <option value="{$v.id}">{$v.title}</option>
 
-                                 {/volist}
 
-                             </select>
 
-                         </div>
 
-                     </div>
 
-                     <div class="form-group">
 
-                         <label class="col-sm-2 control-label">价格(/人/天)</label>
 
-                         <div class="col-sm-7">
 
-                             <input type="number" class="form-control" id="price" name="price" value="{$info.price|default=''}">
 
-                         </div>
 
-                     </div>
 
- <!--                    <div class="form-group">-->
 
- <!--                        <label class="col-sm-2 control-label">预收金</label>-->
 
- <!--                        <div class="col-sm-7">-->
 
- <!--                            <input type="number" class="form-control" name="preMoney" value="{$info.pre_money|default=''}">-->
 
- <!--                        </div>-->
 
- <!--                    </div>-->
 
-                     <div class="form-group">
 
-                         <label class="col-sm-2 control-label">执行护工</label>
 
-                         <div class="col-sm-7">
 
-                             {:widget('common/multiselect',['name'=>'uids','lists' => $workers, 'val' => []])}
 
-                         </div>
 
-                     </div>
 
-                     <div class="hr-line-dashed"></div>
 
-                     <div class="form-group">
 
-                         <div class="col-sm-4 col-sm-offset-2">
 
-                             <button class="btn btn-primary ajax-post" data-layer_c="1" target-form="form-horizontal" type="submit">确 定</button>
 
-                             <button  class="btn cancel-btn btn-default" type="button">取 消</button>
 
-                         </div>
 
-                     </div>
 
-                 </form>
 
-             </div>
 
-         </div>
 
-     </div>
 
- </div>
 
- {/block}
 
- {block name="script"}
 
- <script type="text/javascript" src="/static/layDate-v5.0.9/laydate.js"></script>
 
- <script>
 
-     laydate.render({
 
-         elem: '#start',
 
-         //设置开始日期、日期日期的 input 选择器
 
-         //数组格式为 5.3.0 开始新增,之前版本直接配置 true 或任意分割字符即可
 
-         type: 'datetime',
 
-         trigger: 'click',
 
-         theme: '#284a94'
 
-     });
 
-     var cates = JSON.parse('{:json_encode($cate)}');
 
-     function changeService(_self) {
 
-         console.log(cates);
 
-         var cateId = $(_self).val();
 
-         var price = '';
 
-         console.log(cateId);
 
-         for (let o in cates){
 
-             if(cates[o].id == cateId){
 
-                 price = cates[o].price;
 
-                 break;
 
-             }
 
-         }
 
-         console.log(price);
 
-         $('#price').val(price);
 
-     }
 
- </script>
 
- {/block}
 
 
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