<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('处方登记记录修改')" />
</head>
<style>

</style>
<script>

</script>
<body>
<div class="ui-layout-center">
    <form class="form-horizontal" id="form-SZlglCfdjSaleprescriptioninfo-edit" th:object="${user}">
        <h4 class="form-header h4">基本信息</h4>
        <input type="hidden" id="id" name="id" th:value="${id}">
        <div class="row">
            <div class="col-sm-12">
                <div class="form-group">
                    <!--is-required 增加星号 显示为必填-->
                    <label class="col-sm-1 control-label">销售单号:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="saleDocumentNumber" placeholder="销售单号" th:value="${saleDocumentNumber}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">销售时间:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="saleTime" placeholder="销售时间" th:value="${saleTime}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">登记时间:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="registrationTime" placeholder="登记时间" th:value="${registrationTime}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">处方单号:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="prescriptionNumber" placeholder="处方单号" th:value="${prescriptionNumber}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">类型:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="type" placeholder="类型" th:value="${type}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">处方日期:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="prescriptionDate" placeholder="处方日期" th:value="${prescriptionDate}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">医疗机构名称:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="medicalInstitutionName" placeholder="医疗机构名称" th:value="${medicalInstitutionName}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">医生姓名:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="doctorName" placeholder="医生姓名" th:value="${doctorName}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">顾客信息:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="customerInfo" placeholder="顾客信息" th:value="${customerInfo}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">审方药师:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="reviewingPharmacist" placeholder="审方药师" th:value="${reviewingPharmacist}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">调配员:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="dispenser" placeholder="调配员" th:value="${dispenser}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                    <label class="col-sm-1 control-label">复核员:</label>
                    <div class="col-sm-2">
                        <div class="input-group">
                            <input name="checker" placeholder="复核员" th:value="${checker}" class="styled-input" type="text" maxlength="255" required>
                        </div>
                    </div>
                </div>
            </div>

        </div>
    </form>
</div>
<div class="main-content">
    <div class="col-sm-offset-5 col-sm-10">
        <button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>&nbsp;
        <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>
    </div>
</div>
<th:block th:include="include :: footer" />
</body>
</html>

<script>
    function submitHandler() {
        var prefix = ctx + "zlgl/szlglcfdjsaleprescriptioninfo";
        if ($.validate.form()) {
            var data = $("#form-SZlglCfdjSaleprescriptioninfo-edit").serializeArray();
            /*var status = $("input[id='status']").is(':checked') == true ? 0 : 1;
            var roleIds = $.form.selectCheckeds("role");
            var postIds = $.form.selectSelects("post");
            data.push({"name": "status", "value": status});
            data.push({"name": "roleIds", "value": roleIds});
            data.push({"name": "postIds", "value": postIds});*/
            $.operate.saveTab(prefix + "/sZlglCfdjSaleprescriptioninfoEdit", data);
        }
    }
</script>
