bzd_lxf
/
health_manage


			
				
					
						
						
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							<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('特管药品登记表修改')" />
</head>
<body>
<div class="ui-layout-center">
    <form id="form-SCgxsTgypTgypdj-edit" class="customize-search-form">

        <div class="customize-form-group-container">
            <input type="hidden" id="id" name="id" th:value="${id}">
            <div class="customize-form-group">
                <label>创建人:</label>
                <input name="createdBy" placeholder="创建人" th:value="${createdBy}" class="styled-input" type="text" disabled="true">
            </div>
            <div class="customize-form-group select-time">
                <label>创建日期:</label>
                <input name="createdDate" placeholder="创建日期" th:value="${createdDate}" class="time-input time-input2" type="text">
            </div>
            <div class="customize-form-group">
                <label>销售日期:</label>
                <input name="saleDate" placeholder="销售日期" th:value="${saleDate}" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>销售单号:</label>
                <input name="saleOrderNumber" placeholder="销售单号" th:value="${saleOrderNumber}" class="styled-input" type="text" disabled="true">
            </div>
            <div class="customize-form-group select-time">
                <label>登记时间:</label>
                <input name="registerTime" placeholder="登记时间" th:value="${registerTime}" class="time-input time-input2" type="text">
            </div>
            <div class="customize-form-group">
                <label>顾客姓名:</label>
                <input name="customerName" placeholder="顾客姓名" th:value="${customerName}" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>性别:</label>
                <select name="gender"  th:with="type=${@dict.getType('sys_user_sex')}" class="styled-input" >
                    <option th:each="dict : ${type}" th:text="${dict.dictLabel}" th:value="${dict.dictLabel}"
                            th:selected="${dict.dictLabel}==${gender}"></option>
                </select>
            </div>
            <div class="customize-form-group">
                <label>身份证号:</label>
                <input name="idNumber" placeholder="身份证号" th:value="${idNumber}" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>联系电话:</label>
                <input name="contactPhone" placeholder="联系电话" th:value="${contactPhone}" class="styled-input" type="number" maxlength="11">
            </div>
            <div class="customize-form-group">
                <label>营业员:</label>
                <input name="salesperson" placeholder="营业员" th:value="${salesperson}" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>门店名称:</label>
                <input name="storeName" placeholder="门店名称" th:value="${storeName}" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>药品编号:</label>
                <input name="medicineCode" placeholder="药品编号" th:value="${medicineCode}" class="styled-input" type="text">
            </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 + "cgxs/scgxstgyptgypdj";
        if ($.validate.form()) {
            var data = $("#form-SCgxsTgypTgypdj-edit").serializeArray();
            $.operate.saveTab(prefix + "/sCgxsTgypTgypdjEdit", data);
        }
    }
</script>