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- <!DOCTYPE html>
- <html lang="zh" xmlns:th="http://www.thymeleaf.org" >
- <head>
- <th:block th:include="include :: header('健康报告列表新增')" />
- <th:block th:include="include :: ztree-css" />
- </head>
- <body class="white-bg">
- <div class="wrapper wrapper-content animated fadeInRight ibox-content">
- <form id="form-role-add" class="customize-search-form">
- <div class="customize-form-group-container">
- <div class="customize-form-group">
- <label>健康方案ID:</label>
- <input name="healthPlanId" placeholder="健康方案ID" id="healthPlanId" class="styled-input" type="text">
- </div>
- <div class="customize-form-group">
- <label>健康方案名称:</label>
- <input name="healthPlanName" placeholder="健康方案名称" id="healthPlanName" class="styled-input" type="text" maxlength="255" >
- </div>
- <div class="customize-form-group">
- <label>连锁用户ID:</label>
- <input name="chainUserId" id="chainUserId" class="styled-input" type="text" maxlength="255" >
- </div>
- <div class="customize-form-group">
- <label>用户姓名:</label>
- <input name="userName" id="userName" class="styled-input" type="text" maxlength="255" >
- </div>
- <div class="customize-form-group">
- <label>填写人:</label>
- <input name="filler" id="filler" class="styled-input" type="text" maxlength="255" >
- </div>
- <div class="customize-form-group">
- <label>填写人手机号:</label>
- <input name="fillerPhoneNumber" id="fillerPhoneNumber" class="styled-input" type="text" maxlength="255" >
- </div>
- <div class="customize-form-group">
- <label>填写来源:</label>
- <input name="fillSource" id="fillSource" class="styled-input" type="text" maxlength="255" >
- </div>
- <div class="customize-form-group">
- <label>连锁名称:</label>
- <input name="chainName" id="chainName" class="styled-input" type="text" maxlength="255" >
- </div>
- <div class="customize-form-group">
- <label>报告生成时间:</label>
- <input name="reportGenerationTime" id="reportGenerationTime" class="styled-input" type="text" maxlength="255" >
- </div>
- </div>
- </form>
- </div>
- <th:block th:include="include :: footer" />
- <th:block th:include="include :: ztree-js" />
- <script type="text/javascript">
- function submitHandler() {
- if ($.validate.form()) {
- add();
- }
- }
- function add() {
- var data = $("#form-role-add").serializeArray();
- $.ajax({
- cache : true,
- type : "POST",
- url : ctx + "gjgzt/sgjgzthealthplaninfo/sGjgztHealthplaninfoAdd",
- data : data,
- async : false,
- error : function(request) {
- $.modal.alertError("系统错误");
- },
- success : function(data) {
- $.operate.successCallback(data);
- }
- });
- }
- </script>
- </body>
- </html>
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