SZlglCfdjSaleprescriptioninfoPageEdit.html 4.7 KB

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283
  1. <!DOCTYPE html>
  2. <html lang="zh" xmlns:th="http://www.thymeleaf.org" >
  3. <head>
  4. <th:block th:include="include :: header('处方登记记录修改')" />
  5. </head>
  6. <body>
  7. <div class="ui-layout-center">
  8. <form id="form-SZlglCfdjSaleprescriptioninfo-edit" class="customize-search-form">
  9. <div class="customize-form-group-container">
  10. </div>
  11. <div class="customize-form-group-container">
  12. </div>
  13. <div class="customize-form-group-container">
  14. <input type="hidden" id="id" name="id" th:value="${id}">
  15. <div class="customize-form-group">
  16. <label>销售单号:</label>
  17. <input name="saleDocumentNumber" placeholder="销售单号" th:value="${saleDocumentNumber}" class="styled-input" type="text" disabled="true">
  18. </div>
  19. <div class="customize-form-group select-time">
  20. <label>销售时间:</label>
  21. <input name="saleTime" placeholder="销售时间" th:value="${saleTime}" class="time-input time-input2" type="text">
  22. </div>
  23. <div class="customize-form-group select-time">
  24. <label>登记时间:</label>
  25. <input name="registrationTime" placeholder="登记时间" th:value="${registrationTime}" class="time-input time-input2" type="text">
  26. </div>
  27. <div class="customize-form-group">
  28. <label>处方单号:</label>
  29. <input name="prescriptionNumber" placeholder="处方单号" th:value="${prescriptionNumber}" class="styled-input" type="text" disabled="true">
  30. </div>
  31. <div class="customize-form-group">
  32. <label>类型:</label>
  33. <input name="type" placeholder="类型" th:value="${type}" class="styled-input" type="text">
  34. </div>
  35. <div class="customize-form-group select-time">
  36. <label>处方日期:</label>
  37. <input name="prescriptionDate" placeholder="处方日期" th:value="${prescriptionDate}" class="time-input time-input2" type="text">
  38. </div>
  39. <div class="customize-form-group">
  40. <label>医疗机构名称:</label>
  41. <input name="medicalInstitutionName" placeholder="医疗机构名称" th:value="${medicalInstitutionName}" class="styled-input" type="text">
  42. </div>
  43. <div class="customize-form-group">
  44. <label>医生姓名:</label>
  45. <input name="doctorName" placeholder="医生姓名" th:value="${doctorName}" class="styled-input" type="text">
  46. </div>
  47. <div class="customize-form-group">
  48. <label>顾客信息:</label>
  49. <input name="customerInfo" placeholder="顾客信息" th:value="${customerInfo}" class="styled-input" type="text">
  50. </div>
  51. <div class="customize-form-group">
  52. <label>审方药师:</label>
  53. <input name="reviewingPharmacist" placeholder="审方药师" th:value="${reviewingPharmacist}" class="styled-input" type="text">
  54. </div>
  55. <div class="customize-form-group">
  56. <label>调配员:</label>
  57. <input name="dispenser" placeholder="调配员" th:value="${dispenser}" class="styled-input" type="text">
  58. </div>
  59. <div class="customize-form-group">
  60. <label>复核员:</label>
  61. <input name="checker" placeholder="复核员" th:value="${checker}" class="styled-input" type="text">
  62. </div>
  63. </div>
  64. </form>
  65. </div>
  66. <div class="main-content">
  67. <div class="col-sm-offset-5 col-sm-10">
  68. <button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>&nbsp;
  69. <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>
  70. </div>
  71. </div>
  72. <th:block th:include="include :: footer" />
  73. </body>
  74. </html>
  75. <script>
  76. function submitHandler() {
  77. var prefix = ctx + "zlgl/szlglcfdjsaleprescriptioninfo";
  78. if ($.validate.form()) {
  79. var data = $("#form-SZlglCfdjSaleprescriptioninfo-edit").serializeArray();
  80. $.operate.saveTab(prefix + "/sZlglCfdjSaleprescriptioninfoEdit", data);
  81. }
  82. }
  83. </script>