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- <!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>
- <body>
- <div class="ui-layout-center">
- <form id="form-SZlglCfdjSaleprescriptioninfo-edit" class="customize-search-form">
- <div class="customize-form-group-container">
- </div>
- <div class="customize-form-group-container">
- </div>
- <div class="customize-form-group-container">
- <input type="hidden" id="id" name="id" th:value="${id}">
- <div class="customize-form-group">
- <label>销售单号:</label>
- <input name="saleDocumentNumber" placeholder="销售单号" th:value="${saleDocumentNumber}" class="styled-input" type="text" disabled="true">
- </div>
- <div class="customize-form-group select-time">
- <label>销售时间:</label>
- <input name="saleTime" placeholder="销售时间" th:value="${saleTime}" class="time-input time-input2" type="text">
- </div>
- <div class="customize-form-group select-time">
- <label>登记时间:</label>
- <input name="registrationTime" placeholder="登记时间" th:value="${registrationTime}" class="time-input time-input2" type="text">
- </div>
- <div class="customize-form-group">
- <label>处方单号:</label>
- <input name="prescriptionNumber" placeholder="处方单号" th:value="${prescriptionNumber}" class="styled-input" type="text" disabled="true">
- </div>
- <div class="customize-form-group">
- <label>类型:</label>
- <input name="type" placeholder="类型" th:value="${type}" class="styled-input" type="text">
- </div>
- <div class="customize-form-group select-time">
- <label>处方日期:</label>
- <input name="prescriptionDate" placeholder="处方日期" th:value="${prescriptionDate}" class="time-input time-input2" type="text">
- </div>
- <div class="customize-form-group">
- <label>医疗机构名称:</label>
- <input name="medicalInstitutionName" placeholder="医疗机构名称" th:value="${medicalInstitutionName}" class="styled-input" type="text">
- </div>
- <div class="customize-form-group">
- <label>医生姓名:</label>
- <input name="doctorName" placeholder="医生姓名" th:value="${doctorName}" class="styled-input" type="text">
- </div>
- <div class="customize-form-group">
- <label>顾客信息:</label>
- <input name="customerInfo" placeholder="顾客信息" th:value="${customerInfo}" class="styled-input" type="text">
- </div>
- <div class="customize-form-group">
- <label>审方药师:</label>
- <input name="reviewingPharmacist" placeholder="审方药师" th:value="${reviewingPharmacist}" class="styled-input" type="text">
- </div>
- <div class="customize-form-group">
- <label>调配员:</label>
- <input name="dispenser" placeholder="调配员" th:value="${dispenser}" class="styled-input" type="text">
- </div>
- <div class="customize-form-group">
- <label>复核员:</label>
- <input name="checker" placeholder="复核员" th:value="${checker}" class="styled-input" type="text">
- </div>
- </div>
- </form>
- </div>
- <div class="main-content">
- <div class="col-sm-offset-5 col-sm-10">
- <button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>
- <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>
- </div>
- </div>
- <th:block th:include="include :: footer" />
- </body>
- </html>
- <script>
- function submitHandler() {
- var prefix = ctx + "zlgl/szlglcfdjsaleprescriptioninfo";
- if ($.validate.form()) {
- var data = $("#form-SZlglCfdjSaleprescriptioninfo-edit").serializeArray();
- $.operate.saveTab(prefix + "/sZlglCfdjSaleprescriptioninfoEdit", data);
- }
- }
- </script>
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