bzd_lxf
/
health_manage


			
				
					
						
						
							123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475
							<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('医保管理表修改')" />
</head>
<body>
<div class="ui-layout-center">
    <form id="form-SYbglMedicaremanagement-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="${id}">
                    <div class="customize-form-group">
                        <label>商品编码:</label>
                        <input name="commodityCode" placeholder="商品编码" th:value="${commodityCode}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>商品名称:</label>
                        <input name="commodityName" placeholder="商品名称" th:value="${commodityName}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>三方商品编码:</label>
                        <input name="thirdPartyCommodityCode" placeholder="三方商品编码" th:value="${thirdPartyCommodityCode}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>渠道编码:</label>
                        <input name="channelCode" placeholder="渠道编码" th:value="${channelCode}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>渠道名称:</label>
                        <input name="channelName" placeholder="渠道名称" th:value="${channelName}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>更新时间:</label>
                        <input name="updateTime" placeholder="更新时间" th:value="${updateTime}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>创建人:</label>
                        <input name="creator" placeholder="创建人" th:value="${creator}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>渠道分类编码:</label>
                        <input name="channelCategoryCode" placeholder="渠道分类编码" th:value="${channelCategoryCode}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>医保最小剂量单位:</label>
                        <input name="medicareMinDosageUnit" placeholder="医保最小剂量单位" th:value="${medicareMinDosageUnit}" class="styled-input" type="text">
                    </div>
                    <div class="customize-form-group">
                        <label>是否拆零上传:</label>
                        <input name="isSplitUpload" placeholder="是否拆零上传（0: 否, 1: 是）" th:value="${isSplitUpload}" class="styled-input" type="text">
                    </div>
        </div>
    </form>
</div>
<div class="main-content">
    <div class="col-sm-offset-5 col-sm-10">
        <button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>&nbsp;
        <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>
    </div>
</div>
<th:block th:include="include :: footer" />
</body>
</html>
<script>
    function submitHandler() {
        var prefix = ctx + "ybgl/sybglmedicaremanagement";
        if ($.validate.form()) {
            var data = $("#form-SYbglMedicaremanagement-edit").serializeArray();
            $.operate.saveTab(prefix + "/sYbglMedicaremanagementEdit", data);
        }
    }
</script>