report/app/common/view/auth/hospital/enterprise_edit.html

{extend name="layout/content" /}
{block name="content"}
<style type="text/css">
    .spacing {
        margin-bottom: 10px;
        padding-right:4px;
        padding-left: 4px;
    }
</style>
<div class="ibox float-e-margins">
    <div class="ibox-content">
        <h4 style="color: red;text-align: center;font-size: 26px">{$msg}</h4>
        <div class="form-horizontal">
            <div class="row">
                <div class="col-sm-12">
                    <form id="ep_form" action="/common/auth/enterprise_edit" method="post" class="form-horizontal" enctype="multipart/form-data" target="hiddenIframe">
                        <input type="hidden" id="id" name="id" value="{$ep.id}">
                        <input type="hidden" id="type" name="type" value="{$ep.type}">
                        <input type="hidden" id="special" name="special" value="{$ep.special}">
                        <input type="hidden" id="files" name="files" value="{$ep.modify_files}">
                        <input type="hidden" id="fields" name="fields" value="{$ep.modify_fields}">
                        <div class="col-sm-12 form-group-sm">

                            <div class="panel panel-default">
                                <div class="panel-heading">医院基础信息</div>
                                <div class="panel-body">
                                    <table style="width: 100%;border-collapse: collapse;" class="table table-bordered">
                                        <tr>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class="control-label spacing td-label"><span style="color: red">*</span>账号</label>
                                                    <input type="text" autocomplete="off" readonly="readonly" class="form-control" id="username" name="username" value="{$ep.username}" />
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class="control-label spacing td-label"><span style="color: red">*</span>密码</label>
                                                    <input type="password" autocomplete="off" class="form-control" id="password" name="password" value="**********" readonly disabled placeholder="密码由字母、数字及特殊字符组成且字符个数为8-20"/>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class="control-label spacing td-label"><span style="color: red">*</span>重复密码</label>
                                                    <input autocomplete="off" type="password" class="form-control" id="re_password" name="re_password" value="**********" readonly disabled placeholder="密码由字母、数字及特殊字符组成且字符个数为8-20"/>
                                                </div>

                                            </td>
                                            <td rowspan="4" >
                                                <label class="control-label spacing"><span class="text-danger">*</span>医疗机构执业许可证</label>
                                                {if condition="$ep['imgurl']"}
                                                {if condition="$ep['imgurl_is_img'] eq 1"}
                                                <img src="{$ep.imgurl|getStoragePath}" style="height: 60px;" onclick="$('#imgurl').click()">
                                                {else/}
                                                <img src="/static/img/Pdf.png" style="height: 60px;" onclick="$('#imgurl').click()">
                                                {/if}
                                                {else/}
                                                <img src="/static/img/yyzz.png" style="height: 60px;" onclick="$('#imgurl').click()" >
                                                {/if}
                                                <input style="display: none" autocomplete="off" type="file" class="form-control" id="imgurl" name="imgurl" />
                                            </td>
                                        </tr>
                                        <tr>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>医院名称</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="name" name="name" value="{$ep.name}"/>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>登记证</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="idCard" name="idCard" value="{$ep.idCard}"/>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>法人代表</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="legal" name="legal" value="{$ep.legal}"/>
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>医院电话</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="ephone" name="ephone"  value="{$ep.ephone}"/>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>医共体</label>
                                                    <select class="form-control" id="medicalCommunityId" name="medicalCommunityId" value="{$ep.medicalCommunityId}">
                                                        {volist name="medicalCommunities" id="mc"}
                                                        <option value="{$mc.id}">{$mc.name}</option>
                                                        {/volist}
                                                    </select>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>是否总院</label>
                                                    <select class="form-control" id="isGeneral" name="isGeneral" value="{$ep.isGeneral}">
                                                        <option value="">请选择</option>
                                                        <option value="2">否</option>
                                                        <option value="1">是</option>
                                                    </select>
                                                </div>
                                            </td>
                                        </tr>

                                        <tr>
                                            <td colspan="3">
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>地址</label>
                                                    <div class="col-sm-12">
                                                        <div class="col-sm-2">
                                                            <select class="form-control" id="province" name="province" onchange="Register.afterSelectProvince();" value="{$ep.province}">
                                                                <option value="">---请选择---</option>
                                                            </select>
                                                        </div>
                                                        <div class="col-sm-2">
                                                            <select class="form-control" id="city" name="city" onchange="Register.afterSelectCity();" value="{$ep.city}">
                                                                <option value="">---请选择---</option>
                                                            </select>
                                                        </div>
                                                        <div class="col-sm-2">
                                                            <select class="form-control" id="county" name="county" value="{$ep.county}">
                                                                <option value="">---请选择---</option>
                                                            </select>
                                                        </div>
                                                        <div class="col-sm-6">
                                                            <input autocomplete="off" type="text" class="form-control" id="address" name="address" placeholder="请填写详细地址"  value="{$ep.address}"/>
                                                        </div>
                                                    </div>
                                                </div>
                                            </td>
                                        </tr>
                                        <tr>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>银行账号</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="bankCard" name="bankCard" value="{$ep.bankCard}" onkeyup="value = value.replace(/\s+/g, '')"/>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>开户银行</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="bank" name="bank" placeholder="XX银行" value="{$ep.bank}"/>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class=" control-label spacing td-label"><span style="color: red">*</span>开户银行网点</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="bankNetwork" name="bankNetwork" value="{$ep.bankNetwork}" placeholder="XX银行XX支行/分行/分理处" />
                                                </div>
                                            </td>
                                            <td>
                                                <label class="control-label spacing"><span class="text-danger">*</span>开户许可证/基本存款账户信息</label>
                                                {if condition="$ep['bankImg']"}
                                                {if condition="$ep['bankImg_is_img'] eq 1"}
                                                <img src="{$ep.bankImg|getStoragePath}" style="height: 60px;" onclick="$('#bankImg').click()">
                                                {else/}
                                                <img src="/static/img/Pdf.png" style="height: 60px;" onclick="$('#bankImg').click()">
                                                {/if}
                                                {else/}
                                                <img src="/static/img/yyzz.png" style="height: 60px;" onclick="$('#bankImg').click()" >
                                                {/if}
                                                <input style="display: none" autocomplete="off" type="file" class="form-control" id="bankImg" name="bankImg" />
                                            </td>
                                        </tr>
                                    </table>
                                </div>

                                <div class="panel-heading">人才联络员信息</div>
                                <div class="panel-body">
                                    <table style="width: 100%;border-collapse: collapse;" class="table table-bordered">
                                        <tr>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class="control-label spacing td-label"><span style="color: red">*</span>人才联络员</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="agentName" name="agentName" value="{$ep.agentName}"/>
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class="control-label spacing td-label"><span style="color: red">*</span>电子邮箱</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="agentEmail" name="agentEmail" value="{$ep.agentEmail}"/>
                                                </div>
                                            </td>
                                            <td rowspan="2">
                                                <label class="control-label spacing" style="text-align: center">人才联络员备案表<br /><a href="/beianbiao.doc" style="color: red">模板下载</a>  </label>                                                
                                                {if condition="$ep['beian']"}
                                                {if condition="$ep['beian_is_img'] eq 1"}
                                                <img src="{$ep.beian|getStoragePath}" style="height: 60px;" onclick="$('#beian').click()">
                                                {else/}
                                                <img src="/static/img/Pdf.png" style="height: 60px;" onclick="$('#beian').click()">
                                                {/if}
                                                {else/}
                                                <img src="/static/img/yyzz.png" style="height: 60px;" onclick="$('#beian').click()" >
                                                {/if}
                                                <input style="display: none" autocomplete="off" type="file" class="form-control" id="beian" name="beian" />
                                            </td>
                                        </tr>
                                        <tr>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class="control-label spacing td-label"><span style="color: red">*</span>人才联络员手机号</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="agentPhone" name="agentPhone" value="{$ep.agentPhone}"  placeholder="用于找回密码" />
                                                </div>
                                            </td>
                                            <td>
                                                <div class="rowGroup">
                                                    <label class="control-label spacing td-label"><span style="color: red">*</span>审核状态</label>
                                                    <input autocomplete="off" type="text" class="form-control" id="checkState" name="checkState" value="审核驳回" readonly disabled  />
                                                </div>
                                            </td>
                                        </tr>
                                    </table>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-sm-12" style="text-align: center;margin-top: 10px;">
                                    <button type="button" class="btn btn-sm btn-primary " onclick="Register.enterpriseUserRegister()" id="ensure">
                                        <i class="fa fa-check"></i>&nbsp;提交
                                    </button>
                                </div>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<iframe id="hiddenIframe" name="hiddenIframe" style="display: none;"></iframe>
<!--<script src="${ctxPath}/static/modular/gate/enterprise/enterprise_edit.js"></script>-->
<script type="text/javascript">
    document.write('<script src="/static/modular/gate/enterprise/hospital/enterprise_edit.js?v=' + (new Date()).getTime() + '"><\/script>');
</script>
{/block}