?? gms_add.jsp.svn-base
字號:
<%--
居民過敏史新增頁面，
author:翟昌強
--%>
<%@ page language="java" pageEncoding="gb2312"%>
<%@ taglib uri="/WEB-INF/tlds/frametag.tld" prefix="by"%>
<%
String path = request.getContextPath();
String basePath = request.getScheme()+"://"+request.getServerName()+":"+request.getServerPort()+path+"/";
%>
<HTML>
<HEAD>
<TITLE>社區衛生服務信息系統</TITLE>
<link rel="stylesheet" href="<%=path %>/CSS/style.css"/>
</head>
<body>
<table width="100%" class="TopTable">
<tr>
<td>
<div> 過敏史檔案 - 新增</div>
</td>
</tr>
</table>
<div> </div>
<by:out name="rkxzlinfo">
<table width="90%" align="center" border="1" class="MyTABLE">
<tr align="center" valign="middle">
<td width="15%" height="20" class="TableColUp"><div align="right">家庭編號</div></td>
<td height="20">
<div align="left">${rkxzlinfo_JTBH }</div>
</td>
<td width="15%" height="20" class="TableColUp"><div align="right">個人檔案號</div></td>
<td height="20">
<div align="left">${rkxzlinfo_JMJKDAH }</div>
</td>
<td height="20" class="TableColUp">
<div align="right">聯系電話</div>
</td>
<td height="20">
<div align="left">${rkxzlinfo_LXDH }</div>
</td>
</tr>
<tr align="center" valign="middle">
<td width="15%" height="20" class="TableColUp"><div align="right">姓名</div></td>
<td height="20">
<div align="left">${rkxzlinfo_JMXM }</div>
</td>
<td height="20" class="TableColUp"> <div align="right">出生日期</div></td>
<td height="20">
<div align="left">${rkxzlinfo_CSRQ }</div>
</td>
<td height="20" class="TableColUp"><div align="right">性別</div></td>
<td height="20">
<div align="left">
${rkxzlinfo_XB}</div>
</td>
</tr>
<tr align="center" valign="middle">
<td height="20" class="TableColUp">
<div align="right">家庭地址</div>
</td>
<td height="20" colspan=5>
<div align="left">
${rkxzlinfo_QU}區${rkxzlinfo_JD}街道${rkxzlinfo_JWH}居委會${rkxzlinfo_LOU }路${rkxzlinfo_HAO }號
</div>
</td>
</tr>
</table>
<form id="form" name="form" method="post" action="<%=path%>/Selevet.do?action=GMS_SAVE">
<table width="90%" border="1" align="center" class="MyTABLE">
<tr>
<input type="hidden" name="JMJKDAH" value="${rkxzlinfo_JMJKDAH}">
<td width="20%" height="25" align="right" class="TableColUp">過敏物</td>
<td align="left">
<select name="GMWMC">
<by:forby id="GMW" name="DICT_GMW">
<option value="${GMW.NAME}"}>${GMW.NAME}</option>
</by:forby>
</select>
</td>
</tr>
<tr>
<td width="30%" height="25" align="right" class="TableColUp">過敏反應（程度）</td>
<td width="60%" align="left" valign="middle">
<select name="GMFYCD">
<option value="輕度">輕度</option>
<option value="嚴重">嚴重</option>
<option value="中度">中度</option>
</select>
</td>
</tr>
<tr>
<td width="30%" height="25" align="right" class="TableColUp">備注</td>
<td width="60%" align="left">
<textarea cols=50 rows=3 name=BZ></textarea>
</td>
</tr>
<tr><td colspan="2"> </td></tr>
<tr align="center" valign="middle">
<td colspan="6">
<input type="submit" name="submit" value="保 存" class="button">
<input type="button" name="button" value="返 回" class="button" onClick="location.href='<%=path%>/Selevet.do?action=GMS_LIST&JMJKDAH='+<%=request.getParameter("JMJKDAH")%>+'&FUNC=2'">
</td>
</tr>
</table>
</form>
</by:out>
</body>
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