?? addemr.aspx
字號:
?<%@ Page Language="C#" MasterPageFile="~/MasterPage.master" AutoEventWireup="true" CodeFile="AddEMR.aspx.cs" Inherits="IndividualOperation_Doctor_AddEMR" Title="EMR-電子病歷系統(tǒng)->醫(yī)生->添加病歷" %>
<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" Runat="Server">
<div style="z-index: 101; left: 6px; width: 500px; position: relative; top: 4px;
text-align: center">
<table border="0" cellpadding="0" cellspacing="0" class="tableb">
<tr>
<td style="width: 458px">
<table border="0" cellpadding="0" cellspacing="0" style="text-align: left">
<tr><td colspan="2" style="height: 30px; text-align:center" class="doctortitle">
<span>填寫病人基本信息</span></td></tr>
<tr>
<td style="width: 141px; text-align:left" class="text">姓名:</td>
<td style="width: 319px; text-align: left">
<asp:TextBox ID="TextBoxPatientName" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator1" runat="server" ControlToValidate="TextBoxPatientName"
ErrorMessage="*" Width="2px"></asp:RequiredFieldValidator></td>
</tr>
</table>
<table border="0" cellpadding="0" cellspacing="0">
<tr>
<td style="width: 141px; text-align:left; height: 22px;" class="text">
性別:</td>
<td style="width: 105px; text-align: left; height: 24px;">
<asp:DropDownList ID="DropDownListPatientSex" runat="server" Width="80px">
<asp:ListItem Value="0">女</asp:ListItem>
<asp:ListItem Value="1">男</asp:ListItem>
</asp:DropDownList></td>
<td style="width: 111px; text-align:left; height: 24px;" class="text">
年齡:</td>
<td style="width: 103px; text-align: left; height: 24px;">
<asp:DropDownList ID="DropDownListPatientAge" runat="server" Width="80px">
</asp:DropDownList></td>
</tr>
</table>
<table border="0" cellpadding="0" cellspacing="0">
<tr><td style="width: 141px; text-align:left" class="text">
生日:</td>
<td style="width: 319px; text-align: left">
<asp:DropDownList ID="DropDownListYear" runat="server" Width="60px">
</asp:DropDownList>年<asp:DropDownList ID="DropDownListMonth" runat="server">
<asp:ListItem>1</asp:ListItem>
<asp:ListItem>2</asp:ListItem>
<asp:ListItem>3</asp:ListItem>
<asp:ListItem>4</asp:ListItem>
<asp:ListItem>5</asp:ListItem>
<asp:ListItem>6</asp:ListItem>
<asp:ListItem>7</asp:ListItem>
<asp:ListItem>8</asp:ListItem>
<asp:ListItem>9</asp:ListItem>
<asp:ListItem>10</asp:ListItem>
<asp:ListItem>11</asp:ListItem>
<asp:ListItem>12</asp:ListItem>
</asp:DropDownList>月
<asp:DropDownList ID="DropDownListDay" runat="server">
<asp:ListItem>1</asp:ListItem>
<asp:ListItem>2</asp:ListItem>
<asp:ListItem>3</asp:ListItem>
<asp:ListItem>4</asp:ListItem>
<asp:ListItem>5</asp:ListItem>
<asp:ListItem>6</asp:ListItem>
<asp:ListItem>7</asp:ListItem>
<asp:ListItem>8</asp:ListItem>
<asp:ListItem>9</asp:ListItem>
<asp:ListItem>10</asp:ListItem>
<asp:ListItem>11</asp:ListItem>
<asp:ListItem>12</asp:ListItem>
<asp:ListItem>13</asp:ListItem>
<asp:ListItem>14</asp:ListItem>
<asp:ListItem>15</asp:ListItem>
<asp:ListItem>16</asp:ListItem>
<asp:ListItem>17</asp:ListItem>
<asp:ListItem>18</asp:ListItem>
<asp:ListItem>19</asp:ListItem>
<asp:ListItem>20</asp:ListItem>
<asp:ListItem>21</asp:ListItem>
<asp:ListItem>22</asp:ListItem>
<asp:ListItem>23</asp:ListItem>
<asp:ListItem>24</asp:ListItem>
<asp:ListItem>25</asp:ListItem>
<asp:ListItem>26</asp:ListItem>
<asp:ListItem>27</asp:ListItem>
<asp:ListItem>28</asp:ListItem>
<asp:ListItem>29</asp:ListItem>
<asp:ListItem>30</asp:ListItem>
<asp:ListItem>31</asp:ListItem>
</asp:DropDownList>日</td>
</tr>
<tr><td style="width: 141px; text-align:left; height: 15px;" class="text">
電話號碼:</td>
<td style="width: 319px; text-align: left; height: 15px;">
<asp:TextBox ID="TextBoxPatientTelephoneNum" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator3" runat="server" ControlToValidate="TextBoxPatientTelephoneNum"
ErrorMessage="*" Width="2px"></asp:RequiredFieldValidator></td>
</tr>
<tr><td style="width: 141px; text-align:left" class="text">
身份證號:</td>
<td style="width: 319px; text-align: left">
<asp:TextBox ID="TextBoxPatientIDCardNum" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator4" runat="server" ControlToValidate="TextBoxPatientIDCardNum"
ErrorMessage="*" Width="2px"></asp:RequiredFieldValidator></td>
</tr>
<tr><td style="width: 141px;text-align:left; height: 24px;" class="text">
戶口:</td>
<td style="width: 319px; text-align: left; height: 24px;">
<asp:TextBox ID="TextBoxPatientRPRPlace" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator5" runat="server" ControlToValidate="TextBoxPatientRPRPlace"
ErrorMessage="*" Width="2px"></asp:RequiredFieldValidator></td>
</tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="text-align: left; width: 458px;">
<tr><td style="width: 136px;text-align:left; height: 24px;" class="text">
籍貫:</td>
<td style="width: 105px; text-align: left; height: 24px;">
<asp:TextBox ID="TextBoxPatientNativePlace" runat="server" Width="80px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator6" runat="server" ControlToValidate="TextBoxPatientNativePlace"
ErrorMessage="*" Width="2px"></asp:RequiredFieldValidator></td>
<td style="width: 101px;text-align:left; height: 24px;" class="text">
名族:</td>
<td style="width: 103px; text-align: left; height: 24px;">
<asp:TextBox ID="TextBoxPatientNation" runat="server" Width="80px"></asp:TextBox>
<asp:RequiredFieldValidator
ID="RequiredFieldValidator7" runat="server" ControlToValidate="TextBoxPatientNation"
ErrorMessage="*" Width="2px"></asp:RequiredFieldValidator></td></tr>
<tr><td style="width: 136px;text-align:left" class="text">
職業(yè):</td>
<td style="width: 105px; text-align: left">
<asp:TextBox ID="TextBoxPatientJob" runat="server" Width="80px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator8" runat="server" ControlToValidate="TextBoxPatientJob"
ErrorMessage="*" Width="2px"></asp:RequiredFieldValidator></td>
<td style="width: 101px;text-align:left" class="text">
婚否:</td>
<td style="width: 103px; text-align: left">
<asp:DropDownList ID="DropDownListIsMarry" runat="server" Width="85px">
<asp:ListItem Value="0">未婚</asp:ListItem>
<asp:ListItem Value="1">已婚</asp:ListItem>
</asp:DropDownList></td>
</tr>
<tr><td style="width: 136px;text-align:left; height: 24px;" class="text">
郵編:</td>
<td style="width: 105px; text-align: left; height: 24px;">
<asp:TextBox ID="TextBoxPatientPostalCode" runat="server" Width="80px"></asp:TextBox>
</td>
<td style="width: 101px;text-align:left; height: 24px;" class="text">
文化程度:</td>
<td style="width: 103px; text-align: left; height: 24px;">
<asp:TextBox ID="TextBoxPatientEducation" runat="server" Width="80px"></asp:TextBox>
</td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" style="text-align: left">
<tr><td style="width: 141px;text-align:left" class="text">
家庭住址:</td>
<td style="width: 319px; text-align: left">
<asp:TextBox ID="TextBoxPatientAddress" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator10" runat="server" ErrorMessage="*"
Width="2px" ControlToValidate="TextBoxPatientAddress"></asp:RequiredFieldValidator></td>
</tr>
<tr><td style="width: 141px;text-align:left; height: 18px;" class="text">
聯(lián)系人:</td>
<td style="width: 319px; text-align: left; height: 18px;">
<asp:TextBox ID="TextBoxPatientContactMan" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator11" runat="server" ErrorMessage="*"
Width="2px" ControlToValidate="TextBoxPatientContactMan"></asp:RequiredFieldValidator></td>
</tr>
<tr><td style="width: 141px;text-align:left" class="text">
聯(lián)系人地址:</td>
<td style="width: 319px; text-align: left">
<asp:TextBox ID="TextBoxPatientContactManAddress" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator12" runat="server" ErrorMessage="*"
Width="2px" ControlToValidate="TextBoxPatientContactManAddress"></asp:RequiredFieldValidator></td>
</tr>
<tr><td style="width: 141px;text-align:left; height: 24px;" class="text">
聯(lián)系人關系:</td>
<td style="width: 319px; text-align: left; height: 24px;">
<asp:TextBox ID="TextBoxPatientContactManRelation" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator13" runat="server" ErrorMessage="*"
Width="2px" ControlToValidate="TextBoxPatientContactManRelation"></asp:RequiredFieldValidator></td>
</tr>
<tr><td style="width: 141px;text-align:left; height: 24px;" class="text">
聯(lián)系人電話:</td>
<td style="width: 319px; text-align: left; height: 24px;">
<asp:TextBox ID="TextBoxPatientContactManTelephone" runat="server" Width="175px"></asp:TextBox>
<asp:RequiredFieldValidator ID="RequiredFieldValidator14" runat="server" ErrorMessage="*"
Width="2px" ControlToValidate="TextBoxPatientContactManTelephone"></asp:RequiredFieldValidator></td>
</tr>
</table>
<tr>
<td style="width: 458px">
<asp:Button ID="ButtonAddEmr" runat="server" Text="添加" OnClick="ButtonAddEmr_Click" CssClass="button"/>
<asp:Button ID="ButtonCancel" runat="server" Text="取消" OnClick="ButtonCancel_Click" CssClass="button"/><br />
</td>
</tr>
</td>
</tr>
</table>
</div>
<br />
<br />
</asp:Content>
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