?? modifyinfo.aspx
字號:
?<%@ Page Language="C#" MasterPageFile="~/MasterPage.master" AutoEventWireup="true" CodeFile="ModifyInfo.aspx.cs" Inherits="CommonOperation_ModifyInfo_ModifyInfo" Title="EMR-電子病歷系統->個人信息->更改基本信息" %>
<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" Runat="Server">
<script language="javascript" type="text/javascript">
// <!CDATA[
function ButtonCancel_onclick() {
history.back(-1);
}
// ]]>
</script>
<div style="z-index: 101; left: 7px; width: 500px; position: relative; top: 6px;
text-align: center">
<table style="text-align: left" class="tableb">
<tr>
<td colspan="2" style="height: 30px; text-align: center" class="title">
<span>修改我的個人信息</span></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px;text-align:left" class="text">
姓名:</td>
<td style="width: 323px;text-align: left">
<asp:TextBox ID="TextBoxRealName" runat="server" Width="224px"></asp:TextBox></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px; text-align:left" class="text">
地址:</td>
<td style="width: 323px;text-align: left">
<asp:TextBox ID="TextBoxAddress" runat="server" Width="224px"></asp:TextBox></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px;text-align:left" class="text">
性別:</td>
<td style="width: 323px; text-align: left">
<asp:DropDownList ID="DropDownListSex" runat="server" Width="50px">
<asp:ListItem Value="0">女</asp:ListItem>
<asp:ListItem Value="1">男</asp:ListItem>
</asp:DropDownList></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px; text-align:left" class="text">
生日:</td>
<td style="width: 323px; text-align: left">
<asp:DropDownList ID="DropDownListYear" runat="server">
</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 style="font-size: 12pt">
<td style="width: 133px; text-align:left" class="text">
電話號碼:</td>
<td style="width: 323px; text-align: left">
<asp:TextBox ID="TextBoxTelephone" runat="server" Width="224px"></asp:TextBox></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px; text-align:left; height: 25px;" class="text">
郵箱地址:</td>
<td style="width: 323px; height: 25px;">
<asp:TextBox ID="TextBoxEmailAddress" runat="server" Width="224px"></asp:TextBox>
<asp:RegularExpressionValidator ID="RegularExpressionValidator1" runat="server" ControlToValidate="TextBoxEmailAddress"
ErrorMessage="*" ValidationExpression="\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*"></asp:RegularExpressionValidator><span class="link"><a href="#" onclick="javascript:var emailAddress=document.getElementById('ctl00$ContentPlaceHolder1$TextBoxEmailAddress').value;newwin2=window.open('<%=Request.ApplicationPath %>/Src/CommonOperation/Check/CheckEmailAddress.aspx?EmailAddress='+emailAddress,'newwin2','height=169,width=232,status=no,toolbar=no,menubar=no,scrollbars=no,resizable=no');newwin2.moveTo(300,200);newwin2.focus();return false;">檢測郵箱</a></span></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px; text-align:left" class="text">
提示問題:</td>
<td style="width: 323px; text-align: left">
<asp:TextBox ID="TextBoxQuestion" runat="server" Width="224px"></asp:TextBox></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px; text-align:left" class="text">
回答問題:</td>
<td style="width: 323px;">
<asp:TextBox ID="TextBoxAnswer" runat="server" Width="224px"></asp:TextBox></td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px; text-align: left" class="text">
照片:</td>
<td style="width: 323px; text-align: left">
<asp:Image ID="Image1" runat="server" />
<br />
<asp:FileUpload ID="FileUploadPhoto" runat="server" Width="229px" />
<asp:Button ID="ButtonUpLoad" runat="server" OnClick="ButtonUpLoad_Click" Text="上傳" Width="57px" CssClass="button" />
</td>
</tr>
<tr style="font-size: 12pt">
<td style="width: 133px; text-align:left" class="text">
身份證號:</td>
<td style="width: 323px;">
<asp:TextBox ID="TextBoxIdentItycardNum" runat="server" Width="226px"></asp:TextBox></td>
</tr>
<tr>
<td colspan="2">
<asp:Button ID="ButtonSave" runat="server" Text="保存修改" OnClick="ButtonSave_Click" CssClass="button"/>
<input id="ButtonCancel" class="button" style="width: 54px"
type="button" value="取消" onclick="return ButtonCancel_onclick()" /><br />
</td>
</tr>
</table>
<br />
</div>
</asp:Content>
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