| | |
| | | <form id="hospital-form" lay-filter="hospital-form" class="layui-form model-form" method="POST"> |
| | | <form id="hospital-form" lay-filter="hospital-form" autocomplete="off" class="layui-form model-form" method="POST"> |
| | | <div class="layui-form-item"> |
| | | <div class="layui-row"> |
| | | <div class="layui-col-sm7"> |
| | |
| | | <div class="layui-col-sm5"> |
| | | <label class="layui-form-label">医院联系人</label> |
| | | <div class="layui-input-block"> |
| | | <input name="hospitalLink" type="text" class="layui-input" maxlength="20" style="width: 200px;" /> |
| | | <input name="hospitalLink" type="text" class="layui-input" maxlength="20" style="width: 200px;"/> |
| | | </div> |
| | | </div> |
| | | <div class="layui-col-sm5"> |
| | |
| | | <label class="layui-form-label">帐号数量</label> |
| | | <div class="layui-input-block"> |
| | | <input id="accountsCount" name="accountsCount" type="text" value="6" class="layui-input" |
| | | maxlength="1" lay-verify="required|integer" style="width: 200px;" /> |
| | | maxlength="2" lay-verify="required|integer" style="width: 200px;" /> |
| | | </div> |
| | | </div> |
| | | </div> |