@{
    ViewBag.Title = "疫情";
    Layout = "~/Views/Shared/_Form.cshtml";
}
<div class="lr-form-wrap" id="form">
    <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">学号</div>
        <input id="StuNo" type="text" class="form-control" readonly="readonly" />
        <input id="StuOrTeach" type="text" hidden="hidden" />
    </div>
    <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">姓名</div>
        <input id="StuName" type="text" class="form-control" readonly="readonly" />
    </div>
    <div class="col-xs-12 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">接种地</div>
        <input id="VaccineAddress" type="text" class="form-control" />
    </div>
    <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">疫苗类型</div>
        <input id="VaccineType" type="text" class="form-control" />
    </div>
    <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">第一针时间</div>
        <input id="FirstNeedle" type="text" class="form-control lr-input-wdatepicker" onfocus="WdatePicker({ dateFmt:'yyyy-MM-dd',onpicked: function () { $('#FirstNeedle').trigger('change'); } })" />
    </div>
    <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">第二针时间</div>
        <input id="SecondNeedle" type="text" class="form-control lr-input-wdatepicker" onfocus="WdatePicker({ dateFmt:'yyyy-MM-dd',onpicked: function () { $('#SecondNeedle').trigger('change'); } })" />
    </div>
    <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">第三针时间</div>
        <input id="ThirdNeedle" type="text" class="form-control lr-input-wdatepicker" onfocus="WdatePicker({ dateFmt:'yyyy-MM-dd',onpicked: function () { $('#ThirdNeedle').trigger('change'); } })" />
    </div>
    <div class="col-xs-12 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">未接种原因</div>
        <textarea id="NotReason" class="form-control" style="height:60px;"></textarea>
    </div>
    <div class="col-xs-12 lr-form-item" data-table="VaccinationInfo">
        <div class="lr-form-item-title">备注</div>
        <textarea id="Remark" class="form-control" style="height:100px;"></textarea>
    </div>
</div>
@Html.AppendJsFile("/Areas/EducationalAdministration/Views/VaccinationInfo/Form.js")