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  1. @{
  2. ViewBag.Title = "疫情";
  3. Layout = "~/Views/Shared/_Form.cshtml";
  4. }
  5. <div class="lr-form-wrap" id="form">
  6. <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
  7. <div class="lr-form-item-title">职工号</div>
  8. <input id="EmpNo" type="text" class="form-control" readonly="readonly" />
  9. <input id="StuOrTeach" type="text" hidden="hidden" />
  10. </div>
  11. <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
  12. <div class="lr-form-item-title">姓名</div>
  13. <input id="EmpName" type="text" class="form-control" readonly="readonly" />
  14. </div>
  15. <div class="col-xs-12 lr-form-item" data-table="VaccinationInfo">
  16. <div class="lr-form-item-title">接种地</div>
  17. <input id="VaccineAddress" type="text" class="form-control" />
  18. </div>
  19. <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
  20. <div class="lr-form-item-title">疫苗类型</div>
  21. <input id="VaccineType" type="text" class="form-control" />
  22. </div>
  23. <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
  24. <div class="lr-form-item-title">第一针时间</div>
  25. <input id="FirstNeedle" type="text" class="form-control lr-input-wdatepicker" onfocus="WdatePicker({ dateFmt:'yyyy-MM-dd',onpicked: function () { $('#FirstNeedle').trigger('change'); } })" />
  26. </div>
  27. <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
  28. <div class="lr-form-item-title">第二针时间</div>
  29. <input id="SecondNeedle" type="text" class="form-control lr-input-wdatepicker" onfocus="WdatePicker({ dateFmt:'yyyy-MM-dd',onpicked: function () { $('#SecondNeedle').trigger('change'); } })" />
  30. </div>
  31. <div class="col-xs-6 lr-form-item" data-table="VaccinationInfo">
  32. <div class="lr-form-item-title">第三针时间</div>
  33. <input id="ThirdNeedle" type="text" class="form-control lr-input-wdatepicker" onfocus="WdatePicker({ dateFmt:'yyyy-MM-dd',onpicked: function () { $('#ThirdNeedle').trigger('change'); } })" />
  34. </div>
  35. <div class="col-xs-12 lr-form-item" data-table="VaccinationInfo">
  36. <div class="lr-form-item-title">未接种原因</div>
  37. <textarea id="NotReason" class="form-control" style="height:60px;"></textarea>
  38. </div>
  39. <div class="col-xs-12 lr-form-item" data-table="VaccinationInfo">
  40. <div class="lr-form-item-title">备注</div>
  41. <textarea id="Remark" class="form-control" style="height:100px;"></textarea>
  42. </div>
  43. </div>
  44. @Html.AppendJsFile("/Areas/EducationalAdministration/Views/VaccinationInfo/TeachForm.js")