📄 cj_add.jsp.svn-base
字号:
</by:forby>
</select>
<br>
是否戴助听器
<select name="FEYEIF" id="FEYEIF" style="width:100px;margin-left:1px;margin-top:5px">
<option value="-1">-请选择-</option>
<option value="1">无</option>
<option value="0">有</option>
</select>
</fieldset>
</div>
<div>
<fieldset style="width:100%" align="left">
<legend>
<table class="divtable">
<tr>
<td><font color=blue>3.语言</font></td>
</tr>
</table>
</legend>
<br/>
语言障碍
<select name="FTALK" id="FTALK" style="width:100px;">
<option value="-1">-请选择-</option>
<option value="1">无</option>
<option value="0">有</option>
</select>
致残原因
<select name="FTALKCAUSE" id="FTALKCAUSE" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_YYZC" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
语言残等级
<select name="FTALKLEVEL" id="FTALKLEVEL" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_YYFJ" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
</fieldset>
</div>
<div>
<fieldset style="width:100%" align="left">
<legend>
<table class="divtable">
<tr>
<td><font color=blue>4.智力</font></td>
</tr>
</table>
</legend>
<br/>
智力障碍
<select name="FWIT" id="FWIT" style="width:100px;">
<option value="-1">-请选择-</option>
<option value="1">无</option>
<option value="0">有</option>
</select>
致残原因
<select name="FWITCAUSE" id="FWITCAUSE" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_ZLZC" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
智力残等级
<select name="FWITLEVEL" id="FWITLEVEL" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_ZLFJ" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
</fieldset>
</div>
<div>
<fieldset style="width:100%" align="left">
<legend>
<table class="divtable">
<tr>
<td><font color=blue>5.肢体</font></td>
</tr>
</table>
</legend>
<br/>
肢体障碍
<select name="FLIMB" id="FLIMB" style="width:100px;">
<option value="-1">-请选择-</option>
<option value="1">无</option>
<option value="0">有</option>
</select>
致残原因
<select name="FLIMBCAUSE" id="FLIMBCAUSE" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_ZTZC" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
肢体残等级
<select name="FLIMBLEVEL" id="FLIMBLEVEL" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_ZTFJ" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
<br>
肢体残分类
<select name="FLIMBTYPE" id="FLIMBTYPE" style="width:100px;margin-left:1px;margin-top:5px">
<option value="-1">-请选择-</option>
<by:forby name="DICT_ZTFL" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
</fieldset>
</div>
<div>
<fieldset style="width:100%" align="left">
<legend>
<table class="divtable">
<tr>
<td><font color=blue>6.精神</font></td>
</tr>
</table>
</legend>
<br/>
精神障碍
<select name="FHEART" id="FHEART" style="width:100px;">
<option value="-1">-请选择-</option>
<option value="1">无</option>
<option value="0">有</option>
</select>
致残原因
<select name="FHEARTCAUSE" id="FHEARTCAUSE" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_JSZC" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
精神残等级
<select name="FHEARTLEVEL" id="FHEARTLEVEL" style="width:100px;">
<option value="-1">-请选择-</option>
<by:forby name="DICT_JSFJ" id="gxylx">
<option value="${gxylx.NAME}">${gxylx.NAME}</option>
</by:forby>
</select>
</fieldset>
</div>
<br>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
诊断结果
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="FHEARTRESULT" id="FHEARTRESULT" value="${gxy_FHEARTRESULT}">
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
诊断机构
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="FHEARTNODE" id="FHEARTNODE" value="${gxy_FHEARTNODE}">
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
是否进行康复
</td>
<td width="60%" align="left" valign="middle">
<select name="RECOVER" id="RECOVER">
<option value="-1">-请选择-</option>
<option value="0">是</option>
<option value="1">否</option>
</select>
<span id="RECOVER_ID"></span>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
康复机构
</td>
<td width="60%" align="left" valign="middle">
<input type="text" name="RECOVERDEPT" id="RECOVERDEPT" value="${gxy_RECOVERDEPT}">
<span id="RECOVERDEPT_ID"></span>
</td>
</tr>
<tr>
<td height="27px" width="30%" align="right" valign="middle" class="TableColUp">
备注
</td>
<td width="60%" align="left" valign="middle">
<textarea rows="3" cols="45" name="REMARKS" id="REMARKS" >${gxy_REMARKS}</textarea>
</td>
</tr>
<tr height="27px">
<td align="left" colspan="2">
<input type="submit" name="submit"
value="保 存"
style="margin-left:30%;" class="button">
<input type="button" name="Submit3" value="返 回"
onClick="javascript:{history.back();}" class="button">
</td>
</tr>
</table>
</form>
</by:out>
</center>
</body>
</html>
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