📄 createallergyhistory.jsp
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<%@ page contentType="text/html; charset=gb2312" language="java" errorPage="" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=gb2312" />
<title>无标题文档</title>
<style type="text/css">
<!--
.STYLE1 {font-size: larger}
-->
</style>
</head>
<body>
<table width="100%" border="0" style="position:absolute; left; left: 10px; width: 105px; top: 9px; height: 108px;">
<tr>
<td><a href="../backtoallergy.do">返回</td>
</tr>
</table>
<table width="200%" border="0" style="background-color: #a2c9ff; position:absolute; left: 117px; top: 9px; width: 884px; height: 221px;">
<tr>
<td height="24" colspan="2" align="center">新建过敏史记录</td>
</tr>
<tr>
<td width="169" align="center">姓名</td>
<td width="705">
<label>
<input type="text" name="textfield" />
</label>
</td>
</tr>
<tr>
<td align="center">身份证号码</td>
<td>
<label>
<input type="text" name="textfield2" />
</label>
</td>
</tr>
<tr>
<td align="center">性别</td>
<td>
<label>
<select name="select" size="1">
<option value="1">男</option>
<option value="2">女</option>
<option value="3">不定</option>
</select>
</label>
</td>
</tr>
<tr>
<td align="center">出生日期</td>
<td>
<label>
<select name="select4" size="1">
<option value="1">1908</option>
<option value="2">1909</option>
<option value="3">1910</option>
<option value="4">1911</option>
<option value="5">1912</option>
<option value="6">1913</option>
<option value="7">1914</option>
<option value="8">1915</option>
<option value="9">1916</option>
<option value="10">1917</option>
<option value="11">1918</option>
<option value="12">1919</option>
<option value="13">1920</option>
<option value="14">1921</option>
<option value="15">1922</option>
<option value="16">1923</option>
<option value="17">1924</option>
<option value="18">1925</option>
<option value="19">1926</option>
<option value="20">1927</option>
<option value="21">1928</option>
<option value="22">1929</option>
<option value="23">1930</option>
<option value="24">1931</option>
<option value="25">1932</option>
<option value="26">1933</option>
<option value="27">1934</option>
<option value="28">1935</option>
<option value="29">1936</option>
<option value="30">1937</option>
<option value="31">1938</option>
</select>
年</label>
<label>
<select name="select5" size="1">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
月</label>
<label>
<select name="select6" size="1">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
日</label>
</td>
</tr>
<tr>
<td align="center">过敏症状描述</td>
<td>
<label>
<input type="text" name="textfield3" />
</label>
</td>
</tr>
<tr>
<td align="center">过敏类型</td>
<td>
<label>
<select name="select3" size="1">
<option value="1">花粉过敏</option>
<option value="2">海鲜过敏</option>
<option value="3">药物过敏</option>
<option value="4">紫外线过敏</option>
<option value="5">金属过敏</option>
<option value="6">其他</option>
</select>
</label>
</td>
</tr>
<tr>
<td align="center">所在社区</td>
<td>
<label>
<select name="select2" size="1">
<option value="1">海淀区</option>
<option value="2">朝阳区</option>
<option value="3">西城区</option>
</select>
</label>
</td>
</tr>
<tr>
<td> </td>
<td align="left">
<label>
<input type="submit" name="Submit2" value="确定新建" />
</label>
<label>
<input type="reset" name="Submit" value="重置信息" />
</label>
</td>
</tr>
</table>
</body>
</html>
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