@model dccdc.Models.ChargeViewModel @{ Layout = null; } 乐陵市铁营镇卫生院微信预约登记 @Scripts.Render("~/bundles/jquery") @using (Html.BeginForm("ChargeResult", "WeiXin", new { id = "" }, FormMethod.Post, new { enctype = "multipart/form-data", name = "yy", id = "yy" })) {

体检预约申请

@Html.DropDownListFor(m => m.CYFA, ViewData["tjfn"] as SelectList, new { id = "CYFA", @class = "weui-select", emptytips = "请选择体检类型", required = "" })
@Html.DropDownListFor(m => m.jgid, ViewData["tjjg"] as SelectList, new { @class = "weui-select", emptytips = "请选择体检机构", required = "" })
@Html.TextBoxFor(m => m.xingMing, new { @class = "weui-input", notmatchtips = "请输入您的姓名", emptytips = "请输入姓名", placeholder = "请输入姓名", maxlength = "8", required = "" })
@Html.TextBoxFor(m => m.IDCard, new { @class = "weui-input", @placeholder = "请输入您的身份证", @maxlength = "18", emptytips = "请输入您的身份证", notmatchtips = "请输入您的身份证", required = "" })
请先选择预约日期
@Html.TextBoxFor(m => m.Mobile, new { @class = "weui-input", @placeholder = "请输入您的手机号", @maxlength = "11", @type = "tel", emptytips = "请选择体检类型", required = "" })
@*
@Html.TextBoxFor(m => m.yzm, new { @class = "weui-input", @placeholder = "请输入您的验证码", type = "tel", @maxlength = "6", emptytips = "请输入验证码" })
*@
请扫描营业执照或食药局体检申请上面的二维码 @Html.HiddenFor(m => m.QYXX, new { id = "hidqyxx" })
扫描
}

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