HasDocumented.wxml 1.06 KB
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<view>
<form catchsubmit="formSubmit">
<view class="record-topbar">为了给您提供精准服务,需要您认证在医院建档的信息</view>
<view class="record-input-constainer">
<view class="record-input_bg" style="border-color:{{inputFocus.nameInput ? '#f4879b' : '#e8eae5'}}">
<label class="record-input_title">姓名</label>
<input class="input" id = "name" name="name" maxlength="12" placeholder="请输入建档姓名" value="" placeholder-class="input-placeholder" bindfocus="getFocus" bindblur="blurInput"/>
</view>
<view class="record-input_bg" style="margin-top:15px;border-color:{{inputFocus.phoneInput ? '#f4879b' : '#e8eae5'}}">
<label class="record-input_title">手机号</label>
<input class="input" id="phone" name="phone" type="number" placeholder="请输入建档手机号" maxlength="11" placeholder-class="input-placeholder" bindfocus="getFocus" value="" bindblur="blurInput"/>
</view>
</view>
<button class="record-submit-btn" formType="submit">下一步</button>
</form>
</view>