<view class='title element_width'>{{areaName}}基层辅助孕妇建档平台</view>
<view class='noti element_width'><text>欢迎使用{{areaName}}基层妇幼辅助孕妇建档平台,成为基层辅助医生需要您绑定以下个人信息</text></view>
<form bindsubmit='submitData'>
<view class='input_box element_width bottom_line'>
<input maxlength='15' placeholder-class='placeholder' name="userName" placeholder='请输入姓名'></input>
</view>
<view class='input_box element_width bottom_line'>
<input maxlength='20' placeholder-class='placeholder' name="cardNo" type='idcard' placeholder='请输入身份证号'></input>
</view>
<view class='input_box element_width flex_box bottom_line'>
<input maxlength='11' placeholder-class='placeholder' bindinput='inputPhone' type='number' name="phone" placeholder='请输入手机号'></input>
<view hover-class='hover_color' bindtap='getVerifyCode'>{{time == '0s' ? '再次获取' : time}}</view>
</view>
<view class='input_box element_width bottom_line'>
<input maxlength='8' placeholder-class='placeholder' type='number' name="code" placeholder='请输入验证码'></input>
</view>
<view class='input_box element_width bottom_line'>
<input maxlength='20' placeholder-class='placeholder' name="password" password='true' placeholder='请输入新密码(6位数以上数字或字母组成)'></input>
</view>
<view class='input_box element_width bottom_line'>
<input maxlength='20' placeholder-class='placeholder' name="passwordS" password='true' placeholder='确认密码'></input>
</view>
<button style='background: #9AB6F3;' form-type='submit' class='themeColor loginBtn element_width' hover-class='hover_color'>提交</button>
<view class='bottom_btn'></view>
</form>