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75 lines
3.5 KiB
HTML
75 lines
3.5 KiB
HTML
<div id="editReportInfoBackCityModel" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="exampleModalLabel"
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aria-hidden="true">
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<div class="modal-dialog modal-lg">
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<div class="modal-content">
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<div class="modal-body">
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<h3 class="m-t-none m-b ">修改上报</h3>
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<div class="ibox-content">
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<div>
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<div>
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<div class="form-group row">
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<label class="col-sm-2 col-form-label">姓名</label>
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<div class="col-sm-10">
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<input v-model="editReportInfoBackCityInfo.name" type="text" placeholder="必填，请填写姓名"
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class="form-control">
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</div>
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</div>
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<div class="form-group row">
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<label class="col-sm-2 col-form-label">身份证</label>
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<div class="col-sm-10">
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<input v-model="editReportInfoBackCityInfo.idCard" type="text" placeholder="必填，请填写身份证"
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class="form-control">
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</div>
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</div>
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<div class="form-group row">
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<label class="col-sm-2 col-form-label">手机号</label>
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<div class="col-sm-10">
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<input v-model="editReportInfoBackCityInfo.tel" type="text" placeholder="必填，请填写手机号"
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class="form-control">
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</div>
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</div>
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<div class="form-group row">
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<label class="col-sm-2 col-form-label">来源地</label>
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<div class="col-sm-10">
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<select class="custom-select" v-model="editReportInfoBackCityInfo.source">
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<option selected disabled value="">必填，请选择来源地</option>
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<option value="1001">国内</option>
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<option value="2002">国外</option>
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</select>
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</div>
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</div>
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<div class="form-group row">
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<label class="col-sm-2 col-form-label">城市名称</label>
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<div class="col-sm-10">
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<input v-model="editReportInfoBackCityInfo.sourceCityName" type="text" placeholder="必填，请填写城市名称"
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class="form-control">
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</div>
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</div>
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<div class="form-group row">
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<label class="col-sm-2 col-form-label">返回时间</label>
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<div class="col-sm-10">
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<input v-model="editReportInfoBackCityInfo.backTime" type="text" placeholder="必填，请填写返回时间"
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class="form-control">
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</div>
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</div>
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<div class="form-group row">
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<label class="col-sm-2 col-form-label">备注</label>
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<div class="col-sm-10">
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<input v-model="editReportInfoBackCityInfo.remark" type="text" placeholder="选填，请填写备注"
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class="form-control">
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</div>
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</div>
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<div class="ibox-content">
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<button class="btn btn-primary float-right" type="button" v-on:click="editReportInfoBackCity()"><i
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class="fa fa-check"></i> 保存</button>
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<button type="button" class="btn btn-warning float-right" style="margin-right:20px;"
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data-dismiss="modal">取消</button>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div> |