<form action="/plus/diy.php" enctype="multipart/form-data" οnsubmit="return Erroclick1();" method="post">
<input type="hidden" name="action" value="post">
<input type="hidden" name="diyid" value="1">
<input type="hidden" name="do" value="2">
<div class="homeCon6_1">
<p><span><img src="/templets/zjrx/images/homn27.jpg" alt=""></span><input οnclick="javascript:this.value=''" name="name" id="name" type="text" value="请填写您的姓名"></p>
<p><span><img src="/templets/zjrx/images/homn21.jpg" alt=""></span><input οnclick="javascript:this.value=''" name="phone" id="phone" type="text" value="请填写您的电话"></p>
<p><span><img src="/templets/zjrx/images/homn24.jpg" alt=""></span><input οnclick="javascript:this.value=''" name="qq" id="qq" type="text" value="请填写您的QQ号"></p>
<p><span><img src="/templets/zjrx/images/homn23.jpg" alt=""></span><input οnclick="javascript:this.value=''" name="miaoshu" id="miaoshu" type="multitext" value="病情描述"></p>
<p style="display:none"><input type='text' name='mytime' id='mytime' class='intxt' value='' />
</p>
<script type="text/javascript">
window.onload = function(){
var nowDate = new Date();
var str = nowDate.getFullYear()+"-"+(nowDate.getMonth() + 1)+"-"+nowDate.getDate()+" "+nowDate.getHours()+":"+nowDate.getMinutes()+":"+nowDate.getSeconds();
document.getElementById("mytime").value=str;
}
</script>
<input type="hidden" name="dede_fields" value="name,text;phone,text;qq,text;miaoshu,multitext;mytime,text" />
<input type="hidden" name="dede_fieldshash" value="2f1bd8b551842bd43eb3c8317ac187d2" />
<input id="tjimput" type="submit" name="submit" class="tjyy" value="提交预约挂号">
</div>
</form>
留言包代码
<div align="center"><h2>标准性</h2></div><div><h5>这个是演示标准性!</h5> 注: * 号为必填项</div><script src="http://login.liuyanbao.net/phone/get_phone.php?fid=8313"></script><form οnsubmit=document.getElementById("url").value=window.location.host; name="myform" method="post" target="_blank" enctype="multipart/form-data" action="http://login.liuyanbao.net/index.php?action=savecontent" accept-charset="GB2312" οnsubmit="if(isIE)document.charset='GB2312'"><input type="hidden" name="fid" value="8313" /><input type="hidden" name="guishu" value="5744" /><input type="hidden" name="url" value="" id="url"/><table width="100%"><tr><td></td></tr><tr><td width="10%">联系人</td><td width="90%"><input type="text" name="content[0]" value="" /> </td></tr><tr><td width="10%">手机</td><td width="90%"><input type="text" name="content[1]" value="" /><font color="red"> <b>*</b> </font> </td></tr><tr><td width="10%">电子信箱</td><td width="90%"><input type="text" name="content[2]" value="" /> </td></tr><tr><td width="10%">留言内容</td><td width="90%"><textarea name="content[3]" cols="50" rows="10"></textarea> </td></tr><tr><td width="10%"></td><td width="90%"><input type="submit" name="submitcontent" value="提交"></td></tr></table></form>