titleinfo.html

		<div class="panel-body" style="color: #888;">
			<ul class="list-inline">
				<li>公司：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:70px"></li>
				
				<li>销售：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>类型：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>保单号：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>WF状态：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:50px"></li>
				<li>状态：<select class="form-control input-sm">
						  <option value='09'>09核保中</option>
						  <option value='10'>10完成</option>
						</select></li>
				<li>种类：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:50px"></li>
				<li>类型：<select class="form-control input-sm">
						  <option value='0'>0</option>
						  <option value='1'>1</option>
						</select></li>
				<li>版本：<select class="form-control input-sm">
						  <option value='09'>ESIO201707</option>
						  <option value='10'>FULL200910</option>
						</select></li>
				<li>城市：<select class="form-control input-sm">
						  <option value='09'>上海</option>
						  <option value='10'>北京</option>
						</select></li>
				<li>G指示：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:30px"></li>
				<li>G编号：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>AppNature：<select class="form-control input-sm">
						  <option value='09'>Full UW</option>
						  <option value='10'>GIO</option>
						  <option value='10'>SIO</option>
						</select></li>
				<li>转换原因：<select class="form-control input-sm">
						  <option value='09'>Newapp</option>
						  <option value='10'>Convers</option>
						</select></li>
				<li>收单日：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>Agent：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm">
					<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>货币：<select class="form-control input-sm">
						  <option value='09'>RMB</option>
						  <option value='10'>USD</option>
						</select></li>
				<li>初算保费：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>每期保费：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>累计应缴保费：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li>
				<li>PreSale：<select class="form-control input-sm">
						  <option>否</option>
						  <option>是</option>
						</select></li>
			</ul>
		</div>