DedeCMS 5.7 用自定义表单制作自助挂号平台

最新推荐文章于 2020-12-21 01:03:14 发布

zardo

最新推荐文章于 2020-12-21 01:03:14 发布

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分类专栏： DEDE

本文链接：https://blog.csdn.net/lcircle/article/details/27056307

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前端界面
添加自定义表单
创建新的自定义表单
新增表单字段
前台测试

进入后台查看结果
前端设计

表单代码

<form id="gh_form" name="gh_form" οnsubmit="javascript:return check();" target="_blank" autocomplete="off" method="post" action="/syspu/diy.php">
    <table width="100%">
        <tr>
            <td height="8"></td>
        </tr>
        <tr>
            <td colspan="2" align="center" valign="middle"><h2>(本网站已加密,绝对保障个人隐私)</h2></td>
        </tr>
        <tr>
            <td height="8"></td>
        </tr>
        <tr>
            <td width="70" align="right">患者姓名：</td>
            <td><input type="text" class="tet01" id="name" name="name" οnblur="this.value=ignoreSpaces(this.value);"></td>
        </tr>
        <tr>
            <td height="8"></td>
        </tr>
        <tr>
            <td width="70" align="right">电话/QQ：</td>
            <td><input type="text" class="tet01" id="contacts" name="contact" οnblur="this.value=ignoreSpaces(this.value);"></td>
        </tr>
        <tr>
            <td height="8"></td>
        </tr>
        <tr>
            <td width="70" align="right">就诊日期：</td>
            <td><input type="text" class="tet01  datepicker" id="date" name="comedate" οnblur="if(this.value==''){this.value=this.defaultValue;}" οnfοcus="if(this.value==this.defaultValue){this.value='';};" value="点击选择就诊日期"  readonly="readonly"></td>
        </tr>
        <tr>
            <td height="8"></td>
        </tr>
        <tr>
            <td width="70" align="right">预约病种：</td>
            <td><select name="disease" id="type">
            <option value="无痛人流">无痛人流</option>  
            <option value="妇科检查">妇科检查</option> 
            <option value="月经疾病">月经疾病</option> 
            <option value="白带异常">白带异常</option>
            <option value="妇科炎症">妇科炎症</option>  
            <option value="子宫肌瘤">子宫肌瘤</option> 
            <option value="宫颈糜烂">宫颈糜烂</option> 
            <option value="不孕不育">不孕不育</option>
            <option value="处女膜修复">处女膜修复</option>
            <option value="其他妇科病">其他妇科病</option>
          </select></td>
        </tr>
        <tr>
            <td height="8"></td>
        </tr>
        <tr>
            <td width="70" align="right">预约专家：</td>
            <td><select name="expert">
                    <option value='谢伟'>谢伟</option>
                    <option value='刘彦'>刘彦</option>
                    <option value="刘玉梅">刘玉梅</option>
                    <option value="周彩娟">周彩娟</option>
                    <option value="王桂纯">王桂纯</option>
                    <option value="尤艳玲">尤艳玲</option>
                    <option value="姚年根">姚年根</option>
                    <option value="孙进">孙进</option>
                    <option value="杨萱">杨萱</option>
                </select></td>
        </tr>
        <tr>
            <td height="8"></td>
        </tr>
        <tr>
            <td  colspan="2" align="center" valign="middle" class="few">            	
               <input type="hidden" name="action" value="post" />
<input type="hidden" name="diyid" value="1" />
<input type="hidden" name="do" value="2" />
                <input type="hidden" name="dede_fields" value="name,text;contact,text;comedate,text;disease,select;expert,select" />
<input type="hidden" name="dede_fieldshash" value="488950a1db7bf0e25d23e6dfab1d8cd7" />
            	<input class="fwee" type="submit" value="提交挂号" οnclick="return check();"><a href="/swt/"><img src="/templets/images/gh_b012.jpg"></a></td>
        </tr>
        <tr>
            <td height="8"></td>
        </tr>
    </table>
    </form>