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- <cu-custom bgColor="bg-color" isBack="{{true}}" title="请选择您的身份">
- <!-- <view slot="content">请选择您的身份</view> -->
- </cu-custom>
- <view class="doc_top">
- <view>未认证，请填写资料申请认证<text>此认证信息仅用于平台审核</text></view>
- <image src="/img/doctor_img1.png"></image>
- </view>
- <form bindsubmit="formSubmit">
- <view class="info_card">
- <view class="info_item">
- <view class="info_label">真实姓名</view>
- <input class="info_input" name="username" placeholder="请输入真实姓名" type='text'></input>
- </view>
- <view class="info_item">
- <view class="info_label">身份证号码</view>
- <input class="info_input" name="idCard" placeholder="请输入正确的身份证号码" type='text' bindinput='setCode' value='{{code}}'></input>
- </view>
- </view>
- <view class="info_card">
- <view class="info_item">
- <view class="info_label">从业单位</view>
- <picker mode="selector" bindchange="setHospitalType" value="{{hospital}}" range="{{hospItalList}}"
- range-key="name" name="hospitalId">
- <view class="picker">
- {{hospital ? hospItalList[hospital].name : '请选择'}}
- </view>
- </picker>
- </view>
- <view class="info_item">
- <view class="info_label">工作证件/执业证</view>
- <view class="doc_imgUpload" bindtap="chooseImageTap">
- <image src="{{imageUrl || '/img/doctor_img2.png'}}"></image>
- </view>
- </view>
- </view>
- <view class="phone_btm">
- <!-- <view class="phone_btn1">完成</view> -->
- <button class="phone_btn1" form-type="submit">完成</button>
- </view>
- </form>
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