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| xqd
@@ -294,7 +294,7 @@
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<span class="input-group-addon">邮箱：</span>
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<input type="text" class="form-control" name="email" id="email" placeholder="请输入邮箱" required>
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</div>
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- <div class="col-xs-10 col-lg-4 input-group" style="display:flex">
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+ <!-- <div class="col-xs-10 col-lg-4 input-group" style="display:flex">
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<span class="input-group-addon" style="width: 21%;line-height: 20px;font-size: 10px;">手机号</span>
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<input style="display:inline-block;width:34%;font-size: 10px;" class="btn btn-default" id="fasong" value="获取验证码" onclick="yanzhengma()">
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<input style="width: 45%;" type="text" name="mobile" id="mobile" class="form-control" placeholder="请输入手机号" required="">
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| xqd
@@ -302,7 +302,7 @@
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<div id="yzma" class="col-xs-10 col-lg-4 input-group">
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<span class="input-group-addon">验证码:</span>
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<input type="text" name="verify" id="verify" class="form-control" placeholder="请输入验证码" required="">
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- </div>
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+ </div> -->
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<div class="col-xs-10 col-lg-4 input-group">
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<span class="input-group-addon">住址：</span>
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<input type="text" class="form-control" name="address" id="address" placeholder="请输入住址" required>
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| xqd
@@ -319,13 +319,13 @@
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</div>
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<label for="name">样本类型:</label>
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<div class="checkbox">
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- <label><input type="checkbox" value="l1" name="gender[]">EDTA抗凝静脉血</label>
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+ <label><input type="checkbox" value="l1" name="sample_type[]">EDTA抗凝静脉血</label>
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</div>
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<div class="checkbox">
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- <label><input type="checkbox" value="l2" name="gender[]">口腔拭子</label>
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+ <label><input type="checkbox" value="l2" name="sample_type[]">口腔拭子</label>
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</div>
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<div class="checkbox">
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- <label><input type="checkbox" value="l3" name="gender[]">宫颈刷</label>
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+ <label><input type="checkbox" value="l3" name="sample_type[]">宫颈刷</label>
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</div>
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<button style="margin-left: 80%;margin-bottom: 20px;" type="button" onclick="submits()" class="btn btn-default">提交</button>
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</div>
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