81 lines
3.6 KiB
HTML
81 lines
3.6 KiB
HTML
<!DOCTYPE html>
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<html>
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<head>
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<meta charset="utf-8">
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<title>新增反馈</title>
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</head>
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<link href="../../../js/layui/css/layui.css" rel="stylesheet">
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<!--拦截及公共ip-->
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<script src="../../../js/public/jquery-3.6.0.js" type="text/javascript"></script>
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<script src="../../../js/system/IPUtils.js"></script>
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<script src="../../../js/system/ajax_intercept.js"></script>
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<script src="../../../js/system/public_utils.js"></script>
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<script src="../../../js/smutil/sm2Utils.js"></script>
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<script src="../../../js/smutil/smUtil.js"></script>
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<!--拦截及公共ip-->
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<script src="../../../js/layui/layui.js"></script>
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<script src="../../../js/public/public.js" type="text/javascript"></script>
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<script src="../../../js/public/sm3.js" type="text/javascript"></script>
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<script src="../../../js/public/aes.js" type="text/javascript"></script>
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<script src="../../../js/supplement/child/rectification_punishment_add.js" type="text/javascript"></script>
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<link href="../../../css/device/deviceAdd.css" rel="stylesheet">
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<body>
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<form class="layui-form" action="" lay-filter="form-update">
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<div class="layui-form-item" style="margin-top: 10px;">
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<label class="layui-form-label"><a style="color: red;">*</a>姓名</label>
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<div class="layui-input-inline">
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<input type="text" id="name" name="name" lay-verify="required" lay-max="10" autocomplete="off" placeholder="请输入" class="layui-input">
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</div>
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</div>
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<div class="layui-form-item" style="margin-top: 10px;">
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<label class="layui-form-label">违章类型</label>
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<div class="layui-input-inline">
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<input type="text" id="type" name="type" lay-max="10" autocomplete="off" placeholder="请输入" class="layui-input">
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</div>
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</div>
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<div class="layui-form-item" style="margin-top: 10px;">
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<label class="layui-form-label"><a style="color: red;">*</a>违章照片</label>
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<input type="text" hidden lay-verify="required" id="regulationsPath" name="regulationsPath" value="">
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<div class="layui-input-inline">
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<div class="layui-upload">
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<button type="button" class="layui-btn" id="test1">照片上传</button>
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<label class="layui-word-aux">双击图片删除</label>
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<blockquote id="preview1" class="layui-elem-quote layui-quote-nm" style="margin-top: 10px;">
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预览图：
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<div class="layui-upload-list" id="demo1"></div>
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</blockquote>
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</div>
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<button id="hideUpload1" type="button" style="display: none"></button>
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</div>
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</div>
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<div class="layui-form-item" style="margin-top: 10px;">
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<label class="layui-form-label"><a style="color: red;">*</a>处罚单</label>
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<input type="text" lay-verify="required" hidden id="punishmentPath" name="punishmentPath" value="">
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<div class="layui-input-inline">
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<div class="layui-upload">
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<button type="button" class="layui-btn" id="test2">照片上传</button>
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<label class="layui-word-aux">双击图片删除</label>
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<blockquote id="preview2" class="layui-elem-quote layui-quote-nm" style="margin-top: 10px;">
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预览图：
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<div class="layui-upload-list" id="demo2"></div>
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</blockquote>
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</div>
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<button id="hideUpload2" type="button" style="display: none"></button>
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</div>
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</div>
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<div class="layui-form-item">
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<label class="layui-form-label">上传时间</label>
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<div class="layui-input-inline">
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<input type="text" id="uploadTime" name="uploadTime" readonly class="layui-input">
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</div>
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</div>
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<div class="layui-form-item" style="display: none;">
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<div class="layui-input-block">
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<button id="add-data" type="submit" class="layui-btn add-data" lay-submit="" lay-filter="add-data">提交</button>
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</div>
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</div>
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</form>
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</body>
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</html> |