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@ -30,13 +30,17 @@ use \common\libs\MyLib; |
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<input type="text" id="phone" name="phone" class="form-control"> |
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<input type="text" id="phone" name="phone" class="form-control"> |
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</div> |
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</div> |
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<div class="form-group" style="margin-bottom: 8px;"> |
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<div class="form-group" style="margin-bottom: 8px;"> |
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<label for="datepicker2">保险日期</label> |
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<label for="">保险日期</label> |
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<div class="input-group input-daterange" id="datepicker2"> |
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<div class="input-group" id=""> |
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<input type="text" class="input-sm form-control" name="insurer_month_begin" value="" autocomplete="off" />月 |
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<input type="text" class="input-sm form-control" name="insurer_month_begin" value="" autocomplete="off" style="width: 50px;" /> |
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<input type="text" class="input-sm form-control" name="insurer_day_begin" value="" autocomplete="off" />日 |
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<span class="input-group-addon">月</span> |
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<span class="input-group-addon">-</span> |
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<input type="text" class="input-sm form-control" name="insurer_day_begin" value="" autocomplete="off" style="width: 50px;" /> |
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<input type="text" class="input-sm form-control" name="insurer_month_end" value="" autocomplete="off" />月 |
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<span class="input-group-addon">日</span> |
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<input type="text" class="input-sm form-control" name="insurer_day_end" value="" autocomplete="off" />日 |
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<span class="input-group-addon"> 至 </span> |
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<input type="text" class="input-sm form-control" name="insurer_month_end" value="" autocomplete="off" style="width: 50px;" /> |
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<span class="input-group-addon">月</span> |
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<input type="text" class="input-sm form-control" name="insurer_day_end" value="" autocomplete="off" style="width: 50px;" /> |
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<span class="input-group-addon">日</span> |
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</div> |
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</div> |
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</div> |
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</div> |
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<div class="form-group" style="margin-bottom: 8px;"> |
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<div class="form-group" style="margin-bottom: 8px;"> |
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