shyaf
/
shyaf-resource


			
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							<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=0, minimum-scale=1.0, maximum-scale=1.0,viewport-fit=cover">
    <title></title>
    <link rel="stylesheet" href="../css/order.css">
    <style>
        body{
            padding: 0.2rem;
        }
        .page .h1{
            color: skyblue;
            font-size: 1rem;
            text-align: center;
        }
        .page .h2{
            font-size: 0.16rem;
            padding-left: 0.2rem;
        }
    </style>
</head>
<body>
    <div class="page">
        <p class="h1">IQQA精准术前三维评估及手术规划</p>
        <p class="h2">请告诉我们您的手机号码，使我们能够及时通知到您服务的进度。</p>
        <div>
            <div>
                <p></p>
                <div>
                    <p>*</p>
                    <p>手机号码：</p>
                    <input type="text" placeholder="手机号码">
                </div>
                <div>
                    <p>*</p>
                    <p>姓名：</p>
                    <input type="text" placeholder="用户姓名">
                </div>
                <div>
                    <p>验证码：</p>
                    <input type="text" placeholder="验证码">
                </div>
                <button>获取验证码</button>
            </div>
        </div>
    </div>
</body>


<script type="text/javascript" src="../js/jquery.min.js"></script>
<script src="../js/distpicker.data.min.js"></script>
<script src="../js/distpicker.min.js"></script>
<script>

</script>
</html>