order_20210331152639.html 1.5 KB

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  1. <!DOCTYPE html>
  2. <html lang="en">
  3. <head>
  4. <meta charset="UTF-8">
  5. <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">
  6. <title></title>
  7. <link rel="stylesheet" href="../css/order.css">
  8. <style>
  9. body{
  10. padding: 0.2rem;
  11. }
  12. .page .h1{
  13. color: skyblue;
  14. font-size: 1rem;
  15. margin: 0 auto;
  16. }
  17. </style>
  18. </head>
  19. <body>
  20. <div class="page">
  21. <p class="h1">IQQA精准术前三维评估及手术规划</p>
  22. <div>
  23. <p>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>
  24. <div>
  25. <p></p>
  26. <div>
  27. <p>*</p>
  28. <p>手机号码:</p>
  29. <input type="text" placeholder="手机号码">
  30. </div>
  31. <div>
  32. <p>*</p>
  33. <p>姓名:</p>
  34. <input type="text" placeholder="用户姓名">
  35. </div>
  36. <div>
  37. <p>验证码:</p>
  38. <input type="text" placeholder="验证码">
  39. </div>
  40. <button>获取验证码</button>
  41. </div>
  42. </div>
  43. </div>
  44. </body>
  45. <script type="text/javascript" src="../js/jquery.min.js"></script>
  46. <script src="../js/distpicker.data.min.js"></script>
  47. <script src="../js/distpicker.min.js"></script>
  48. <script>
  49. </script>
  50. </html>