<script src="/thmz/js/receipt.js"></script>
<title>发票管理页面</title>
<div class="row">
    <div class="col-md-12 col-sm-12 col-xs-12">
        <div class="x_panel">
            <div class="x_title">
                <h2>发票管理</h2>
                <ul class="nav navbar-right panel_toolbox">
                    <!--    <li><a class="collapse-link"><i class="fa fa-chevron-up"></i></a>
                        </li>-->
                    <!--<li class="dropdown">-->
                        <!--<a href="#" onclick="editWindows()" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false"><i class="fa fa-wrench"></i></a>-->
                    <!--</li>-->
                    <!--   <li><a class="close-link"><i class="fa fa-close"></i></a>
                       </li>-->
                </ul>
                <div class="clearfix"></div>
            </div>
            <div class="x_content">

                <form class="form-horizontal form-label-left" novalidate id="receipt_form" autocomplete="off">
                    <span class="section" style="font-size: 16px;">门诊发票</span>
                    <div class="item form-group">
                        <label class="control-label col-md-3 col-sm-3 col-xs-12" for="receiptBegin">门诊发票起始编号 <span class="required">*</span>
                        </label>
                        <div class="col-md-4 col-sm-4 col-xs-12">
                            <input type="text" id="receiptBegin"  class="form-control col-md-7 col-xs-12">
                        </div>
                    </div>
                    <div class="item form-group">
                        <label class="control-label col-md-3 col-sm-3 col-xs-12" for="receiptCurrent">门诊当前可用编号 <span class="required">*</span>
                        </label>
                        <div class="col-md-4 col-sm-4 col-xs-12">
                            <input type="text" id="receiptCurrent"  class="form-control col-md-7 col-xs-12" readonly>
                        </div>
                    </div>
                    <div class="item form-group">
                        <label class="control-label col-md-3 col-sm-3 col-xs-12" for="receiptEnd">门诊发票结束编号 <span class="required">*</span>
                        </label>
                        <div class="col-md-4 col-sm-4 col-xs-12">
                            <input type="text" id="receiptEnd"  class="form-control col-md-7 col-xs-12">
                        </div>
                    </div>
                    <span class="section" style="font-size: 16px;">住院发票</span>
                    <div class="item form-group">
                        <label class="control-label col-md-3 col-sm-3 col-xs-12" for="zyReceiptBegin">住院发票起始编号 <span class="required">*</span>
                        </label>
                        <div class="col-md-4 col-sm-4 col-xs-12">
                            <input type="text" id="zyReceiptBegin"  class="form-control col-md-7 col-xs-12">
                        </div>
                    </div>
                    <div class="item form-group">
                        <label class="control-label col-md-3 col-sm-3 col-xs-12" for="zyReceiptCurrent">住院当前可用编号 <span class="required">*</span>
                        </label>
                        <div class="col-md-4 col-sm-4 col-xs-12">
                            <input type="text" id="zyReceiptCurrent"  class="form-control col-md-7 col-xs-12" readonly>
                        </div>
                    </div>
                    <div class="item form-group">
                        <label class="control-label col-md-3 col-sm-3 col-xs-12" for="zyReceiptEnd">住院发票结束编号 <span class="required">*</span>
                        </label>
                        <div class="col-md-4 col-sm-4 col-xs-12">
                            <input type="text" id="zyReceiptEnd"  class="form-control col-md-7 col-xs-12">
                        </div>
                    </div>
                    <div class="ln_solid"></div>
                    <div class="form-group">
                        <div class="col-md-6 col-md-offset-3">
                            <button id="send" type="button" class="btn btn-success">提交</button>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>

