<link rel="stylesheet" href="/thmz/css/bootstrap/css/bootstrap-select.css"/>
<link rel="stylesheet" href="/thmz/css/bootstrap/css/daterangepicker.css"/>
<link rel="stylesheet" href="/thmz/css/custom.min.css">
<link rel="stylesheet" href="/thmz/css/toll_administration.css">
<script src="/thmz/js/dependent/bootstrap-select.js"></script>
<script src="/thmz/js/dependent/daterangepicker.js"></script>
<script src="/thmz/js/mz/mzsrmx.js"></script>
<title>门诊收入明细</title>
<div class="row">
    <div class="col-md-12 col-sm-12 col-xs-12">
        <div class="x_panel">
            <div class="panel-body">
                <form id="formSearch" class="form-horizontal" autocomplete="off">
                    <div class="form-group col-md-12 col-sm-12 col-xs-12">
                        <!--<div class="col-md-6 col-sm-6 col-xs-12"></div>-->
                        <label class="control-label col-md-2 col-sm-2 col-xs-12" for="commonParams">姓名/卡号/ID
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <input id="commonParams" class="form-control col-md-7 col-xs-12" type="text"
                                   placeholder="姓名/卡号/ID">
                        </div>
                        <label class="control-label col-md-1 col-sm-1 col-xs-12" for="timeParam">时间基准
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <select class="form-control selectpicker show-tick" data-live-search="true" title="请选择"
                                    id="timeParam">
                            </select>
                        </div>
                        <label class="control-label col-md-1 col-sm-1 col-xs-12" for="reportrange"> 查询时间
                        </label>
                        <div class="col-md-3 col-sm-3 col-xs-12">
                            <div id="reportrange" class="pull-right"
                                 style="background: #fff; cursor: pointer; padding: 5px 10px; border: 1px solid #ccc">
                                <i class="glyphicon glyphicon-calendar fa fa-calendar"></i>
                                <span>December 30, 2014 - January 28, 2015</span> <b class="caret"></b>
                            </div>
                        </div>
                    </div>
                    <div class="form-group col-md-12 col-sm-12 col-xs-12">
                        <label class="control-label col-md-2 col-sm-2 col-xs-12" for="jzSqDept">就诊/申请科室
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <select class="form-control selectpicker show-tick" data-live-search="true" title="请选择"
                                    id="jzSqDept" onchange="initDoctorSelect()">
                            </select>
                        </div>
                        <label class="control-label col-md-2 col-sm-2 col-xs-12" for="jzSqDoctor">就诊/申请医生
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <select class="form-control selectpicker show-tick" data-live-search="true" title="请选择"
                                    id="jzSqDoctor">
                            </select>
                        </div>
                        <label class="control-label col-md-1 col-sm-1 col-xs-12" for="execDept">执行科室
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <select class="form-control selectpicker show-tick" data-live-search="true" title="请选择"
                                    id="execDept">
                            </select>
                        </div>
                    </div>
                    <div class="form-group col-md-12 col-sm-12 col-xs-12">
                        <label class="control-label col-md-1 col-sm-1 col-xs-12" for="parentCode">父类码
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <select class="form-control selectpicker show-tick" data-live-search="true" title="请选择"
                                    id="parentCode">
                            </select>
                        </div>
                        <label class="control-label col-md-1 col-sm-1 col-xs-12" for="hsm">核算码
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <select class="form-control selectpicker show-tick" data-live-search="true" title="请选择"
                                    id="hsm">
                            </select>
                        </div>
                        <label class="control-label col-md-1 col-sm-1 col-xs-12" for="xmm">项目名称
                        </label>
                        <div class="col-md-2 col-sm-2 col-xs-12">
                            <input id="xmm" class="form-control col-md-7 col-xs-12" type="text"
                                   placeholder="项目名称">
                        </div>
                        <div class="col-md-2 col-sm-2 col-xs-12" style="text-align:left;margin-left: 50px;">
                            <button type="button"  id="btn_clean" class="btn btn-primary"
                                    title="重置"><i class="fa fa-rotate-left"></i>
                            </button>
                            <button type="button"  id="btn_query" class="btn btn-primary"
                                    title="查询"><i class="fa fa-search"></i>
                            </button>
                            <button type="button"  id="btn_excel" class="btn btn-primary"
                                    title="导出EXCEL"><i class="fa fa-file-excel-o"></i>
                            </button>
                        </div>
                    </div>
                </form>
            </div>
            <table id="tb_table"></table>
            <div class="form-group col-md-12 col-sm-12 col-xs-12">
                <div class="col-md-8 col-sm-8 col-xs-12"></div>
                <div class="col-md-4 col-sm-4 col-xs-12">
                    <label class="control-labe6 col-md-6 col-sm-1 col-xs-12" for="totalAmount">合计：
                    </label>
                    <div class="col-md-6 col-sm-6 col-xs-12">
                        <span id="totalAmount">0.00</span>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>


