baojing.html 1.2 KB

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  1. <div style="margin-top:10px;" class="lr-form-container">
  2. <div class="lr-form-row lr-form-row-title">
  3. <label>选择车牌号</label>
  4. </div>
  5. <!--<div class="lr-form-row">
  6. <label>车牌选择</label>
  7. <div id="plateselect"></div>
  8. </div>-->
  9. <div class="lr-form-row">
  10. <label>车牌号</label>
  11. <input id='plate' type="text" readonly>
  12. </div>
  13. <div class="lr-form-row">
  14. <label>手机号码</label>
  15. <input id='mobile' type="text">
  16. </div>
  17. <div class="lr-form-row">
  18. <label>被盗日期</label>
  19. <div id="date2"></div>
  20. </div>
  21. <div class="lr-form-row">
  22. <label>事发城市</label>
  23. <div id="select3"></div>
  24. </div>
  25. <div class="lr-form-row">
  26. <label>事发地址</label>
  27. <input type="text" id="address">
  28. </div>
  29. <div class="lr-form-row lr-form-row-multi">
  30. <label>报警原因</label>
  31. <!--<div class="lrtextarea" contenteditable="true" ></div>-->
  32. <textarea id="textarea"></textarea>
  33. </div>
  34. </div>
  35. <div style="padding:10px;">
  36. <button type="button" class="lr-btn-primary lr-btn-block">报警</button>
  37. </div>