<%@ page language="java" contentType="text/html; charset=UTF-8"
pageEncoding="UTF-8"%>
<%@taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>无标题文档</title>
<style type="text/css">
<!--
body {
margin-left: 3px;
margin-top: 0px;
margin-right: 3px;
margin-bottom: 0px;
}
.STYLE1 {
color: #e1e2e3;
font-size: 12px;
}
.STYLE6 {color: #000000; font-size: 12; }
.STYLE10 {color: #000000; font-size: 12px; }
.STYLE19 {
color: #344b50;
font-size: 12px;
}
.STYLE21 {
font-size: 12px;
color: #3b6375;
}
.STYLE22 {
font-size: 12px;
color: #295568;
}
-->
</style>
</head>
<body width="400">
<!-- 近10天内过生日客户 -->
<form action="addCus.html">
<table>
<tr>
<td>姓名:</td>
<td><input name="name"/></td>
</tr>
<tr>
<td>身份证:</td>
<td><input name="card"/></td>
</tr>
<tr>
<td>性别:</td>
<td><input name="sex"/></td>
</tr>
<tr>
<td>出生年月:</td>
<td><input name="birthday"/></td>
</tr>
<tr>
<td>民族:</td>
<td><input name="nation"/></td>
</tr>
<tr>
<td>婚姻:</td>
<td><input name="marriage"/></td>
</tr>
<tr>
<td>血型:</td>
<td><input name="bloodtype"/></td>
</tr>
<tr>
<td>职业:</td>
<td><input name="job"/></td>
</tr>
<tr>
<td>文化程度:</td>
<td><input name="education"/></td>
</tr>
<tr>
<td>信仰:</td>
<td><input name="belief"/></td>
</tr>
<tr>
<td>联系电话:</td>
<td><input name="phone"/></td>
</tr>
<tr>
<td>紧急联系电话:</td>
<td><input name="emergencycall"/></td>
</tr>
<tr>
<td>家庭住址:</td>
<td><input name="addr"/></td>
</tr>
<tr>
<td>主治医生:</td>
<td><input name="doctor"/></td>
</tr>
<tr>
<td colspan="2"><input type="submit"/></td>
</tr>
</table>
</form>
</body>
</html>