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+<!DOCTYPE html>
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+<html>
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+
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+<head>
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+ <meta charset="UTF-8">
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+ <title>个人基本信息表</title>
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+ <link href="css/personalData.css" type="text/css" rel="stylesheet">
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+ <link href="css/btn.css" type="text/css" rel="stylesheet">
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+ <link href="http://family.health.gagctv.com/html/tables/js/layer_mobile/need/layer.css?2.0" type="text/css"
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+ rel="styleSheet" id="layermcss">
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+ <style>
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+ table {
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+ border-collapse: collapse;
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+ }
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+
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+ td,
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+ th {
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+ border: 1px solid black;
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+ padding: 8px;
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+ }
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+ </style>
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+</head>
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+
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+<body>
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+ <div style="font-size: 14px; margin: 40px 50px">
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+ <h2>个人基本信息表</h2>
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+ <p>
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+ <span>姓名：<span id="patientName"></span></span>
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+ </p>
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+ <table>
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+ <tbody>
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+ <tr>
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+ <td colspan="2" class="boldTd require">性别</td>
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+ <td colspan="3">男</td>
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+ <td class="boldTd require">出生日期</td>
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+ <td>1994-06-09</td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">身份证号</td>
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+ <td colspan="2">320402199406090019</td>
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+ <td class="boldTd">工作单位</td>
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+ <td colspan="2"></td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">本人电话</td>
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+ <td>15161972410</td>
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+ <td class="boldTd require">联系人姓名</td>
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+ <td></td>
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+ <td class="boldTd require">联系人电话</td>
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+ <td></td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">常住类型</td>
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+ <td colspan="2"></td>
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+ <td class="boldTd require">民族</td>
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+ <td colspan="2">回族</td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">血型</td>
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+ <td colspan="5"></td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">文化程度</td>
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+ <td colspan="5"></td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">职业</td>
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+ <td colspan="5"></td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">婚姻状况</td>
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+ <td colspan="5"></td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">医疗费用支付方式</td>
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+ <td colspan="5"></td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">药物过敏史</td>
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+ <td colspan="5">无</td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd require">暴露史</td>
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+ <td colspan="5">无</td>
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+ </tr>
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+ <tr>
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+ <td rowspan="4" class="boldTd1">既往史</td>
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+ <td class="boldTd1">疾病</td>
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+ <td colspan="5">无</td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd1">手术</td>
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+ <td colspan="5">无</td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd1">外伤</td>
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+ <td colspan="5">无</td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd1">输血</td>
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+ <td colspan="5">无</td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" rowspan="2" class="boldTd">家族史</td>
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+ <td class="boldTd">父亲</td>
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+ <td colspan="2">无</td>
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+ <td class="boldTd">母亲</td>
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+ <td>无</td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd">兄弟姐妹</td>
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+ <td colspan="2">无</td>
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+ <td class="boldTd">子女</td>
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+ <td>无</td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd">遗传病史</td>
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+ <td colspan="5">无</td>
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+ </tr>
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+ <tr>
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+ <td colspan="2" class="boldTd">残疾情况</td>
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+ <td colspan="5">无残疾</td>
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+ </tr>
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+ <tr>
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+ <td rowspan="5" colspan="2" class="boldTd">生活环境*</td>
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+ <td class="boldTd">厨房排风设施</td>
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+ <td colspan="4"></td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd">燃料类型</td>
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+ <td colspan="4"></td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd">饮水</td>
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+ <td colspan="4"></td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd">厕所</td>
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+ <td colspan="4"></td>
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+ </tr>
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+ <tr>
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+ <td class="boldTd">禽畜栏</td>
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+ <td colspan="4"></td>
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+ </tr>
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+ </tbody>
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+ </table>
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+ </div>
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+</body>
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+
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+</html>
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