sailun
/
sailun-shop


			
							123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152
							<!DOCTYPE html>
<html class="">
	<!--STATUS OK-->
	<head>
		<meta name="referrer" content="always" />
		<meta charset='utf-8' />
		<meta name="viewport" content="width=device-width,minimum-scale=1.0,maximum-scale=1.0,user-scalable=no" />
		<meta http-equiv="x-dns-prefetch-control" content="on">
		<meta name="description" content="">
		<meta name="format-detection" content="telephone=no" />
		<link rel="stylesheet" type="text/css" href="css/vant-ui.css" />
		<link rel="stylesheet" type="text/css" href="css/iconfont.css">
		<link rel="stylesheet" type="text/css" href="css/main.css" />
		<script src="js/vue.js"></script>
		<script src="js/vant-ui.js"></script>
		<script src="js/main.js"></script>
		<title></title>
	</head>
	<body>
		<div id="app" v-cloak>
			<div class="pageView peifuxiangqing">
				<div class="header flex a-center j-center">
					<i class="iconfont icon-back" onclick="history.go(-1)"></i>
					赔付详情
				</div>

				<div class="">
					<div class="userInfos card">
						<div class="title"></div>

						<div class="Forms">
							<div class="item flex a-center">
								<div class="label">品牌</div>
								<div class="value">
									<input type="text" placeholder="请选择品牌（必选）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">规格</div>
								<div class="value">
									<input type="text" placeholder="请选择规格（必选）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">花纹</div>
								<div class="value">
									<input type="text" placeholder="请选择花纹（必选）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">层级</div>
								<div class="value">
									<input type="text" placeholder="请选择层级（必选）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>


							<div class="item flex a-center">
								<div class="label">产品名称</div>
								<div class="value">
									<input type="text" placeholder="请选择物料描述（必选）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">周期号</div>
								<div class="value">
									<input type="text" placeholder="请输入周期号（必填，如：251）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">胎号</div>
								<div class="value">
									<input type="text" placeholder="请输入胎号（选填）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">病象</div>
								<div class="value">
									<input type="text" placeholder="请选择损坏描述（必选）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">第二病象</div>
								<div class="value">
									<input type="text" placeholder="请输入第二病象（必填）">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">余花深</div>
								<div class="value">
									<input type="text" placeholder="请输入余花深(必填)">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>

							<div class="item flex a-center">
								<div class="label">行驶里程数</div>
								<div class="value">
									<input type="text" placeholder="请输入轮胎行驶里程数(选填)">
								</div>
								<van-icon name="checked" size="0.3rem" color="#00a0ea"/>
							</div>
						</div>

					</div>


					<div class="card phone" style="margin-top: 0.2rem;">
						<div class="title"></div>
						<div class="fileImage"><img src="img/images/img02.png"></div>
					</div>

					<div class="nextFoot flex a-center">
						<div class="nextBtns flex a-center j-center">下一步</div>
						<div class="nextBtns1 flex a-center j-center">提交</div>
					</div>
				</div>

			</div>
		</div>
	</body>
	<script>
		new Vue({
			el: '#app',
			data: {
				radio:'1',
				list:['1','2','3','4','5']
			},
			mounted: function() {

			}
		})
	</script>

</html>