<!DOCTYPE html >
<html lang="en" xmlns:th="http://www.thymeleaf.org" xmlns:sec="http://www.thymeleaf.org/thymeleaf-extras-springsecurity4">
<head>
    <meta charset="UTF-8">
    <title>收货信息</title>
    <meta name="viewport" content="width=device-width,initial-scale=1.0, maximum-scale=1.0, minimum-scale=0.5, user-scalable=no">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <meta http-equiv="Cache-Control" content="no-cache, no-store, must-revalidate" />
    <meta http-equiv="Pragma" content="no-cache" />
    <meta http-equiv="Expires" content="0" />
    <meta name="sharetitle" content="全科界" />
    <meta name="sharedesc" content="赋能全科医生，培养百姓良医" />
    <meta name="sharepic" content="https://qkj-web.oss-cn-beijing.aliyuncs.com/html5/share.png" />
    <meta name="shareurl" content="" />
    <script src="/static/js/jquery-3.5.1.min.js?v="+Math.random()></script>
    <script src="/static/js/common.js?v="+Math.random()></script>
    <script>
        document.write('<link href="/static/css/html5/user/receipt-information.css?v=' + Math.random() + '" rel="stylesheet" type="text/css"/>');
    </script>
    <link href="/static/css/html5/common.css?v=" +Math.random() rel="stylesheet" type="text/css"/>

    <script>
var _hmt = _hmt || [];
(function() {
  var hm = document.createElement("script");
  hm.src = "https://hm.baidu.com/hm.js?0305f34866fc4fe377f1bec6dc84d92f";
  var s = document.getElementsByTagName("script")[0];
  s.parentNode.insertBefore(hm, s);
})();
</script>
</head>
<body>
<div class="container">
    <div  th:include="html5/common::common-loading"></div>
    <div th:include="html5/common::common-integral"></div>
    <input type="hidden" id="id" th:value="${id}">
    <div class="info">
        <div class="title">收货信息</div>
        <div class="item">
            <span>姓名</span>
            <input type="text" maxlength="100" placeholder="请输入姓名" v-model="name">
        </div>
        <div class="item">
            <span>手机号</span>
            <input type="text" placeholder="请输入手机号" v-model="phone">
        </div>
        <div class="item">
            <span>收货地址</span>
            <input type="text" maxlength="100" placeholder="请输入收货地址" v-model="adress">
        </div>
    </div>
    <div class="sm">
        · 实物商品我们会审核后7个工作日内邮寄给您
    </div>
    <div class="sm">
        · 活动最终解释权归全科界所有
    </div>
    <!--    <p id="bottomInfo">全科在线提供技术支持</p>-->
    <div class="footer">
        <button @click="saveReceiptInformation()">立即提交</button>
    </div>
    <div class="toast">
        <div class="toast-info">
            <img src="http://files.qkyxzx.com/html5/success.png" alt="">
            <div>信息提交成功</div>
        </div>
    </div>
</div>
</body>
<script type="text/javascript" src="/static/js/jquery.cookie.js"></script>
<script src="/static/js/vue.js"></script>
<script src="/static/js/ucenter.js?v="+Math.random()></script>
<script src="/static/js/jweixin-1.0.0.js"></script>
<script src="/static/js/wxshare.js?version=20220630"></script>
<script>
    document.write('<script src="/static/js/h5/user/receipt-information.js?v=' + Math.random() + '"><\/script\>');
</script>
</html>
