<h2>서비스 접수</h2>
<form id="aform" name="aform" method="get"  accept-charset="utf-8">
<table cellpadding="2" cellspacing="1" border="0" id="serviceViewTable">
 <tr>
  <th colspan="2">접수변호</th>
  <td><input type="text" id="s_code" name="s_code" value="<?=$newCode?>"/></td>
 </tr>
 <tr>
  <th colspan="2">접수일시</th>
  <td><input type="text" id="s_time" name="s_time" value="<?=date('Y-d-m H:i:s')?>" style="width:200px"/></td>
 </tr>
 <tr>
  <th colspan="2">장비</th>
  <td>
   
   <select name="equip_divi" id="equip_divi">
    <option value="">장비선택</option>
    <!-- Begin EQUIP -->
  <?  foreach($select_dcas_equip as $row) { ?>
    <option value="<?=$row['equip_code']?>"><?=$row['equip_name']?></option>
  <? } ?>
    <!-- End EQUIP -->
   </select>

  </td>
 </tr>
 <tr>
  <th width="80" rowspan="3">요청<br>병원</th>
  <th width="80">병원명</th>
  <td > 
   <select name="hospital" id="hospital"> 
    <option value="">병원선택</option>
    <!-- Begin HLIST -->
  <?  foreach($select_dcas_hospital as $row) { ?>
    <option value="<?=$row['hcode']?>"><?=$row['hname']?></option>
  <? } ?>
    <!-- End HLIST -->
   </select>
  </td>
 </tr>
 <tr>
  <th width="80">요청부서</th>
  <td > <input type="text" name="h_part" id="request_d" value=""/></td>
 </tr>
 <tr>
  <th width="80">요청자</th>
  <td > <input type="text" name="h_user" id="request_u" value=""/></td>
 </tr>
 <tr>
  <th width="80" rowspan="2">접수</th>
  <th width="80">접수자</th>
  <td > 
   <select name="recive_mem" id="recive_mem">
    <option value="">접수자</option>
    <!-- Begin recive_mem -->
  <?  foreach($select_gp_mem as $row) { ?>
    <option value="<?=$row['mem_id']?>"><?=$row['mem_name']?></option>
  <? } ?>
    <!-- End recive_mem -->
   </select>

  </td>
 </tr>
 <tr>
  <th width="80">담당자</th>
  <td > 
   
   <select name="incharge_mem" id="incharge_mem">
    <option value="">담당자</option>
    <!-- Begin INCHARGE_USER -->
  <?  foreach($select_gp_mem as $row) { ?>
    <option value="<?=$row['mem_id']?>"><?=$row['mem_name']?></option>
  <? } ?>
    <!-- End INCHARGE_USER -->
   </select>
  </td>
 </tr>
 <tr>
  <th width="80" rowspan="3">처리</th>
  <th width="80">처리유형</th>
  <td > 
   <select name="proc_type" id="proc_type">
    <option value="">처리유형</option>
    <option value="T" >전화처리</option>
    <option value="S" >방문처리</option>
   </select>
  </td>
 </tr>
 <tr>
  <th width="80">상태</th>
  <td > 
   <input type="radio" id="state1" name="service_state" value="R" style="display:inline"  /><label for="state1" style="display:inline">접수</label>
   <input type="radio" id="state2" name="service_state" value="P" style="display:inline"  /><label for="state2" style="display:inline">처리중</label>
   <input type="radio" id="state3" name="service_state" value="E" style="display:inline"  /><label for="state3" style="display:inline">처리완료</label></td>
 </tr>
 <tr>
  <th width="80">결과문서</th>
  <td > <input type="text" name="as_code" id="as_code" value=""/></td>
 </tr>
 <tr>
  <th colspan="2">비고</th>
  <td > <textarea type="text" name="remark" id="remark" rows="5" style="width:90%"> </textarea></td>
 </tr> 
</table>
<A HREF="#" onClick="jsInsert();">등 록 
</A><button type="button" onClick="serviceView()">취 소</button>
</form>


<SCRIPT LANGUAGE="JavaScript">
<!--
 function jsInsert()
 {
  var afrm = document.aform;
   

   document.aform.target = "/service/receipt/dinsert";
   document.aform.submit();
         
 } 
//-->
</SCRIPT>