<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>Title</title>
    <link rel="stylesheet" href="/static/bootstrap/bootstrap.min.css">
    <script src="/static/bootstrap/jquery.min.js"></script>
    <script src="/static/bootstrap/bootstrap.min.js"></script>
</head>
<body>
<br>
<form class="form-horizontal" role="form" action="/haha" method="post">
    <div class="form-group">
        <div class="col-sm-offset-1 col-sm-6">
            <label for="url">URL</label>
            <select class="form-control" id="url" name="url">
                <option value="http://localhost:8080/services/HomepageDictionary?wsdl">本地</option>
                <option value="http://10.6.1.128:8888/AcquisitionServer/services/HomepageDictionary?wsdl">服务端</option>
            </select>
        </div>
    </div>
    <div class="form-group">
        <div class="col-sm-offset-1 col-sm-6">
            <label for="interfaceName">接口名称</label>
            <select class="form-control" id="interfaceName" name="interfaceName">
                <option value="HIPMessageServer">HIPMessageServer</option>
                <option value="ReceiveDict">ReceiveDict</option>
                <option value="InpSummary">InpSummary</option>
                <option value="handNumbnessReport">handNumbnessReport</option>
                <option value="ICUReport">ICUReport</option>
                <option value="BloodTransfusionUrl">BloodTransfusionUrl</option>
                <option value="NurseData">NurseData</option>
                <option value="DoctorData">DoctorData</option>
                <option value="CheckExamApplyIsOpen">CheckExamApplyIsOpen</option>
            </select>
        </div>
    </div>
    <div class="form-group">
        <div class="col-sm-offset-1 col-sm-6">
            <label for="parameter">参数</label>
            <select class="form-control" id="parameter" name="parameter">
                <option value="ExamReportBackRequest">检查报告</option>
                <option value="InPatientAddRequest">入院记录</option>
                <option value="PatientOutRequest">出院记录</option>
                <option value="CalPatientRequest">取消记录</option>
                <option value="InpatientTransferRequest">转科记录</option>
                <option value="ExamApplyRequest">检查申请单</option>
                <option value="LisSendReportBack">检验报告</option>
                <option value="InspectionApplyRequest">检验申请单</option>
                <option value="PatientRegistryReviseRequest">患者信息更新服务</option>
            </select>
        </div>
    </div>
    <div class="form-group">
        <div class="col-sm-offset-1 col-sm-8">
            <label for="content">内容</label>
            <textarea class="form-control" rows="14" id="content" name="content"></textarea>
        </div>
    </div>
    <div class="form-group">
        <div class="col-sm-offset-1 col-sm-6">
            <input type="submit" class="btn btn-primary" value="确定"/>
            <input type="reset" class="btn btn-default" value="清空"/>
        </div>
    </div>
</form>
</body>
</html>