<view class="form_content"><view wx:if="{{a}}" class="share_card"><view> 为保证信息正确，您可分享至微信好友填写 </view><view class="share_btn"><button open-type="share"> 分享转发 <uni-icons wx:if="{{b}}" u-i="074dc314-0" bind:__l="__l" u-p="{{b}}"></uni-icons></button></view></view><view class="form_card"><hs-cell wx:if="{{c}}" bindclick="{{d}}" u-i="074dc314-1" bind:__l="__l" u-p="{{e}}"/><hs-cell wx:else u-i="074dc314-2" bind:__l="__l" u-p="{{f||''}}"/></view><view class="form_card"><hs-cell wx:if="{{i}}" u-s="{{['d']}}" u-i="074dc314-3" bind:__l="__l" u-p="{{i}}"><hs-input wx:if="{{h}}" u-i="074dc314-4,074dc314-3" bind:__l="__l" bindupdateValueModel="{{g}}" u-p="{{h}}"/></hs-cell><hs-cell wx:if="{{l}}" u-s="{{['d']}}" u-i="074dc314-5" bind:__l="__l" u-p="{{l}}"><hs-input wx:if="{{k}}" u-i="074dc314-6,074dc314-5" bind:__l="__l" bindupdateValueModel="{{j}}" u-p="{{k}}"/></hs-cell><hs-radio-cell-picker wx:if="{{n}}" u-i="074dc314-7" bind:__l="__l" bindupdateValueModel="{{m}}" u-p="{{n}}"/></view><view class="form_card"><view class="card_title"> 随访人信息 <view class="add_card_btn" bindtap="{{p}}"><uni-icons wx:if="{{o}}" u-i="074dc314-8" bind:__l="__l" u-p="{{o}}"></uni-icons> 增加 </view></view><view wx:for="{{q}}" wx:for-item="i" wx:key="f" class="card_goods"><view class="goods_info"><view class="goods_item_remark"><hs-input wx:if="{{i.c}}" u-i="{{i.a}}" bind:__l="__l" bindupdateValueModel="{{i.b}}" u-p="{{i.c}}"/></view></view><view class="goods_delete" bindtap="{{i.e}}"><uni-icons wx:if="{{r}}" u-i="{{i.d}}" bind:__l="__l" u-p="{{r}}"></uni-icons></view></view></view><view class="form_card"><hs-date-picker wx:if="{{t}}" u-i="074dc314-11" bind:__l="__l" bindupdateValueModel="{{s}}" u-p="{{t}}"/><hs-date-picker wx:if="{{w}}" u-i="074dc314-12" bind:__l="__l" bindupdateValueModel="{{v}}" u-p="{{w}}"/><view class="refund_info"><view class="label"> 其他备注 </view><view class="refund_reason"><block wx:if="{{r0}}"><textarea placeholder-style="color:#C9CDD4;font-size:28rpx;" placeholder="输入其他备注" value="{{x}}" bindinput="{{y}}"/></block></view></view></view><hs-footer u-s="{{['d']}}" u-i="074dc314-13" bind:__l="__l"><view class="footer_page"><view class="filing_btn" bindtap="{{A}}"><view class="icon"><u-icon wx:if="{{z}}" u-i="074dc314-14,074dc314-13" bind:__l="__l" u-p="{{z}}"></u-icon></view><view class="label"> 申请记录 </view></view><view class="footer_group_btn"><hs-button wx:if="{{C}}" bindclick="{{B}}" u-i="074dc314-15,074dc314-13" bind:__l="__l" u-p="{{C}}"/></view></view></hs-footer></view>