document.write("<script src=\"/js/jquery-1.11.3.min.js\" charset=\"UTF-8\"></script><div class=\"mk\" data-mkid=\"12\"><div class=\"mk12\"><style data-filtered=\"filtered\">.phone_type1 .zy-top-mk{margin-top:30px;margin-bottom:20px;padding:20px;border-left:2px solid #6c9dea;background:#f5f9ff}.phone_type1 .zytop-form-sty{box-sizing:border-box;padding-right:12px;padding-left:12px;width:100%;height:40px;border:1px solid #f2f2f2;border-radius:4px;background:#fff;color:#333;vertical-align:middle;font-size:15px}.phone_type1 .zytop-form-sty::-webkit-input-placeholder{color:#333}.phone_type1 .zytop-form-sty:-moz-placeholder{color:#333}.phone_type1 .zytop-form-sty::moz-placeholder{color:#333}.phone_type1 .zytop-form-sty:-ms-input-placeholder{color:#333}.phone_type1 .zytop-sele{width:150px!important}.phone_type1 .zytop-select-sty{background:url(\'https://www.izige.com/static/images/jian.png\') no-repeat 100% #fff!important;background-size:10px!important;background-position-x:88%!important}.phone_type1 .zy-input-tel,.phone_type1 .zy-input-yzm{width:230px!important}.phone_type1 .zytop-getyzm-btn{background:#fff;color:#6c9dea}.phone_type1 .zytop-getyzm-btn,.phone_type1 .zytop-submit-btn{width:158px;height:38px;border:1px solid #6c9dea;border-radius:4px;vertical-align:middle;font-size:15px;line-height:36px;cursor:pointer}.phone_type1 .zytop-submit-btn{background:#6c9dea;color:#fff}.phone_type1 .ml8{margin-left:8px}.phone_type1 .col92999f{color:#92999f}input, select { -webkit-appearance: none;outline: none;}</style>    <div class=\"phone_type1\">    <div class=\"zy-top-mk\">        <div class=\"f16 fb\">医药健康报名、考试、查分时间 免费短信提醒</div>		<form name=\'feedback\' method=\'post\' enctype=\'multipart/form-data\' onsubmit=\"return ck1();\" action=\'/e/enews/index.php\'>	<input name=\'bid\' type=\'hidden\' value=\'1\'>	<input name=\'enews\' type=\'hidden\' value=\'AddFeedback\'>		<input type=hidden name=ecmsfrom value=\"/yiyaojiankang/zhiyehushi/9139.html\">	<input type=hidden name=saytext value=\"/yiyaojiankang/zhiyehushi/9139.html\">	<input name=\'title\' id=\"title\" type=\'hidden\' value=\'\'>        <div>            <div class=\"zytop-form mt20 rshy_msg message-form\" id=\"rshy_msg_297\">                <select class=\"zytop-form-sty zytop-sele zytop-select-sty required city\" id=\"address\" name=\"address\" placeholder=\"请选择城市\">                    <option value=\"安徽\" selected=\"selected\" data-filtered=\"filtered\">安徽</option>                    <option value=\"北京\" data-filtered=\"filtered\">北京</option>                    <option value=\"重庆\" data-filtered=\"filtered\">重庆</option>                    <option value=\"福建\" data-filtered=\"filtered\">福建</option>                    <option value=\"甘肃\" data-filtered=\"filtered\">甘肃</option>                    <option value=\"广东\" data-filtered=\"filtered\">广东</option>                    <option value=\"广西\" data-filtered=\"filtered\">广西</option>                    <option value=\"贵州\" data-filtered=\"filtered\">贵州</option>                    <option value=\"海南\" data-filtered=\"filtered\">海南</option>                    <option value=\"河北\" data-filtered=\"filtered\">河北</option>                    <option value=\"河南\" data-filtered=\"filtered\">河南</option>                    <option value=\"湖北\" data-filtered=\"filtered\">湖北</option>                    <option value=\"湖南\" data-filtered=\"filtered\">湖南</option>                    <option value=\"黑龙江\" data-filtered=\"filtered\">黑龙江</option>                    <option value=\"吉林\" data-filtered=\"filtered\">吉林</option>                    <option value=\"江苏\" data-filtered=\"filtered\">江苏</option>                    <option value=\"江西\" data-filtered=\"filtered\">江西</option>                    <option value=\"辽宁\" data-filtered=\"filtered\">辽宁</option>                    <option value=\"内蒙古\" data-filtered=\"filtered\">内蒙古</option>                    <option value=\"宁夏\" data-filtered=\"filtered\">宁夏</option>                    <option value=\"青海\" data-filtered=\"filtered\">青海</option>                    <option value=\"山东\" data-filtered=\"filtered\">山东</option>                    <option value=\"山西\" data-filtered=\"filtered\">山西</option>                    <option value=\"陕西\" data-filtered=\"filtered\">陕西</option>                    <option value=\"上海\" data-filtered=\"filtered\">上海</option>                    <option value=\"四川\" data-filtered=\"filtered\">四川</option>                    <option value=\"天津\" data-filtered=\"filtered\">天津</option>                    <option value=\"西藏\" data-filtered=\"filtered\">西藏</option>                    <option value=\"新疆\" data-filtered=\"filtered\">新疆</option>                    <option value=\"云南\" data-filtered=\"filtered\">云南</option>                    <option value=\"浙江\" data-filtered=\"filtered\">浙江</option>                </select>				 <input class=\"zy-input-tel zytop-form-sty ml8 required tel leaveMsg\" id=\"name\" name=\"name\" placeholder=\"请输入姓名\">                <input class=\"zy-input-tel zytop-form-sty ml8 required tel leaveMsg\"  id=\"mycall\" name=\"mycall\" type=\"number\"  placeholder=\"请输入手机号\">                              <button class=\"zytop-submit-btn ml8 rshy_msg_btn logclick\" data-key=\"bt_pc_message_立即预约_1_297\" data-button=\"立即预约\" type=\'submit\' data-lmid=\"297\" data-type=\"message\" data-ref=\"data-key\" data-no=\"297\" rshylm=\"lm\">立即预约</button>            </div>            <script data-filtered=\"filtered\">			  function ck1(){  var address = $(\"#address\").val();  var name = $(\"#name\").val();  var mycall = $(\"#mycall\").val();    if(address==\'\'){alert(\"请选择地区\");return false;}  if(name==\'\'){alert(\"请输入姓名\");return false;}  if(mycall==\'\'){alert(\"请输入手机号\");return false;} if(!/^1[34578]\\d{9}$/.test(mycall) || mycall == \'\'){alert(\'手机号码填写不正确\');        return false;    } $(\"#title\").val(\'医药健康\'+address+name+mycall);  return true;  }              </script>    </div>		</form>    </div></div></div></div>");