ss_new_ui_skin_and_page/page/biz/xy_inp.ss.jsp

<div class="content-div" ssFith="true">
	<table class="form">
		<tr>
			<th rowspan="4" style="width:160px;">相片</th>
			<td rowspan="4" style="width:260px;">
				<input name="zjzwj" placeholder="default-photo.png" class="photo"/>
				<input name="yszwj" style="margin-top:42px; margin-left:13px;" placeholder="default-personalPhoto.png" class="personalPhoto photo"/>
			</td>
			<th style="width:160px;">姓名</th>
			<td><input name="xm" width="108px"/></td>
		</tr>
		<tr>
			<th>性别</th>
			<td><input name="xbm" width="90px"/></td>
		</tr>
		<tr>
			<th>民族</th>
			<td><input name="mzm" width="117px"/></td>
		</tr>
		<tr>
			<th>家庭困难程度</th>
			<td><input name="kncdm" width="102px"/></td>
		</tr>
		<tr>
			<th>健康状况</th>
			<td><input name="jkzkm" width="90px"/></td>
			<th>血型</th>
			<td><input name="xuexm" width="90px"/></td>
		</tr>
		<tr>
			<th>健康说明</th>
			<td colspan="3"><input name="jksm" width="167px" class="input-text"/></td>
		</tr>
		<tr>
			<th>紧急联系人姓名</th>
			<td><input name="jjlxrxm" width="167px"/></td>
			<th>紧急联系人电话</th>
			<td><input name="jjlxrdh" width="167px"/></td>
		</tr>
	</table>
</div>