ss_new_ui_skin_and_page/page/biz/hdXy_inp.ss.jsp

<div class="content-div" ssFith="true">
	<table class="form">
		<tr>
			<th>姓名</th>
			<td><input name="xm" width="108px"/></td>
			<th>性别</th>
			<td><input name="xbm" width="90px"/></td>
		</tr>
		<tr>
			<th>民族</th>
			<td><input name="mzm" width="117px"/></td>
			<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>