<s-layout wx:if="{{g}}" class="data-v-932a289a" u-s="{{['d']}}" u-i="932a289a-0" bind:__l="__l" u-p="{{g}}"><view class="data-v-932a289a"><form class="data-v-932a289a" bindsubmit="{{f}}" report-submit="true"><view class="apply-return data-v-932a289a"><view class="list borRadius14 data-v-932a289a"><view class="item acea-row row-between-wrapper data-v-932a289a" style="display:flex;align-items:center"><view class="data-v-932a289a">物流公司</view><picker mode="selector" class="num data-v-932a289a" bindchange="{{c}}" value="{{d}}" range="{{e}}" range-key="name"><view class="picker acea-row row-between-wrapper data-v-932a289a" style="display:flex;align-items:center"><view class="reason data-v-932a289a">{{a}}</view><image src="{{b}}" class="select-icon data-v-932a289a"/></view></picker></view><view class="item textarea acea-row row-between data-v-932a289a" style="display:flex;align-items:center"><view class="data-v-932a289a">物流单号</view><input placeholder="请填写物流单号" class="num data-v-932a289a" name="logisticsNo" placeholder-class="placeholder"/></view><button class="returnBnt bg-color ss-reset-button ui-BG-Main-Gradient sub-btn data-v-932a289a" form-type="submit" style="background:linear-gradient(90deg,var(--ui-BG-Main),var(--ui-BG-Main-gradient))!important">提交</button></view></view></form></view></s-layout>