A Pen by JohnsonChung on CodePen.
Created
July 11, 2015 16:12
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OVZBEo
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%div.container | |
<!-- report info --> | |
%table.table.table-bordered#reportHeader | |
%th.text-right{:COLSPAN => "4"} | |
%span 年 | |
%span 月 | |
%span 日 | |
%tr | |
%th{:COLSPAN => "1"} エリア | |
%td{:COLSPAN => "1"} | |
%input{:type => "text"} | |
%th{:COLSPAN => "1"} ストア | |
%td{:COLSPAN => "1"} | |
%input{:type => "text"} | |
%tr | |
%th{:COLSPAN => 1} 報告者 | |
%td{:COLSPAN => 3} | |
%input{:type => "text"} | |
<!-- main content --> | |
%table.table.table-bordered.table-hover#reportBody | |
%th{:COLSPAN=>4} | |
%h3.text-center クレーム・事故・ニアミス報告書 | |
%tbody.table | |
/ 基本資料 | |
%tr | |
%th.title{:COLSPAN=>1} 種別① | |
%td{:COLSPAN => 3} | |
%label | |
%input{:type => "checkbox"} | |
クレーム | |
%label | |
%input{:type => "checkbox"} | |
事故 | |
%label | |
%input{:type => "checkbox"} | |
ニアミス | |
%tr | |
%th.title{:COLSPAN=>1} 種別② | |
%td{ :COLSPAN =>3} | |
%label | |
%input{:type => "checkbox"} | |
接客・応対 | |
%label | |
%input{:type => "checkbox"} | |
洗車機 | |
%label | |
%input{:type => "checkbox"} | |
フィールド全般 | |
%label | |
%input{:type => "checkbox"} | |
POS | |
%label | |
%input{:type => "checkbox"} | |
金銭関係 | |
%label{:for => ""} | |
%input{:type => "checkbox"} | |
その他 | |
%tr | |
%th.title{ :COLSPAN => 1} 発生日 | |
%td{ :COLSPAN => 3} | |
%input{:type => "text"} | |
%tr | |
%th.title{ :COLSPAN => 1 } 発生場所 | |
%td{ :COLSPAN => 3 } | |
%input{:type => "text"} | |
%tr | |
%th.title{ :COLSPAN => 1 } スタッフ配置 | |
%td{ :COLSPAN => 3 } | |
%input{:type => "text"} | |
/ 狀況 | |
%tr | |
%th.title{ :COLSPAN => 4 } 状況 | |
%tr | |
%td{ :COLSPAN => 4 } | |
%textarea{:name => "", :cols => "30", :rows => "6"} | |
/ 原因 改善點 | |
%tr | |
%th.title{ :COLSPAN => 4 } 原因 ・ 改善点 | |
%tr | |
%td{ :COLSPAN => 4 } | |
%textarea{:name => "", :cols => "30", :rows => "4"} | |
/ 損害狀況 | |
%tr | |
%th.title{ :COLSPAN => 1 } 損害状況 | |
%td{ :COLSPAN => 3 } | |
保険対応の | |
%label | |
%input{:type => "radio", :name => "insurance"} | |
可 | |
%label | |
%input{:type => "radio", :name => "insurance"} | |
否 | |
(SS保険 ・ 洗車機保険 ・ お客様の保険 ・ その他) | |
%tr | |
%td{ :COLSPAN => 4 } | |
%textarea{:name => "", :cols => "30", :rows => "4"} | |
/ お客様情報 | |
%tr | |
%th.title{ :COLSPAN => 4 } | |
お客様情報 | |
%br/ | |
%span.alert | |
※個人情報ですので慎重に扱いましょう。 (別途最低限必要な詳細情報は店舗で管理して下さい) | |
/ 其他資料 | |
%tr | |
%th.title{ :COLSPAN => 1 } 男女別 | |
%td{ :COLSPAN => 1 } | |
%label | |
%input{:type => "radio", :name => "sex", :value => "male"} | |
男 | |
%label | |
%input{:type => "radio", :name => "sex", :value => "female"} | |
女 | |
%th.title{ :COLSPAN => 1 } 推定年齢 | |
%td{ :COLSPAN => 1 } | |
%input{:type => "text"} | |
%tr | |
%th.title{ :COLSPAN => 1 } その他情報 | |
%td{ :COLSPAN => 3} | |
%textarea{:name => "", :cols => "30", :rows => "2"} | |
%tr | |
%th.title{ :COLSPAN => 1 } 車種 | |
%td{ :COLSPAN => 1 } | |
%input{:type => "text"} | |
%th.title{ :COLSPAN => 1 } 色 | |
%td{ :COLSPAN => 1 } | |
%input{:type => "text"} | |
%tr | |
%th.title{ :COLSPAN => 1 } ナンバー | |
%td{ :COLSPAN => 3 } | |
%span 必要な場合のみ: | |
%input{:type => "text"} |
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.container { | |
max-width: 760px; | |
} | |
tbody{ | |
textarea, input { | |
width: 100%; | |
} | |
} | |
span.alert { | |
color: red; | |
} |
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<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.4/css/bootstrap.min.css" rel="stylesheet" /> |
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