<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>信息扫描</title>
</head>
<body>
<form class="am-form am-form-horizontal">
<div>
<label for="doc-ipt-3" class="am-u-sm-2 am-form-label">科 目</label>
<input type="email" id="doc-ipt-3" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">学 号</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">序 号</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">考官ID</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
</div></br>
<div>
<label for="doc-ipt-3" class="am-u-sm-2 am-form-label">第1题</label>
<input type="email" id="doc-ipt-3" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">第2题</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">第3题</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">第4题</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
</div></br>
<div>
<label for="doc-ipt-3" class="am-u-sm-2 am-form-label">第5题</label>
<input type="email" id="doc-ipt-3" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">第6题</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">第7题</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">第8题</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
</div></br>
<div>
<label for="doc-ipt-3" class="am-u-sm-2 am-form-label">条形码</label>
<input type="email" id="doc-ipt-3" placeholder="">
<label for="doc-ipt-pwd-2" class="am-u-sm-2 am-form-label">扫描时间</label>
<input type="password" id="doc-ipt-pwd-2" placeholder="">
</div></br>
<div class="am-form-group">
<label for="doc-ta-1">无效原因</label></br>
<textarea class="" rows="5" id="doc-ta-1"></textarea>
</div>
<p><button type="submit" class="am-btn am-btn-default">提交</button></p>
</div>
</div>
</form>
</form>
</body>
</html>
寂静的蝴蝶