{template member/header}


<div class="Mallbox">

			<div class="Mall">

                            {template member/left}

                            <div class="Mallright">
                            			<div class="Mallright1topbj"></div>
                                        <div class="Mallrightnr">
                               			  <div class="mallOutbox">
                                       		<div class="mallOutboxtitel">会员信息</div>
                                            		
                                                    <div class="malMembeinfor">
                                                    	<form action="" method="post">		
														  <table width="700" height="416" border="0" class="malMembeinfortable1">
																	  <tr>
																		<td width="193" height="45" align="right" class="malMembeinfortitel">用户名</td>
																		<td width="7">&nbsp;</td>
																		<td width="424">{$memberinfo['username']}</td>
																	  </tr>
																	  <tr>
																		<td width="193" height="45" align="right" class="malMembeinfortitel">邮箱</td>
																		<td width="7">&nbsp;</td>
																		<td width="424">{$memberinfo['email']}</td>
																	  </tr>
																	  
																	<tr>
															
																		<td width="193" height="45" align="right" class="malMembeinfortitel">真实姓名</td>
																		<td width="7">&nbsp;</td>
																		
																		<td width="424">
																		<input class="malMembeinforinput1" type="text" name="data[nickname]" value="{$memberinfo['nickname']}">
																			
																			<span id="ck_mobilephone"></span>
																		</td>
																	</tr>
																	 <tr>
																		<td width="193" height="45" align="right" class="malMembeinfortitel">身份证号码</td>
																		<td width="7">&nbsp;</td>
																		<td width="424">
																		<input class="malMembeinforinput1" type="text"  pattern="^[0-9.-]{18}$" required=""  name="data[idCard]" value="{$memberinfo['idCard']}" id="emp_IDCardNo" onblur="isIdCardNo(this.value)">

																		<span id="ck_idCard"></span>
																		</td>
																	  </tr>
																	  
																	   <tr>
																		<td width="193" height="45" align="right" class="malMembeinfortitel">年龄</td>
																		<td width="7">&nbsp;</td>
																		<td width="424">
																		 <input class="malMembeinforinput1" type="text"  readonly="readonly" name="data[age]" id="age_id" value="">

																		<span id="ck_idCard"></span>
																		</td>
																	  </tr>
																	  <tr>
																		<td width="193" height="45" align="right" class="malMembeinfortitel">会员等级</td>
																		<td width="7">&nbsp;</td>
																		<td width="424">{$membergroup[$memberinfo['groupid']]['name']}</td>
																	  </tr>
																	  <tr>
																		<td width="193" height="45" align="right" class="malMembeinfortitel">性别</td>
																		<td width="7">&nbsp;</td>
																						<td width="424">
																						<div><input name="data[sex]" required="" type="radio" value="1"  class="Indexmain3Rboxradio" {if $memberinfo['sex'] != 2}checked="checked"{/if}/>
																						</div> 
																						<div  class="Indexmain3Rboxradio2">男</div>
																						<div> <input name="data[sex]" required type="radio" value="2" class="Indexmain3Rboxradio1" {if $memberinfo['sex'] == 2}checked="checked"{/if}/></div>  
																						<div  class="Indexmain3Rboxradio2" >女</div>
																		</td>
																	  </tr>
																	  <tr>
																		<td width="193" height="45" align="right" class="malMembeinfortitel">手机号</td>
																		<td width="7">&nbsp;</td>
																		<td width="424">
																		<input class="malMembeinforinput1" type="text" pattern="^1[3|5|8]\d{3,9}$" required=""  name="data[mobilephone]" value="{$memberinfo['mobilephone']}">
																			
																			<span id="ck_mobilephone"></span>
																		</td>
																	  </tr>
																	  
																	  
																	 
																	  <tr>
																		<td width="193" height="21" align="right" class="malMembeinfortitel">所在地</td>
																		<td width="7" rowspan="2">&nbsp;</td>
																		<td width="424" >
																			
																			<input class="malMembeinforinput2" type="text" required=""  name="data[suozaidi]" value="{$memberinfo['suozaidi']}">
																			<span id="ck_suozaidi"></span>
																		</td>
																	  </tr>
																	
														  </table>
														  <table width="700" border="0" class="malMembeinfortable2">
																	  <tr>
																		<td width="200" height="45" align="right" ></td>
																		<td width="10">&nbsp;</td>
																		<td width="440"><input type="submit" class="button" value="" name="submit"></td>
																	  </tr>
														  </table>
														</form>
                                                    </div>
                               			  </div>
                                                    
                                                    
                                        </div>
                                                       <div class="clear"></div>
 <div class="Mallright1botbj"></div>
                                        
                            </div>
                            
            
            				<div class="clear"></div>
            </div>




            {template hospitalphoto}
     
</div>     
{template member/footer}
<script src="{SITE_THEME}js/cardno.js" type="text/javascript"></script>