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<div class="panel-body" style="color: #888;"><ul class="list-inline"><li>公司：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:70px"></li><li>销售：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>类型：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>保单号：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>WF状态：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:50px"></li><li>状态：<select class="form-control input-sm">  <option value='09'>09核保中</option>  <option value='10'>10完成</option></select></li><li>种类：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:50px"></li><li>类型：<select class="form-control input-sm">  <option value='0'>0</option>  <option value='1'>1</option></select></li><li>版本：<select class="form-control input-sm">  <option value='09'>ESIO201707</option>  <option value='10'>FULL200910</option></select></li><li>城市：<select class="form-control input-sm">  <option value='09'>上海</option>  <option value='10'>北京</option></select></li><li>G指示：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm" style="width:30px"></li><li>G编号：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>AppNature：<select class="form-control input-sm">  <option value='09'>Full UW</option>  <option value='10'>GIO</option>  <option value='10'>SIO</option></select></li><li>转换原因：<select class="form-control input-sm">  <option value='09'>Newapp</option>  <option value='10'>Convers</option></select></li><li>收单日：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>Agent：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"><input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>货币：<select class="form-control input-sm">  <option value='09'>RMB</option>  <option value='10'>USD</option></select></li><li>初算保费：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>每期保费：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>累计应缴保费：<input type="text" class="form-control input-sm" type="text" placeholder=".input-sm"></li><li>PreSale：<select class="form-control input-sm">  <option>否</option>  <option>是</option></select></li></ul></div>
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