var dDate = new Date();
var dCurMonth = dDate.getMonth();
var dCurDayOfMonth = dDate.getDate();
var dCurYear = dDate.getFullYear();

   document.writeln("<div id=\"all\" class=\"popup-content2\">");
        document.writeln(" <h3>网上预约</h3>");
         document.writeln("<form action=\"\" name=\"form1\" method=\"post\">");
           document.writeln("<table width=\"100%\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"form-content\">");
              document.writeln("<tr>");
                document.writeln("<td class=\"form-title\" align=\"right\">姓名：</td>");
                document.writeln("<td class=\"form-input\"><input id=\"Name\" name=\"Name\" type=\"text\" onBlur=\"right('Name','NameShow','请输入您的姓名！')\" onFocus=\"none('NameShow')\" onkeyup=\"value=value.replace(/[^\u4E00-\u9FA5]/g,'')\" onbeforepaste=\"clipboardData.setData('text',clipboardData.getData('text').replace(/[^\u4E00-\u9FA5]/g,''))\" /></td>");
                document.writeln("<td id=\"NameShow\" class=\"form-remarks\"><p>*</p></td>");
             document.writeln(" </tr>");
              document.writeln("<tr>");
                document.writeln("<td class=\"form-title\" align=\"right\">性别：</td>");
                document.writeln("<td class=\"form-input\">");
                 document.writeln("<select id=\"Sex\" name=\"Sex\">");
                 document.writeln("<option value=\"0\">女士</option>");
                   document.writeln("<option value=\"1\">先生</option>");
                   
                 document.writeln("</select>");
                document.writeln("</td>");
                document.writeln("<td class=\"form-remarks\"><p>*</p></td>");
              document.writeln("</tr>");
              document.writeln("<tr>");
                document.writeln("<td class=\"form-title\" align=\"right\">预约时间：</td>");
                document.writeln("<td class=\"form-input\">");
                        document.writeln("<script src=\"../script/Preengage/JSDate.js\" type=\"text/javascript\"></script>");
                        document.writeln("<input type=\"text\" id=\"birthday\" name=\"birthday\" onclick=\"getDateString(this,oCalendarChs)\" value=\"\">");
                document.writeln("</td>");
                document.writeln("<td class=\"form-remarks\"><p>* 如：2009-10-01</p></td>");
              document.writeln("</tr>");              
              document.writeln("<tr>");
                document.writeln("<td class=\"form-title\" align=\"right\">年龄：</td>");
                document.writeln("<td class=\"form-input\"><input id=\"Age\" name=\"Age\" type=\"text\" onBlur=\"right('Age','AgeShow','请输入您的年龄！')\" onFocus=\"none('AgeShow')\"  /></td>");
                document.writeln("<td id=\"AgeShow\" class=\"form-remarks\"><p>* 可以更确切地为您制定方案</p></td>");
              document.writeln("</tr>");
              document.writeln("<tr>");
                document.writeln("<td class=\"form-title\" align=\"right\">联系电话：</td>");
                document.writeln("<td class=\"form-input\"><input id=\"Tel\" name=\"Tel\" type=\"text\" onBlur=\"right('Tel','TelShow','请输入您的联系电话！')\" onFocus=\"none('TelShow')\"  /></td>");
                document.writeln("<td id=\"TelShow\" class=\"form-remarks\"><p>* 必须是真实有效的</p></td>");
              document.writeln("</tr>");
              document.writeln("<tr>");
                document.writeln("<td class=\"form-title\" align=\"right\" rowspan=\"2\">主题内容：</td>");
                document.writeln("<td class=\"form-input\"  rowspan=\"2\">");
                 document.writeln("<textarea name=\"Say\" id=\"Say\" style=\"width:154px; height:50px\" onBlur=\"right('Say','SayShow','请输入要咨询的主题内容！')\" onFocus=\"none('SayShow')\"></textarea>");
                document.writeln("</td>");
                document.writeln("<td id=\"SayShow\" class=\"form-remarks\"><p>*</p></td>");
              document.writeln("</tr>");
              document.writeln("<tr>");
                document.writeln("<td class=\"form-remarks\"><input id=\"Button1\" class=but02 type=\"button\" value=\"\" onclick=\"check()\" /><iframe id=\"regit\" src=\"\" width=0 height=0 scrolling=0 frameborder=0 marginheight=0 marginwidth=0 > </iframe> </td>");
              document.writeln("</tr>");
            document.writeln("</table>");
         document.writeln("</form>");
         document.writeln("</div>");
var mydate=new Date();
document.getElementById('birthday').value=mydate.getFullYear()+"-"+(mydate.getMonth()+1)+"-"+mydate.getDate();