打印本文 打印本文  关闭窗口 关闭窗口
杏林同学录(六)
作者:采集员 文章来源:来源于网络 点击数: 更新时间:2005/9/10 14:36:03
   女  
          <input type='radio' name='sex' value='女'>
          <br>
          生日:  
          <select name='year'>
            <option selected>1991</option>
            <option>1990</option>
            <option>1989</option>
            <option>1988</option>
            <option>1987</option>
            <option>1986</option>
            <option>1985</option>
            <option>1984</option>
            <option>1983</option>
            <option>1982</option>
            <option>1981</option>
            <option>1980</option>
            <option>1979</option>
            <option>1978</option>
            <option>1977</option>
            <option>1976</option>
            <option>1975</option>
            <option>1974</option>
            <option>1973</option>
            <option>1972</option>
            <option>1971</option>
            <option>1970</option>
            <option>1969</option>
            <option>1968</option>
            <option>1967</option>
            <option>1966</option>
            <option>1965</option>
            <option>1964</option>
            <option>1963</option>
            <option>1962</option>
            <option>1961</option>
            <option>1960</option>
            <option>1959</option>
            <option>1958</option>
            <option>1957</option>
            <option>1956</option>
            <option>1955</option>
            <option>1954</option>
          </select>
          年  
          <select name='month'>
            <option selected>01</option>
            <option>02</option>
            <option>03</option>
            <option>04</option>
            <option>05</option>
            <option>06</option>
            <option>07</option>
            <option>08</option>
            <option>09</option>
            <option>10</option>
            <option>11</option>
            <option>12</option>
          </select>
          月  
          <select name='day'>
            <option selected>01</option>
            <option>02</option>
            <option>03</option>
            <option>04</option>
            <option>05</option>
            <option>06</option>
            <option>07</option>
            <option>08</option>
            <option>09</option>
            <option>10</option>
            <option>11</option>
            <option>12</option>
            <option>13</option>
            <option>14</option>
            <option>15</option>
            <option>16</option>
            <option>17</option>
            <option>18</option>
            <option>19</option>
            <option>20</option>
            <option>21</option>
            <option>22</option>
            <option>23</option>
            <option>24</option>
            <option>25</option>
            <option>26</option>
            <option>27</option>
            <option>28</option>
            <option>29</option>
            <option>30</option>
            <option>31</option>
          </select>
          日<br>
          工作单位:  
    

上一页  [1] [2] [3] [4] [5]  下一页



打印本文 打印本文  关闭窗口 关闭窗口