<form bindsubmit="issueForm" class="take">
    <view class="take-label">
        <view class="item">
            <view class="name">
                <image src="/static/icons/takeIcon_00.png" mode="widthFix"></image>收款银行
            </view>
            <view class="time">{{service.bank}}</view>
        </view>
        <view class="item">
            <view class="name">
                <image src="/static/icons/takeIcon_01.png" mode="widthFix"></image>收款银行帐号
            </view>
            <view class="time">{{service.bank_no}}</view>
        </view>
        <view class="item">
            <view class="name">
                <image src="/static/icons/takeIcon_02.png" mode="widthFix"></image>打款金额
            </view>
            <input class="entry" type="text" value="{{price}}" name="price" placeholder="请输入打款金额" />
        </view>
        <view class="item">
            <view class="name">
                <image src="/static/icons/takeIcon_03.png" mode="widthFix"></image>转款账户
            </view>
            <input class="entry" type="text" name="name" placeholder="请输入转款人账户名" />
        </view>
        <view class="item">
            <view class="name">
                <image src="/static/icons/takeIcon_04.png" mode="widthFix"></image>打款凭证
            </view>
            <view class="issueNew" bindtap="openImg">
                <image class="issueNew-icon" src="{{showpath || '/static/imgs/cover_img.png'}}" mode="aspectFill"></image>
                <view class="issueNew-text">请上传转款电子回单</view>
            </view>
        </view>
    </view>
    <view class="userdata-btn">
        <button class="issue-btn" form-type="submit" size="mini" disabled="{{disabled}}">提交审核</button>
    </view>
</form>