{"id":55,"date":"2022-03-08T09:49:24","date_gmt":"2022-03-08T08:49:24","guid":{"rendered":"https:\/\/cita.doctorsky.es\/?page_id=55"},"modified":"2024-05-10T18:11:12","modified_gmt":"2024-05-10T16:11:12","slug":"inicio","status":"publish","type":"page","link":"https:\/\/cita.doctorsky.es\/zh\/","title":{"rendered":"\u9884\u7ea6\u5c31\u8bca"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"55\" class=\"elementor elementor-55\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e898665 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e898665\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-efff52e\" data-id=\"efff52e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4d0830 elementor-view-stacked elementor-shape-circle elementor-position-top elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"a4d0830\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-user-md\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u9884\u7ea6\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t\u5728\u60a8\u9009\u62e9\u7684\u65e5\u671f\u548c\u65f6\u95f4\u9884\u7ea6\u533b\u751f\u3002\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-d7ae3ae\" data-id=\"d7ae3ae\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-421b381 elementor-view-stacked elementor-shape-circle elementor-position-top elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"421b381\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div 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data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ef90a8 elementor-view-stacked elementor-shape-circle elementor-position-top elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"6ef90a8\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-shopping-cart\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u652f\u4ed8\u4efb\u7528\u8d39\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\t\u901a\u8fc7\u5373\u65f6\u652f\u4ed8\u5b8c\u6210\u9884\u7ea6\u3002\u60a8\u5c06\u901a\u8fc7\u7535\u5b50\u90ae\u4ef6\u6536\u5230\u6240\u6709\u4fe1\u606f\u3002\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7fef2ee elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7fef2ee\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c2c5542\" data-id=\"c2c5542\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9ee8550 elementor-widget elementor-widget-shortcode\" data-id=\"9ee8550\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><link rel='stylesheet' id='kc_book_appointment-css' href='https:\/\/cita.doctorsky.es\/wp-content\/plugins\/kivicare-clinic-management-system\/assets\/css\/book-appointment.css?ver=3.6.11' type='text\/css' media='' \/>\n<div class=\"kivi-widget\" id=\"kivi-appointment-widget-efcf74b7-2263-4381-8625-fe0351b10e16\">\n        \n    <div class=\"container-fluid d-none\" id=\"kivicare-widget-main-content\" dir=''>\n        <div class=\"widget-layout\" id=\"widgetOrders\">\n                        <div class=\"iq-card iq-card-lg iq-bg-primary widget-tabs\" style=\"overflow: hidden;\">\n                <ul class=\"tab-list mb-2\" id=\"kivicare-animate-ul\">\n                                            <li class=\"tab-item active\" data-check=\"false\">\n                            <a class=\"tab-link\" href=\"#doctor\" data-iq-toggle=\"tab\" data-iq-tab=\"prevent\" id=\"doctor-tab\">\n    <span class=\"sidebar-heading-text\">\u9009\u62e9\u533b\u751f<\/span>\n    <p> \u9009\u62e9\u7279\u5b9a\u7684\u533b\u751f\u4e3a\u60a8\u63d0\u4f9b\u670d\u52a1 <\/p>\n<\/a>                        <\/li>\n                                                <li class=\"tab-item\" data-check=\"false\">\n                            <a class=\"tab-link\" href=\"#category\" data-iq-toggle=\"tab\" data-iq-tab=\"prevent\" id=\"category-tab\">\n    <span class=\"sidebar-heading-text\">\u533b\u751f\u670d\u52a1<\/span>\n    <p> \u8bf7\u4ece\u4ee5\u4e0b\u9009\u9879\u4e2d\u9009\u62e9\u4e00\u9879\u670d\u52a1 <\/p>\n<\/a>\n                        <\/li>\n                                                <li class=\"tab-item\" data-check=\"false\">\n                            <a class=\"tab-link\" href=\"#date-time\" data-iq-toggle=\"tab\" data-iq-tab=\"prevent\" id=\"date-time-tab\">\n    <span class=\"sidebar-heading-text\"> \u9009\u62e9\u65e5\u671f\u548c\u65f6\u95f4 <\/span>\n    <p> \u9009\u62e9\u65e5\u671f\uff0c\u67e5\u770b\u53ef\u7528\u65f6\u6bb5\u65f6\u95f4\u8868 <\/p>\n<\/a>                        <\/li>\n                                                <li class=\"tab-item\" data-check=\"false\">\n                            <a class=\"tab-link\" href=\"#file-uploads-custom\" data-iq-toggle=\"tab\" data-iq-tab=\"prevent\" id=\"file-uploads-custom-tab\">\n    <span class=\"sidebar-heading-text\"> \u9884\u7ea6\u989d\u5916\u6570\u636e <\/span>\n    <p> \u4e0a\u4f20\u6587\u4ef6\u548c\u9884\u7ea6\u8bf4\u660e <\/p>\n<\/a>                        <\/li>\n                                                <li class=\"tab-item\" data-check=\"false\">\n                            <a class=\"tab-link\" href=\"#detail-info\" data-iq-toggle=\"tab\" data-iq-tab=\"prevent\" id=\"detail-info-tab\">\n    <span class=\"sidebar-heading-text\"> \u7528\u6237\u8be6\u7ec6\u4fe1\u606f <\/span>\n    <p>\u8bf7\u63d0\u4f9b\u60a8\u7684\u8054\u7cfb\u65b9\u5f0f<\/p>\n<\/a>                        <\/li>\n                                                <li class=\"tab-item\" data-check=\"false\">\n                            <a class=\"tab-link confirm-page\" href=\"#confirm\" data-iq-toggle=\"tab\" data-iq-tab=\"prevent\" id=\"confirm-tab\">\n    <span class=\"sidebar-heading-text\"> \u786e\u8ba4 <\/span>\n    <p> \u786e\u8ba4\u9884\u8ba2 <\/p>\n<\/a>                        <\/li>\n                                        <\/ul>\n                <div class=\"\" style=\"margin-top: auto;\">\n                    <button id=\"kivicare_logout_btn\"\n                            class=\"iq-button iq-button-secondary w-100 mt-auto d-none\">\n                        \u6ce8\u9500                    <\/button>\n                <\/div>\n            <\/div>\n            <div class=\"widget-pannel alert-relative\">\n                <span id=\"kivicare_server_error_msg\" class=\"alert alert-popup alert-danger alert-left error\" style=\"display:none\">&nbsp;<\/span>\n                <span id=\"kivicare_success_msg\" class=\"alert alert-popup alert-success alert-left\" style=\"display:none;\"><\/span>\n                <div class=\"iq-card iq-card-sm tab-content\" id=\"wizard-tab\">\n                                                <div id=\"doctor\"\n                                 class=\"iq-fade iq-tab-pannel active\">\n                                <form    id=\"\"\n                                                                            action=\"#category\"\n                                                                            data-prev=\"#\" data-trp-original-action=\"#category\">\n                                    <div class=\"d-flex justify-content-between align-items-center flex-wrap gap-1\">\n<div class=\"iq-kivi-tab-panel-title-animation\">    \n<h3 class=\"iq-kivi-tab-panel-title\">\u9009\u62e9\u533b\u751f<\/h3>\n<\/div>\n    <div class=\"iq-kivi-search\">\n        <svg width=\"18\" height=\"18\" class=\"iq-kivi-icon\" viewbox=\"0 0 24 24\" fill=\"none\"\n             xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n            <circle cx=\"11.7669\" cy=\"11.7666\" r=\"8.98856\" stroke=\"#727d93\" fill=\"none\" stroke-width=\"1.5\"\n                    stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/circle>\n            <path d=\"M18.0186 18.4851L21.5426 22\" stroke=\"#727d93\" stroke-width=\"1.5\" stroke-linecap=\"round\"\n                  stroke-linejoin=\"round\"><\/path>\n        <\/svg>\n        <input type=\"text\" class=\"iq-kivicare-form-control iq-search-bg-color\"\n               placeholder=\"\u641c\u7d22....\" id=\"doctorSearch\">\n    <\/div>\n<\/div>\n<hr>\n<div class=\"widget-content\">\n    <div class=\"card-list-data text-center pt-2 pe-2\" name=\"doctorLists\" id=\"doctorLists\">\n        <span class=\"loader-class\" id=\"doctor_loader\">\n                            <div class=\"double-lines-spinner\"><\/div>\n                    <\/span>\n    <\/div>\n<\/div>\n    <div class=\"card-widget-footer\">\n        <span id=\"kivicare_error_msg_doctor\" class=\"alert alert-popup alert-danger alert-left error\"\n            style=\"display:none\">&nbsp;<\/span>\n        <div class=\"d-flex justify-content-end gap-1-5\" style=\"margin-left: auto;\">\n                                        <button type=\"submit\" name=\"submit\" value=\"submit\" data-step=\"next\"\n                    class=\"iq-button iq-button-primary\">\u4e0b\u4e00\u9875<\/button>\n                    <\/div>\n    <\/div>\n                                    <input type=\"hidden\" name=\"trp-form-language\" value=\"zh\"\/><\/form>\n                            <\/div>\n                                                        <div id=\"category\"\n                                 class=\"iq-fade iq-tab-pannel\">\n                                <form    id=\"\"\n                                                                            action=\"#date-time\"\n                                                                            data-prev=\"#doctor\" data-trp-original-action=\"#date-time\">\n                                    <div class=\"d-flex justify-content-between align-items-center flex-wrap gap-1\">\n    <div class=\"iq-kivi-tab-panel-title-animation\">\n        <h3 class=\"iq-kivi-tab-panel-title\">\u9009\u62e9\u670d\u52a1<\/h3>\n    <\/div>\n    <div class=\"iq-kivi-search\">\n        <svg width=\"18\" height=\"18\" class=\"iq-kivi-icon\" viewbox=\"0 0 24 24\" fill=\"none\"\n             xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n            <circle cx=\"11.7669\" cy=\"11.7666\" r=\"8.98856\" stroke=\"#727d93\" fill=\"none\" stroke-width=\"1.5\"\n                    stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/circle>\n            <path d=\"M18.0186 18.4851L21.5426 22\" stroke=\"#727d93\" stroke-width=\"1.5\" stroke-linecap=\"round\"\n                  stroke-linejoin=\"round\"><\/path>\n        <\/svg>\n        <input type=\"text\" class=\"iq-kivicare-form-control iq-search-bg-color\"\n               placeholder=\"\u641c\u7d22....\" id=\"serviceSearch\">\n    <\/div>\n<\/div>\n<hr>\n<div class=\"widget-content\">\n    <div class=\"card-list-data flex-column gap-2 pe-2\" id=\"serviceLists\" name=\"serviceLists\">\n        <span class=\"loader-class\">\n                            <div class=\"double-lines-spinner\"><\/div>\n                    <\/span>\n    <\/div>\n<\/div>    <div class=\"card-widget-footer\">\n        <span id=\"kivicare_error_msg_category\" class=\"alert alert-popup alert-danger alert-left error\"\n            style=\"display:none\">&nbsp;<\/span>\n        <div class=\"d-flex justify-content-end gap-1-5\" style=\"margin-left: auto;\">\n                            <button type=\"button\" class=\"iq-button iq-button-secondary\" id=\"iq-widget-back-button\"\n                    data-step=\"prev\">\u8fd4\u56de<\/button>\n                                        <button type=\"submit\" name=\"submit\" value=\"submit\" data-step=\"next\"\n                    class=\"iq-button iq-button-primary\">\u4e0b\u4e00\u9875<\/button>\n                    <\/div>\n    <\/div>\n                                    <input type=\"hidden\" name=\"trp-form-language\" value=\"zh\"\/><\/form>\n                            <\/div>\n                                                        <div id=\"date-time\"\n                                 class=\"iq-fade iq-tab-pannel\">\n                                <form    id=\"\"\n                                                                            action=\"#file-uploads-custom\"\n                                                                            data-prev=\"#category\" data-trp-original-action=\"#file-uploads-custom\">\n                                    <div class=\"d-flex justify-content-between align-items-center flex-wrap gap-1\">\n    <div class=\"iq-kivi-tab-panel-title-animation\">\n        <h3 class=\"iq-kivi-tab-panel-title\"> \u9009\u62e9\u65e5\u671f\u548c\u65f6\u95f4 <\/h3>\n    <\/div>\n        <div id=\"iq_kivi_timezone\">\n        <span style=\"font-weight: bold; font-size: 0.9rem;\">\u65f6\u533a\uff1a <\/span>\u6b27\u6d32\/\u9a6c\u5fb7\u91cc    <\/div>\n    <hr>\n<\/div>\n<div class=\"widget-content\">    \n    <div class=\"d-grid grid-template-2 card-list-data iq-kivi-calendar-slot\" id=\"datepicker-grid\">\n        <input type=\"hidden\" class=\"inline-flatpicker iq-inline-datepicker d-none\" style=\"display:none\">\n        <div class=\"time-slots\" id=\"time-slot\">\n            <div class=\"iq-card iq-bg-primary-light text-center\" style=\"min-height: 100%; height:400px\">\n                <h5 id=\"selectedDate\" name=\"selectedDate\">\n                    \u53ef\u7528\u65f6\u6bb5                <\/h5>\n                <div class=\"grid-template-3 iq-calendar-card\" id=\"timeSlotLists\" name=\"timeSlotLists\" style=\"height:100%\">\n\n                    <p class=\"loader-class\">\u8bf7\u9009\u62e9\u65e5\u671f<\/p>\n                <\/div>\n            <\/div>\n        <\/div>\n        <span class=\"d-none\" id=\"selectedAppointmentDate\">\n        <\/span>\n    <\/div>\n    <div class=\"doctor-session-error loader-class\">\n        <p class=\"\">\n            \u6240\u9009\u8bca\u6240\u65e0\u6cd5\u63d0\u4f9b\u6240\u9009\u533b\u751f\u8bfe\u7a0b\uff0c\u8bf7\u9009\u62e9\u5176\u4ed6\u533b\u751f\u6216\u5176\u4ed6\u8bca\u6240        <\/p>\n    <\/div>\n    <span class=\"loader-class doctor-session-loader\" id=\"doctor_loader\">\n           \n            <div class=\"double-lines-spinner\"><\/div>\n            <\/span>\n<\/div>\n    <div class=\"card-widget-footer\">\n        <span id=\"kivicare_error_msg_date_time\" class=\"alert alert-popup alert-danger alert-left error\"\n            style=\"display:none\">&nbsp;<\/span>\n        <div class=\"d-flex justify-content-end gap-1-5\" style=\"margin-left: auto;\">\n                            <button type=\"button\" class=\"iq-button iq-button-secondary\" id=\"iq-widget-back-button\"\n                    data-step=\"prev\">\u8fd4\u56de<\/button>\n                                        <button type=\"submit\" name=\"submit\" value=\"submit\" data-step=\"next\"\n                    class=\"iq-button iq-button-primary\">\u4e0b\u4e00\u9875<\/button>\n                    <\/div>\n    <\/div>\n                                    <input type=\"hidden\" name=\"trp-form-language\" value=\"zh\"\/><\/form>\n                            <\/div>\n                                                        <div id=\"file-uploads-custom\"\n                                 class=\"iq-fade iq-tab-pannel\">\n                                <form  enctype=\"&quot;multipart\/form-data&quot;\"  id=\"kivicare-file-upload-form\"\n                                                                            action=\"#detail-info\"\n                                                                            data-prev=\"#date-time\" data-trp-original-action=\"#detail-info\">\n                                    <div class=\"d-flex justify-content-between align-items-center flex-wrap gap-1\">\n<div class=\"iq-kivi-tab-panel-title-animation\">\n    <h3 class=\"iq-kivi-tab-panel-title\">\u5173\u4e8e\u9884\u7ea6\u7684\u66f4\u591a\u4fe1\u606f<\/h3>\n    <\/div>\n<\/div>\n<hr>\n<div class=\"widget-content\">\n    \n    <div class=\"card-list-data pt-2 pe-2 mb-3\">\n            <div id=\"appointment-descriptions\" >\n            <div class=\"form-group mb-2\">\n                <label class=\"form-label\"\n                       for=\"appointment-descriptions-field\"> \u4efb\u547d\u8bf4\u660e                <\/label>\n                <textarea class=\"iq-kivicare-form-control\"\n                          id=\"appointment-descriptions-field\"\n                          placeholder=\"\u8f93\u5165\u9884\u7ea6\u8bf4\u660e\"><\/textarea>\n            <\/div>\n        <\/div>\n            <div>\n        <div id=\"file-upload\" >\n                            <div class=\"form-group mb-2\">\n                    <label class=\"form-label\" for=\"addMedicalReport\"> \u6dfb\u52a0\u533b\u7597\u62a5\u544a                    <\/label>\n                    <input type=\"file\" name=\"file_multi[]\" class=\"iq-kivicare-form-control\" id=\"kivicareaddMedicalReport\"\n                        placeholder=\"\u6dfb\u52a0\u60a8\u7684\u533b\u7597\u62a5\u544a\"  multiple>\n                <\/div>\n                <div id=\"kivicare_file_upload_review\">\n                <\/div>\n                        <\/div>\n        <div  id=\"customFieldsListAppointment\">\n\n        <\/div>\n    <\/div>\n    <\/div>\n<\/div>    <div class=\"card-widget-footer\">\n        <span id=\"kivicare_error_msg\" class=\"alert alert-popup alert-danger alert-left error\"\n            style=\"display:none\">&nbsp;<\/span>\n        <div class=\"d-flex justify-content-end gap-1-5\" style=\"margin-left: auto;\">\n                            <button type=\"button\" class=\"iq-button iq-button-secondary\" id=\"iq-widget-back-button\"\n                    data-step=\"prev\">\u8fd4\u56de<\/button>\n                                        <button type=\"submit\" name=\"submit\" value=\"submit\" data-step=\"next\"\n                    class=\"iq-button iq-button-primary\">\u4e0b\u4e00\u9875<\/button>\n                    <\/div>\n    <\/div>\n                                    <input type=\"hidden\" name=\"trp-form-language\" value=\"zh\"\/><\/form>\n                            <\/div>\n                                                        <div id=\"detail-info\"\n                                 class=\"iq-fade iq-tab-pannel\">\n                                <form  enctype=\"&quot;multipart\/form-data&quot;\"  id=\"kiviLoginRegister\"\n                                                                            action=\"#confirm\"\n                                                                            data-prev=\"#file-uploads-custom\" data-trp-original-action=\"#confirm\">\n                                    <style>\n.custom-control.custom-radio.custom-control-inline {\n    margin-right: 12px;\n}\n<\/style>\n<div class=\"d-flex align-items-center justify-content-between\">\n    <div class=\"iq-kivi-tab-panel-title-animation\">\n       <h3 class=\"iq-kivi-tab-panel-title\"> \u8f93\u5165\u8be6\u7ec6\u4fe1\u606f <\/h3>\n    <\/div>\n<\/div>\n<hr>\n<ul class=\"nav-tabs\">\n    <li class=\"tab-item active\">\n        <a href=\"#kc_register\" class=\"tab-link\" id=\"register-tab\"\n           data-iq-toggle=\"tab\"> \u6ce8\u518c <\/a>\n    <\/li>\n    <li class=\"tab-item\">\n        <a href=\"#kc_login\" class=\"tab-link\" id=\"login-tab\"\n           data-iq-toggle=\"tab\"> \u767b\u5f55 <\/a>\n    <\/li>\n<\/ul>\n<div class=\"widget-content\">\n    <div id=\"login-register-panel\" class=\"card-list-data\">\n        <div id=\"kc_register\" class=\"iq-tab-pannel kivicare-register-form-data iq-fade active authActive card-list\" >\n            <div id=\"kivicare-register-form\">\n                <div class=\"d-grid grid-template-2\"  id=\"kivicare-register\">\n                                        <input type=\"hidden\" name=\"widgettype\" value=\"new_appointment_widget\" id=\"widgettype\">\n                    <div class=\"form-group\">\n                        <input type=\"hidden\" id=\"registerClinicId\">\n                        <label class=\"form-label\" for=\"firstName\">\u59d3\u540d                            <span>*<\/span><\/label>\n                        <input type=\"text\" name=\"first_name\" class=\"iq-kivicare-form-control\" id=\"firstName\"\n                            placeholder=\"\u8f93\u5165\u60a8\u7684\u540d\u5b57\" required>\n                    <\/div>\n                    <div class=\"form-group\">\n                        <label class=\"form-label\" for=\"lastName\"> \u59d3\u6c0f                            <span>*<\/span><\/label>\n                        <input type=\"text\" name=\"last_name\" class=\"iq-kivicare-form-control\" id=\"lastName\"\n                            placeholder=\"\u8f93\u5165\u60a8\u7684\u59d3\u6c0f\" required>\n                    <\/div>\n                    <div class=\"form-group\">\n                        <label class=\"form-label\" for=\"userEmail\">\u7535\u5b50\u90ae\u4ef6                            <span>*<\/span><\/label>\n                        <input type=\"email\" name=\"user_email\" class=\"iq-kivicare-form-control\" id=\"userEmail\"\n                            placeholder=\"\u8f93\u5165\u60a8\u7684\u7535\u5b50\u90ae\u4ef6\" required>\n                    <\/div>\n                    <div class=\"form-group\">\n                        <label class=\"form-label\" for=\"userContact\"> \u8054\u7cfb\u65b9\u5f0f                            <span>*<\/span><\/label>\n                            <div class=\"contact-box-inline\">\n                            \n                                <select name=\"country_code\" class=\"iq-kivicare-form-control\" id=\"CountryCode\">\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+93&quot;,&quot;countryCode&quot;:&quot;AF&quot;}\" >+93 - \u963f\u5bcc\u6c57<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+358&quot;,&quot;countryCode&quot;:&quot;AX&quot;}\" >+358 - \u963f\u5170\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+355&quot;,&quot;countryCode&quot;:&quot;AL&quot;}\" >+355 - \u963f\u5c14\u5df4\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+213&quot;,&quot;countryCode&quot;:&quot;DZ&quot;}\" >+213 - \u963f\u5c14\u53ca\u5229\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1684&quot;,&quot;countryCode&quot;:&quot;AS&quot;}\" >+1684 - AmericanSamoa<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+376&quot;,&quot;countryCode&quot;:&quot;AD&quot;}\" >+376 - \u5b89\u9053\u5c14<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+244&quot;,&quot;countryCode&quot;:&quot;AO&quot;}\" >+244 - \u5b89\u54e5\u62c9<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1264&quot;,&quot;countryCode&quot;:&quot;AI&quot;}\" >+1264 - \u5b89\u572d\u62c9<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+672&quot;,&quot;countryCode&quot;:&quot;AQ&quot;}\" >+672 - \u5357\u6781\u6d32<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1268&quot;,&quot;countryCode&quot;:&quot;AG&quot;}\" >+1268 - \u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+54&quot;,&quot;countryCode&quot;:&quot;AR&quot;}\" >+54 - \u963f\u6839\u5ef7<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+374&quot;,&quot;countryCode&quot;:&quot;AM&quot;}\" >+374 - \u4e9a\u7f8e\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+297&quot;,&quot;countryCode&quot;:&quot;AW&quot;}\" >+297 - \u963f\u9c81\u5df4<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+61&quot;,&quot;countryCode&quot;:&quot;AU&quot;}\" >+61 - \u6fb3\u5927\u5229\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+43&quot;,&quot;countryCode&quot;:&quot;AT&quot;}\" >+43 - \u5965\u5730\u5229<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+994&quot;,&quot;countryCode&quot;:&quot;AZ&quot;}\" >+994 - \u963f\u585e\u62dc\u7586<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1242&quot;,&quot;countryCode&quot;:&quot;BS&quot;}\" >+1242 - \u5df4\u54c8\u9a6c<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+973&quot;,&quot;countryCode&quot;:&quot;BH&quot;}\" >+973 - \u5df4\u6797<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+880&quot;,&quot;countryCode&quot;:&quot;BD&quot;}\" >+880 - \u5b5f\u52a0\u62c9\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1246&quot;,&quot;countryCode&quot;:&quot;BB&quot;}\" >+1246 - \u5df4\u5df4\u591a\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+375&quot;,&quot;countryCode&quot;:&quot;BY&quot;}\" >+375 - \u767d\u4fc4\u7f57\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+32&quot;,&quot;countryCode&quot;:&quot;BE&quot;}\" >+32 - \u6bd4\u5229\u65f6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+501&quot;,&quot;countryCode&quot;:&quot;BZ&quot;}\" >+501 - \u4f2f\u5229\u5179<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+229&quot;,&quot;countryCode&quot;:&quot;BJ&quot;}\" >+229 - \u8d1d\u5b81<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1441&quot;,&quot;countryCode&quot;:&quot;BM&quot;}\" >+1441 - \u767e\u6155\u5927<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+975&quot;,&quot;countryCode&quot;:&quot;BT&quot;}\" >+975 - \u4e0d\u4e39<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+591&quot;,&quot;countryCode&quot;:&quot;BO&quot;}\" >+591 - \u73bb\u5229\u7ef4\u4e9a\u591a\u6c11\u65cf\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+387&quot;,&quot;countryCode&quot;:&quot;BA&quot;}\" >+387 - \u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+267&quot;,&quot;countryCode&quot;:&quot;BW&quot;}\" >+267 - \u535a\u8328\u74e6\u7eb3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+55&quot;,&quot;countryCode&quot;:&quot;BR&quot;}\" >+55 - \u5df4\u897f<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+246&quot;,&quot;countryCode&quot;:&quot;IO&quot;}\" >+246 - \u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+673&quot;,&quot;countryCode&quot;:&quot;BN&quot;}\" >+673 - \u6587\u83b1\u8fbe\u9c81\u8428\u5170\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+359&quot;,&quot;countryCode&quot;:&quot;BG&quot;}\" >+359 - \u4fdd\u52a0\u5229\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+226&quot;,&quot;countryCode&quot;:&quot;BF&quot;}\" >+226 - \u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+257&quot;,&quot;countryCode&quot;:&quot;BI&quot;}\" >+257 - \u5e03\u9686\u8fea<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+855&quot;,&quot;countryCode&quot;:&quot;KH&quot;}\" >+855 - \u67ec\u57d4\u5be8<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+237&quot;,&quot;countryCode&quot;:&quot;CM&quot;}\" >+237 - \u5580\u9ea6\u9686<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1&quot;,&quot;countryCode&quot;:&quot;CA&quot;}\" >+1 - \u52a0\u62ff\u5927<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+238&quot;,&quot;countryCode&quot;:&quot;CV&quot;}\" >+238 - \u4f5b\u5f97\u89d2<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+ 345&quot;,&quot;countryCode&quot;:&quot;KY&quot;}\" >+ 345 - \u5f00\u66fc\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+236&quot;,&quot;countryCode&quot;:&quot;CF&quot;}\" >+236 - \u4e2d\u975e\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+235&quot;,&quot;countryCode&quot;:&quot;TD&quot;}\" >+235 - \u4e4d\u5f97<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+56&quot;,&quot;countryCode&quot;:&quot;CL&quot;}\" >+56 - \u667a\u5229<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+86&quot;,&quot;countryCode&quot;:&quot;CN&quot;}\" >+86 - \u4e2d\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+61&quot;,&quot;countryCode&quot;:&quot;CX&quot;}\" >+61 - \u5723\u8bde\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+61&quot;,&quot;countryCode&quot;:&quot;CC&quot;}\" >+61 - \u79d1\u79d1\u65af\uff08\u57fa\u6797\uff09\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+57&quot;,&quot;countryCode&quot;:&quot;CO&quot;}\" >+57 - \u54e5\u4f26\u6bd4\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+269&quot;,&quot;countryCode&quot;:&quot;KM&quot;}\" >+269 - \u79d1\u6469\u7f57<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+242&quot;,&quot;countryCode&quot;:&quot;CG&quot;}\" >+242 - \u521a\u679c<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+243&quot;,&quot;countryCode&quot;:&quot;CD&quot;}\" >+243 - \u521a\u679c\uff0c\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+682&quot;,&quot;countryCode&quot;:&quot;CK&quot;}\" >+682 - \u5e93\u514b\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+506&quot;,&quot;countryCode&quot;:&quot;CR&quot;}\" >+506 - \u54e5\u65af\u8fbe\u9ece\u52a0<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+225&quot;,&quot;countryCode&quot;:&quot;CI&quot;}\" >+225 - \u79d1\u7279\u8fea\u74e6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+385&quot;,&quot;countryCode&quot;:&quot;HR&quot;}\" >+385 - \u514b\u7f57\u5730\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+53&quot;,&quot;countryCode&quot;:&quot;CU&quot;}\" >+53 - \u53e4\u5df4<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+357&quot;,&quot;countryCode&quot;:&quot;CY&quot;}\" >+357 - \u585e\u6d66\u8def\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+420&quot;,&quot;countryCode&quot;:&quot;CZ&quot;}\" >+420 - \u6377\u514b\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+45&quot;,&quot;countryCode&quot;:&quot;DK&quot;}\" >+45 - \u4e39\u9ea6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+253&quot;,&quot;countryCode&quot;:&quot;DJ&quot;}\" >+253 - \u5409\u5e03\u63d0<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1767&quot;,&quot;countryCode&quot;:&quot;DM&quot;}\" >+1767 - \u591a\u7c73\u5c3c\u514b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1809&quot;,&quot;countryCode&quot;:&quot;DO&quot;}\" >+1809 - \u591a\u7c73\u5c3c\u52a0\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1829&quot;,&quot;countryCode&quot;:&quot;DO&quot;}\" >+1829 - \u591a\u7c73\u5c3c\u52a0\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1849&quot;,&quot;countryCode&quot;:&quot;DO&quot;}\" >+1849 - \u591a\u7c73\u5c3c\u52a0\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+593&quot;,&quot;countryCode&quot;:&quot;EC&quot;}\" >+593 - \u5384\u74dc\u591a\u5c14<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+20&quot;,&quot;countryCode&quot;:&quot;EG&quot;}\" >+20 - \u57c3\u53ca<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+503&quot;,&quot;countryCode&quot;:&quot;SV&quot;}\" >+503 - \u8428\u5c14\u74e6\u591a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+240&quot;,&quot;countryCode&quot;:&quot;GQ&quot;}\" >+240 - \u8d64\u9053\u51e0\u5185\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+291&quot;,&quot;countryCode&quot;:&quot;ER&quot;}\" >+291 - \u5384\u7acb\u7279\u91cc\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+372&quot;,&quot;countryCode&quot;:&quot;EE&quot;}\" >+372 - \u7231\u6c99\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+251&quot;,&quot;countryCode&quot;:&quot;ET&quot;}\" >+251 - \u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+500&quot;,&quot;countryCode&quot;:&quot;FK&quot;}\" >+500 - \u798f\u514b\u5170\u7fa4\u5c9b\uff08\u9a6c\u5c14\u7ef4\u7eb3\u65af\u7fa4\u5c9b\uff09<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+298&quot;,&quot;countryCode&quot;:&quot;FO&quot;}\" >+298 - \u6cd5\u7f57\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+679&quot;,&quot;countryCode&quot;:&quot;FJ&quot;}\" >+679 - \u6590\u6d4e<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+358&quot;,&quot;countryCode&quot;:&quot;FI&quot;}\" >+358 - \u82ac\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+33&quot;,&quot;countryCode&quot;:&quot;FR&quot;}\" >+33 - \u6cd5\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+594&quot;,&quot;countryCode&quot;:&quot;GF&quot;}\" >+594 - \u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+689&quot;,&quot;countryCode&quot;:&quot;PF&quot;}\" >+689 - \u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+241&quot;,&quot;countryCode&quot;:&quot;GA&quot;}\" >+241 - \u52a0\u84ec<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+220&quot;,&quot;countryCode&quot;:&quot;GM&quot;}\" >+220 - \u5188\u6bd4\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+995&quot;,&quot;countryCode&quot;:&quot;GE&quot;}\" >+995 - \u683c\u9c81\u5409\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+49&quot;,&quot;countryCode&quot;:&quot;DE&quot;}\" >+49 - \u5fb7\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+233&quot;,&quot;countryCode&quot;:&quot;GH&quot;}\" >+233 - \u52a0\u7eb3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+350&quot;,&quot;countryCode&quot;:&quot;GI&quot;}\" >+350 - \u76f4\u5e03\u7f57\u9640<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+30&quot;,&quot;countryCode&quot;:&quot;GR&quot;}\" >+30 - \u5e0c\u814a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+299&quot;,&quot;countryCode&quot;:&quot;GL&quot;}\" >+299 - \u683c\u9675\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1473&quot;,&quot;countryCode&quot;:&quot;GD&quot;}\" >+1473 - \u683c\u6797\u7eb3\u8fbe<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+590&quot;,&quot;countryCode&quot;:&quot;GP&quot;}\" >+590 - \u74dc\u5fb7\u7f57\u666e\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1671&quot;,&quot;countryCode&quot;:&quot;GU&quot;}\" >+1671 - \u5173\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+502&quot;,&quot;countryCode&quot;:&quot;GT&quot;}\" >+502 - \u5371\u5730\u9a6c\u62c9<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+44&quot;,&quot;countryCode&quot;:&quot;GG&quot;}\" >+44 - \u6839\u897f\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+224&quot;,&quot;countryCode&quot;:&quot;GN&quot;}\" >+224 - \u51e0\u5185\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+245&quot;,&quot;countryCode&quot;:&quot;GW&quot;}\" >+245 - \u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+592&quot;,&quot;countryCode&quot;:&quot;GY&quot;}\" >+592 - \u572d\u4e9a\u90a3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+509&quot;,&quot;countryCode&quot;:&quot;HT&quot;}\" >+509 - \u6d77\u5730<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+379&quot;,&quot;countryCode&quot;:&quot;VA&quot;}\" >+379 - \u7f57\u9a6c\u6559\u5ef7\uff08\u68b5\u8482\u5188\u57ce\u56fd\uff09<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+504&quot;,&quot;countryCode&quot;:&quot;HN&quot;}\" >+504 - \u6d2a\u90fd\u62c9\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+852&quot;,&quot;countryCode&quot;:&quot;HK&quot;}\" >+852 - \u9999\u6e2f<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+36&quot;,&quot;countryCode&quot;:&quot;HU&quot;}\" >+36 - \u5308\u7259\u5229<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+354&quot;,&quot;countryCode&quot;:&quot;IS&quot;}\" >+354 - \u51b0\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+91&quot;,&quot;countryCode&quot;:&quot;IN&quot;}\" >+91 - \u5370\u5ea6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+62&quot;,&quot;countryCode&quot;:&quot;ID&quot;}\" >+62 - \u5370\u5ea6\u5c3c\u897f\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+98&quot;,&quot;countryCode&quot;:&quot;IR&quot;}\" >+98 - \u4f0a\u6717\uff0c\u6ce2\u65af\u6e7e\u4f0a\u65af\u5170\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+964&quot;,&quot;countryCode&quot;:&quot;IQ&quot;}\" >+964 - \u4f0a\u62c9\u514b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+353&quot;,&quot;countryCode&quot;:&quot;IE&quot;}\" >+353 - \u7231\u5c14\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+44&quot;,&quot;countryCode&quot;:&quot;IM&quot;}\" >+44 - \u9a6c\u6069\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+972&quot;,&quot;countryCode&quot;:&quot;IL&quot;}\" >+972 - \u4ee5\u8272\u5217<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+39&quot;,&quot;countryCode&quot;:&quot;IT&quot;}\" >+39 - \u610f\u5927\u5229<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1876&quot;,&quot;countryCode&quot;:&quot;JM&quot;}\" >+1876 - \u7259\u4e70\u52a0<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+81&quot;,&quot;countryCode&quot;:&quot;JP&quot;}\" >+81 - \u65e5\u672c<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+44&quot;,&quot;countryCode&quot;:&quot;JE&quot;}\" >+44 - \u6cfd\u897f\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+962&quot;,&quot;countryCode&quot;:&quot;JO&quot;}\" >+962 - \u7ea6\u65e6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+77&quot;,&quot;countryCode&quot;:&quot;KZ&quot;}\" >+77 - \u54c8\u8428\u514b\u65af\u5766<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+254&quot;,&quot;countryCode&quot;:&quot;KE&quot;}\" >+254 - \u80af\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+686&quot;,&quot;countryCode&quot;:&quot;KI&quot;}\" >+686 - \u57fa\u91cc\u5df4\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+850&quot;,&quot;countryCode&quot;:&quot;KP&quot;}\" >+850 - \u671d\u9c9c\u6c11\u4e3b\u4e3b\u4e49\u4eba\u6c11\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+82&quot;,&quot;countryCode&quot;:&quot;KR&quot;}\" >+82 - \u97e9\u56fd\uff0c\u5927\u97e9\u6c11\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+383&quot;,&quot;countryCode&quot;:&quot;XK&quot;}\" >+383 - \u79d1\u7d22\u6c83<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+965&quot;,&quot;countryCode&quot;:&quot;KW&quot;}\" >+965 - \u79d1\u5a01\u7279<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+996&quot;,&quot;countryCode&quot;:&quot;KG&quot;}\" >+996 - \u5409\u5c14\u5409\u65af\u65af\u5766<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+856&quot;,&quot;countryCode&quot;:&quot;LA&quot;}\" >+856 - \u8001\u631d<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+371&quot;,&quot;countryCode&quot;:&quot;LV&quot;}\" >+371 - \u62c9\u8131\u7ef4\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+961&quot;,&quot;countryCode&quot;:&quot;LB&quot;}\" >+961 - \u9ece\u5df4\u5ae9<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+266&quot;,&quot;countryCode&quot;:&quot;LS&quot;}\" >+266 - \u83b1\u7d22\u6258<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+231&quot;,&quot;countryCode&quot;:&quot;LR&quot;}\" >+231 - \u5229\u6bd4\u91cc\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+218&quot;,&quot;countryCode&quot;:&quot;LY&quot;}\" >+218 - \u963f\u62c9\u4f2f\u5229\u6bd4\u4e9a\u6c11\u4f17\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+423&quot;,&quot;countryCode&quot;:&quot;LI&quot;}\" >+423 - \u5217\u652f\u6566\u58eb\u767b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+370&quot;,&quot;countryCode&quot;:&quot;LT&quot;}\" >+370 - \u7acb\u9676\u5b9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+352&quot;,&quot;countryCode&quot;:&quot;LU&quot;}\" >+352 - \u5362\u68ee\u5821<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+853&quot;,&quot;countryCode&quot;:&quot;MO&quot;}\" >+853 - \u6fb3\u95e8<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+389&quot;,&quot;countryCode&quot;:&quot;MK&quot;}\" >+389 - \u9a6c\u5176\u987f<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+261&quot;,&quot;countryCode&quot;:&quot;MG&quot;}\" >+261 - \u9a6c\u8fbe\u52a0\u65af\u52a0<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+265&quot;,&quot;countryCode&quot;:&quot;MW&quot;}\" >+265 - \u9a6c\u62c9\u7ef4<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+60&quot;,&quot;countryCode&quot;:&quot;MY&quot;}\" >+60 - \u9a6c\u6765\u897f\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+960&quot;,&quot;countryCode&quot;:&quot;MV&quot;}\" >+960 - \u9a6c\u5c14\u4ee3\u592b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+223&quot;,&quot;countryCode&quot;:&quot;ML&quot;}\" >+223 - \u9a6c\u91cc<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+356&quot;,&quot;countryCode&quot;:&quot;MT&quot;}\" >+356 - \u9a6c\u8033\u4ed6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+692&quot;,&quot;countryCode&quot;:&quot;MH&quot;}\" >+692 - \u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+596&quot;,&quot;countryCode&quot;:&quot;MQ&quot;}\" >+596 - \u9a6c\u63d0\u5c3c\u514b\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+222&quot;,&quot;countryCode&quot;:&quot;MR&quot;}\" >+222 - \u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+230&quot;,&quot;countryCode&quot;:&quot;MU&quot;}\" >+230 - \u6bdb\u91cc\u6c42\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+262&quot;,&quot;countryCode&quot;:&quot;YT&quot;}\" >+262 - \u9a6c\u7ea6\u7279<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+52&quot;,&quot;countryCode&quot;:&quot;MX&quot;}\" >+52 - \u58a8\u897f\u54e5<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+691&quot;,&quot;countryCode&quot;:&quot;FM&quot;}\" >+691 - \u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\uff0c\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\u8054\u90a6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+373&quot;,&quot;countryCode&quot;:&quot;MD&quot;}\" >+373 - \u6469\u5c14\u591a\u74e6<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+377&quot;,&quot;countryCode&quot;:&quot;MC&quot;}\" >+377 - \u6469\u7eb3\u54e5<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+976&quot;,&quot;countryCode&quot;:&quot;MN&quot;}\" >+976 - \u8499\u53e4<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+382&quot;,&quot;countryCode&quot;:&quot;ME&quot;}\" >+382 - \u9ed1\u5c71<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1664&quot;,&quot;countryCode&quot;:&quot;MS&quot;}\" >+1664 - \u8499\u7279\u585e\u62c9\u7279<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+212&quot;,&quot;countryCode&quot;:&quot;MA&quot;}\" >+212 - \u6469\u6d1b\u54e5<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+258&quot;,&quot;countryCode&quot;:&quot;MZ&quot;}\" >+258 - \u83ab\u6851\u6bd4\u514b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+95&quot;,&quot;countryCode&quot;:&quot;MM&quot;}\" >+95 - \u7f05\u7538<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+264&quot;,&quot;countryCode&quot;:&quot;NA&quot;}\" >+264 - \u7eb3\u7c73\u6bd4\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+674&quot;,&quot;countryCode&quot;:&quot;NR&quot;}\" >+674 - \u7459\u9c81<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+977&quot;,&quot;countryCode&quot;:&quot;NP&quot;}\" >+977 - \u5c3c\u6cca\u5c14<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+31&quot;,&quot;countryCode&quot;:&quot;NL&quot;}\" >+31 - \u8377\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+599&quot;,&quot;countryCode&quot;:&quot;AN&quot;}\" >+599 - \u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+687&quot;,&quot;countryCode&quot;:&quot;NC&quot;}\" >+687 - \u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+64&quot;,&quot;countryCode&quot;:&quot;NZ&quot;}\" >+64 - \u65b0\u897f\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+505&quot;,&quot;countryCode&quot;:&quot;NI&quot;}\" >+505 - \u5c3c\u52a0\u62c9\u74dc<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+227&quot;,&quot;countryCode&quot;:&quot;NE&quot;}\" >+227 - \u5c3c\u65e5\u5c14<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+234&quot;,&quot;countryCode&quot;:&quot;NG&quot;}\" >+234 - \u5c3c\u65e5\u5229\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+683&quot;,&quot;countryCode&quot;:&quot;NU&quot;}\" >+683 - \u7ebd\u57c3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+672&quot;,&quot;countryCode&quot;:&quot;NF&quot;}\" >+672 - \u8bfa\u798f\u514b\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1670&quot;,&quot;countryCode&quot;:&quot;MP&quot;}\" >+1670 - \u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+47&quot;,&quot;countryCode&quot;:&quot;NO&quot;}\" >+47 - \u632a\u5a01<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+968&quot;,&quot;countryCode&quot;:&quot;OM&quot;}\" >+968 - \u963f\u66fc<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+92&quot;,&quot;countryCode&quot;:&quot;PK&quot;}\" >+92 - \u5df4\u57fa\u65af\u5766<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+680&quot;,&quot;countryCode&quot;:&quot;PW&quot;}\" >+680 - \u5e15\u52b3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+970&quot;,&quot;countryCode&quot;:&quot;PS&quot;}\" >+970 - \u5df4\u52d2\u65af\u5766\u88ab\u5360\u9886\u571f<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+507&quot;,&quot;countryCode&quot;:&quot;PA&quot;}\" >+507 - \u5df4\u62ff\u9a6c<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+675&quot;,&quot;countryCode&quot;:&quot;PG&quot;}\" >+675 - \u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+595&quot;,&quot;countryCode&quot;:&quot;PY&quot;}\" >+595 - \u5df4\u62c9\u572d<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+51&quot;,&quot;countryCode&quot;:&quot;PE&quot;}\" >+51 - \u79d8\u9c81<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+63&quot;,&quot;countryCode&quot;:&quot;PH&quot;}\" >+63 - \u83f2\u5f8b\u5bbe<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+872&quot;,&quot;countryCode&quot;:&quot;PN&quot;}\" >+872 - \u76ae\u7279\u51ef\u6069<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+48&quot;,&quot;countryCode&quot;:&quot;PL&quot;}\" >+48 - \u6ce2\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+351&quot;,&quot;countryCode&quot;:&quot;PT&quot;}\" >+351 - \u8461\u8404\u7259<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1939&quot;,&quot;countryCode&quot;:&quot;PR&quot;}\" >+1939 - \u6ce2\u591a\u9ece\u5404<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+974&quot;,&quot;countryCode&quot;:&quot;QA&quot;}\" >+974 - \u5361\u5854\u5c14<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+40&quot;,&quot;countryCode&quot;:&quot;RO&quot;}\" >+40 - \u7f57\u9a6c\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+7&quot;,&quot;countryCode&quot;:&quot;RU&quot;}\" >+7 - \u4fc4\u7f57\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+250&quot;,&quot;countryCode&quot;:&quot;RW&quot;}\" >+250 - \u5362\u65fa\u8fbe<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+262&quot;,&quot;countryCode&quot;:&quot;RE&quot;}\" >+262 - \u4f1a\u8bae<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+590&quot;,&quot;countryCode&quot;:&quot;BL&quot;}\" >+590 - \u5723\u5df4\u6cf0\u52d2\u7c73<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+290&quot;,&quot;countryCode&quot;:&quot;SH&quot;}\" >+290 - \u5723\u8d6b\u52d2\u62ff\u5c9b\u3001\u963f\u68ee\u677e\u5c9b\u548c\u7279\u91cc\u65af\u5766-\u8fbe\u5e93\u5c3c\u4e9a\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1869&quot;,&quot;countryCode&quot;:&quot;KN&quot;}\" >+1869 - \u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1758&quot;,&quot;countryCode&quot;:&quot;LC&quot;}\" >+1758 - \u5723\u5362\u897f\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+590&quot;,&quot;countryCode&quot;:&quot;MF&quot;}\" >+590 - \u5723\u9a6c\u4e01<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+508&quot;,&quot;countryCode&quot;:&quot;PM&quot;}\" >+508 - \u5723\u76ae\u57c3\u5c14\u548c\u5bc6\u514b\u9686\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1784&quot;,&quot;countryCode&quot;:&quot;VC&quot;}\" >+1784 - \u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+685&quot;,&quot;countryCode&quot;:&quot;WS&quot;}\" >+685 - \u8428\u6469\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+378&quot;,&quot;countryCode&quot;:&quot;SM&quot;}\" >+378 - \u5723\u9a6c\u529b\u8bfa<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+239&quot;,&quot;countryCode&quot;:&quot;ST&quot;}\" >+239 - \u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+966&quot;,&quot;countryCode&quot;:&quot;SA&quot;}\" >+966 - \u6c99\u7279\u963f\u62c9\u4f2f<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+221&quot;,&quot;countryCode&quot;:&quot;SN&quot;}\" >+221 - \u585e\u5185\u52a0\u5c14<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+381&quot;,&quot;countryCode&quot;:&quot;RS&quot;}\" >+381 - \u585e\u5c14\u7ef4\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+248&quot;,&quot;countryCode&quot;:&quot;SC&quot;}\" >+248 - \u585e\u820c\u5c14<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+232&quot;,&quot;countryCode&quot;:&quot;SL&quot;}\" >+232 - \u585e\u62c9\u5229\u6602<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+65&quot;,&quot;countryCode&quot;:&quot;SG&quot;}\" >+65 - \u65b0\u52a0\u5761<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+421&quot;,&quot;countryCode&quot;:&quot;SK&quot;}\" >+421 - \u65af\u6d1b\u4f10\u514b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+386&quot;,&quot;countryCode&quot;:&quot;SI&quot;}\" >+386 - \u65af\u6d1b\u6587\u5c3c\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+677&quot;,&quot;countryCode&quot;:&quot;SB&quot;}\" >+677 - \u6240\u7f57\u95e8\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+252&quot;,&quot;countryCode&quot;:&quot;SO&quot;}\" >+252 - \u7d22\u9a6c\u91cc<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+27&quot;,&quot;countryCode&quot;:&quot;ZA&quot;}\" >+27 - \u5357\u975e<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+211&quot;,&quot;countryCode&quot;:&quot;SS&quot;}\" >+211 - \u5357\u82cf\u4e39<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+500&quot;,&quot;countryCode&quot;:&quot;GS&quot;}\" >+500 - \u5357\u4e54\u6cbb\u4e9a\u5c9b\u548c\u5357\u6851\u5a01\u5947\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+34&quot;,&quot;countryCode&quot;:&quot;ES&quot;}\" >+34 - \u897f\u73ed\u7259<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+94&quot;,&quot;countryCode&quot;:&quot;LK&quot;}\" >+94 - \u65af\u91cc\u5170\u5361<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+249&quot;,&quot;countryCode&quot;:&quot;SD&quot;}\" >+249 - \u82cf\u4e39<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+597&quot;,&quot;countryCode&quot;:&quot;SR&quot;}\" >+597 - \u82cf\u91cc\u5357<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+47&quot;,&quot;countryCode&quot;:&quot;SJ&quot;}\" >+47 - \u65af\u74e6\u5c14\u5df4\u7fa4\u5c9b\u548c\u626c\u9a6c\u5ef6\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+268&quot;,&quot;countryCode&quot;:&quot;SZ&quot;}\" >+268 - \u65af\u5a01\u58eb\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+46&quot;,&quot;countryCode&quot;:&quot;SE&quot;}\" >+46 - \u745e\u5178<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+41&quot;,&quot;countryCode&quot;:&quot;CH&quot;}\" >+41 - \u745e\u58eb<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+963&quot;,&quot;countryCode&quot;:&quot;SY&quot;}\" >+963 - \u963f\u62c9\u4f2f\u53d9\u5229\u4e9a\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+886&quot;,&quot;countryCode&quot;:&quot;TW&quot;}\" >+886 - \u53f0\u6e7e<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+992&quot;,&quot;countryCode&quot;:&quot;TJ&quot;}\" >+992 - \u5854\u5409\u514b\u65af\u5766<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+255&quot;,&quot;countryCode&quot;:&quot;TZ&quot;}\" >+255 - \u5766\u6851\u5c3c\u4e9a\uff0c\u5766\u6851\u5c3c\u4e9a\u8054\u5408\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+66&quot;,&quot;countryCode&quot;:&quot;TH&quot;}\" >+66 - \u6cf0\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+670&quot;,&quot;countryCode&quot;:&quot;TL&quot;}\" >+670 - \u4e1c\u5e1d\u6c76<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+228&quot;,&quot;countryCode&quot;:&quot;TG&quot;}\" >+228 - \u591a\u54e5<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+690&quot;,&quot;countryCode&quot;:&quot;TK&quot;}\" >+690 - \u6258\u514b\u52b3<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+676&quot;,&quot;countryCode&quot;:&quot;TO&quot;}\" >+676 - \u6c64\u52a0<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1868&quot;,&quot;countryCode&quot;:&quot;TT&quot;}\" >+1868 - \u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+216&quot;,&quot;countryCode&quot;:&quot;TN&quot;}\" >+216 - \u7a81\u5c3c\u65af<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+90&quot;,&quot;countryCode&quot;:&quot;TR&quot;}\" >+90 - \u571f\u8033\u5176<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+993&quot;,&quot;countryCode&quot;:&quot;TM&quot;}\" >+993 - \u571f\u5e93\u66fc\u65af\u5766<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1649&quot;,&quot;countryCode&quot;:&quot;TC&quot;}\" >+1649 - \u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+688&quot;,&quot;countryCode&quot;:&quot;TV&quot;}\" >+688 - \u56fe\u74e6\u5362<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+256&quot;,&quot;countryCode&quot;:&quot;UG&quot;}\" >+256 - \u4e4c\u5e72\u8fbe<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+380&quot;,&quot;countryCode&quot;:&quot;UA&quot;}\" >+380 - \u4e4c\u514b\u5170<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+971&quot;,&quot;countryCode&quot;:&quot;AE&quot;}\" >+971 - \u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+44&quot;,&quot;countryCode&quot;:&quot;GB&quot;}\" >+44 - \u82f1\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1&quot;,&quot;countryCode&quot;:&quot;US&quot;}\" selected>+1 - \u7f8e\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+598&quot;,&quot;countryCode&quot;:&quot;UY&quot;}\" >+598 - \u4e4c\u62c9\u572d<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+998&quot;,&quot;countryCode&quot;:&quot;UZ&quot;}\" >+998 - \u4e4c\u5179\u522b\u514b\u65af\u5766<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+678&quot;,&quot;countryCode&quot;:&quot;VU&quot;}\" >+678 - \u74e6\u52aa\u963f\u56fe<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+58&quot;,&quot;countryCode&quot;:&quot;VE&quot;}\" >+58 - \u59d4\u5185\u745e\u62c9\u73bb\u5229\u74e6\u5c14\u5171\u548c\u56fd<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+84&quot;,&quot;countryCode&quot;:&quot;VN&quot;}\" >+84 - \u8d8a\u5357<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1284&quot;,&quot;countryCode&quot;:&quot;VG&quot;}\" >+1284 - \u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+1340&quot;,&quot;countryCode&quot;:&quot;VI&quot;}\" >+1340 - \u7f8e\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+681&quot;,&quot;countryCode&quot;:&quot;WF&quot;}\" >+681 - \u74e6\u5229\u65af\u7fa4\u5c9b\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+967&quot;,&quot;countryCode&quot;:&quot;YE&quot;}\" >+967 - \u4e5f\u95e8<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+260&quot;,&quot;countryCode&quot;:&quot;ZM&quot;}\" >+260 - \u8d5e\u6bd4\u4e9a<\/option>\n                                                                            <option value=\"{&quot;countryCallingCode&quot;:&quot;+263&quot;,&quot;countryCode&quot;:&quot;ZW&quot;}\" >+263 - \u6d25\u5df4\u5e03\u97e6<\/option>\n                                                                    <\/select>\n                            \n\n                            <input type=\"tel\" name=\"mobile_number\" class=\"iq-kivicare-form-control\" id=\"userContact\" placeholder=\"\u8f93\u5165\u60a8\u7684\u8054\u7cfb\u7535\u8bdd\" required>\n                        <\/div>\n\n                    <\/div>\n\n                    <div class=\"form-group\">\n                        <label class=\"form-label\" for=\"gender\">\u6027\u522b                            <span>*<\/span><\/label>\n                        <div class=\"d-flex flex-wrap\">\n                            <div class=\"custom-control custom-radio custom-control-inline\">\n                                <input type=\"radio\" id=\"male\" name=\"gender\" value=\"male\" class=\"custom-control-input\" required>\n                                <label class=\"custom-control-label\" for=\"male\">\u7537<\/label>\n                            <\/div>\n                            <div class=\"custom-control custom-radio custom-control-inline\">\n                                <input type=\"radio\" id=\"female\" name=\"gender\" value=\"female\" class=\"custom-control-input\">\n                                <label class=\"custom-control-label\" for=\"female\">\u5973\u6027<\/label>\n                            <\/div>\n                            <div class=\"custom-control custom-radio custom-control-inline\" id=\"otherGenderOption\">\n                                <input type=\"radio\" id=\"other\" name=\"gender\" value=\"other\" class=\"custom-control-input\">\n                                <label class=\"custom-control-label\" for=\"other\">\u5176\u4ed6<\/label>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                                    <\/div>\n                <div  id=\"customFieldsList\">\n\n                                                <div class=\"kivi-row\">\n                                    <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Pasaporte o DNI_1\">\n\n                        \u62a4\u7167\u6216\u8eab\u4efd\u8bc1\n                                            <\/label>\n                                            <input id=\"Pasaporte o DNI_1\"\n                            placeholder=\"\"\n                            name=\"custom_field_1\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control\" \/>\n                                        <\/div>\n                                            <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Antecedentes personales\/enfermedades_6\">\n\n                        \u4e2a\u4eba\u75c5\u53f2\/\u75be\u75c5\n                                                    <span>*<\/span>\n                                                <\/label>\n                                            <input id=\"Antecedentes personales\/enfermedades_6\"\n                            placeholder=\"\"\n                            name=\"custom_field_6\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control kivicare-required\" \/>\n                                        <\/div>\n                                <\/div>\n                                            <div class=\"kivi-row\">\n                                    <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Cirug\u00edas_7\">\n\n                        \u624b\u672f\n                                                    <span>*<\/span>\n                                                <\/label>\n                                            <input id=\"Cirug\u00edas_7\"\n                            placeholder=\"\"\n                            name=\"custom_field_7\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control kivicare-required\" \/>\n                                        <\/div>\n                                            <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Medicaci\u00f3n actual_8\">\n\n                        \u5f53\u524d\u836f\u7269\n                                                    <span>*<\/span>\n                                                <\/label>\n                                            <input id=\"Medicaci\u00f3n actual_8\"\n                            placeholder=\"\"\n                            name=\"custom_field_8\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control kivicare-required\" \/>\n                                        <\/div>\n                                <\/div>\n                                            <div class=\"kivi-row\">\n                                    <div class=\"form-group kivi-col-6 mt-2 select\">\n                    <label class=\"form-label\" for=\"\u00bfEs fumador? \u00bfCu\u00e1nto fuma?_9\">\n\n                        \u60a8\u662f\u5426\u5438\u70df\uff0c\u5438\u70df\u91cf\u662f\u591a\u5c11\uff1f\n                                                    <span>*<\/span>\n                                                <\/label>\n                                            <select id=\"\u00bfEs fumador? \u00bfCu\u00e1nto fuma?_9\"\n                            class=\"iq-kivicare-form-control text-capitalize kivicare-required\"\n                            name=\"custom_field_9\">\n                            <option value=\"\"> \u9009\u62e9\u9009\u9879 <\/option>\n                                                            <option value=\"No fumo\" key=\"0\">\n                                    \u6211\u4e0d\u5438\u70df                                <\/option>\n                                                                <option value=\"Menos de 10 cigarrillos al d\u00eda\" key=\"1\">\n                                    \u6bcf\u5929\u5438\u70df\u5c11\u4e8e 10 \u652f                                <\/option>\n                                                                <option value=\"De 10 a 20 cigarrillos al d\u00eda\" key=\"2\">\n                                    \u6bcf\u5929 10 \u81f3 20 \u652f\u70df                                <\/option>\n                                                                <option value=\"M\u00e1s de 20 cigarrillos al d\u00eda\" key=\"3\">\n                                    \u6bcf\u5929\u5438\u70df\u8d85\u8fc7 20 \u652f                                <\/option>\n                                                        <\/select>\n                                        <\/div>\n                                            <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Alergias a Medicamentos y alimentarias_11\">\n\n                        \u836f\u7269\u548c\u98df\u7269\u8fc7\u654f\n                                                    <span>*<\/span>\n                                                <\/label>\n                                            <input id=\"Alergias a Medicamentos y alimentarias_11\"\n                            placeholder=\"\"\n                            name=\"custom_field_11\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control kivicare-required\" \/>\n                                        <\/div>\n                                <\/div>\n                                            <div class=\"kivi-row\">\n                                    <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Direcci\u00f3n_27\">\n\n                        \u5730\u5740\n                                            <\/label>\n                                            <input id=\"Direcci\u00f3n_27\"\n                            placeholder=\"\"\n                            name=\"custom_field_27\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control\" \/>\n                                        <\/div>\n                                            <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Pa\u00eds de origen_28\">\n\n                        \u539f\u7c4d\u56fd\n                                                    <span>*<\/span>\n                                                <\/label>\n                                            <input id=\"Pa\u00eds de origen_28\"\n                            placeholder=\"\"\n                            name=\"custom_field_28\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control kivicare-required\" \/>\n                                        <\/div>\n                                <\/div>\n                                            <div class=\"kivi-row\">\n                                    <div class=\"form-group kivi-col-6 mt-2 text\">\n                    <label class=\"form-label\" for=\"Pa\u00eds de estancia_29\">\n\n                        \u9017\u7559\u56fd\u5bb6\n                                                    <span>*<\/span>\n                                                <\/label>\n                                            <input id=\"Pa\u00eds de estancia_29\"\n                            placeholder=\"\"\n                            name=\"custom_field_29\"\n                            type=\"text\"\n                            class=\"iq-kivicare-form-control kivicare-required\" \/>\n                                        <\/div>\n                            <\/div>\n            \n                <\/div>\n            <\/div>\n        <\/div>\n        <div id=\"kc_login\" class=\"iq-tab-pannel kivicare-login-form-data iq-fade authActive\" >\n            <div id=\"kivicare-login-form\">\n                <div class=\"d-grid grid-template-2\" id=\"kivicare-login\">\n                    <div class=\"form-group\">\n                        <label class=\"form-label\" for=\"loginUsername\">\u7528\u6237\u540d\u6216\u7535\u5b50\u90ae\u4ef6                            <span>*<\/span><\/label>\n                        <input type=\"text\" name=\"username\" class=\"iq-kivicare-form-control\" id=\"loginUsername\"\n                            placeholder=\"\u8f93\u5165\u60a8\u7684\u7528\u6237\u540d\u6216\u7535\u5b50\u90ae\u4ef6\" >\n                    <\/div>                  \n                    <div class=\"form-group\">\n                        <label class=\"form-label\" for=\"loginPassword\">\u5bc6\u7801                            <span>*<\/span><\/label>\n                        <div class=\"password-container\" style=\"position: relative;\">\n                        <input type=\"password\" name=\"password\" class=\"iq-kivicare-form-control\" id=\"loginPassword\" placeholder=\"***********\" >\n                        <i class=\"password-toggle fas fa-eye\" id=\"togglePassword\" style=\"position: absolute; top: 50%; right: 10px; transform: translateY(-50%); cursor: pointer;\"><\/i>\n                        <\/div>\n                    <\/div>\n\n                <\/div>\n                <div class=\"d-flex justify-content-end w-100\">\n                    <a href=\"https:\/\/cita.doctorsky.es\/zh\/mi-cuenta\/lost-password\/\" target=\"_blank\" class=\"iq-color-secondary\"><i>\u5fd8\u8bb0\u5bc6\u7801\uff1f<\/i><\/a>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n    <div class=\"card-widget-footer\">\n        <span id=\"kivicare_error_msg_login_register\" class=\"alert alert-popup alert-danger alert-left error\"\n            style=\"display:none\">&nbsp;<\/span>\n        <div class=\"d-flex justify-content-end gap-1-5\" style=\"margin-left: auto;\">\n                            <button type=\"button\" class=\"iq-button iq-button-secondary\" id=\"iq-widget-back-button\"\n                    data-step=\"prev\">\u8fd4\u56de<\/button>\n                                        <button type=\"submit\" name=\"submit\" value=\"submit\" data-step=\"next\"\n                    class=\"iq-button iq-button-primary\">\u6ce8\u518c<\/button>\n                    <\/div>\n    <\/div>\n                                   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