<view class="page"><view class="box"><view class="item"><view class="left">姓名</view><view class="right"><input type="text" value="" placeholder="请输入姓名"/><image src="../../static/right.png" mode="widthFix"></image></view></view><view class="item"><view class="left">联系方式</view><view class="right"><input type="text" value="" placeholder="请输入手机号码"/><image src="../../static/right.png" mode="widthFix"></image></view></view><view class="item"><view class="left">地区</view><view class="right"><input type="text" value="" placeholder="请选择所在地区"/><image src="../../static/right.png" mode="widthFix"></image></view></view><view class="item"><view class="left">详细地址</view><view class="right"><input type="text" value="" placeholder="详细地址须填写楼栋楼层或房间号信息"/><image src="../../static/right.png" mode="widthFix"></image></view></view></view><view class="btn">确认</view></view>