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http://my.tiancaikj.cn/ 手機站 表單提交完，后臺沒有數據，麻煩大家幫我看一下是哪里錯誤了

<form action="" class="form-horizontal" method="post" name="myform" id="myform">
            <input name="is_form" type="hidden" value="1">
            <input name="is_admin" type="hidden" value="0">
            <input name="is_tips" type="hidden" value="">
            <input type="hidden" name="{csrf_token()}" value="{csrf_hash()}" />
            <input name="csrf_test_name" type="hidden" value="1c1e2566fb4750d7c77f822187b88ee2">
<p>
<i>患者姓名</i>
<input name="data[title]" type="text" class="zzghText" placeholder="請輸入患者姓名" />
</p>
<p>
<i>聯系電話</i>
<input name="data[dianhua]" type="text" class="zzghText" placeholder="請輸入你的手機號" />
</p>
<p>
<i>到診時間</i>
<input name="data[jiuzhenriqi]" type="date" class="zzghText field_date_jiuzhenriqi">
<script>
       
        $(".field_date_jiuzhenriqi").datetimepicker({
        isRTL: false,
        format: "yyyy-mm-dd",
        showMeridian: true,
        autoclose: true,
        pickerPosition: "bottom-right",
        todayBtn: true
        });
        });
        </script>
</p>
<p>
    <i>驗 證 碼</i>
    <input type="text" class="form-control" name="code" style="width:30%; float:left;">
    <img align="absmiddle" style="cursor:pointer;float: left;width: 30%;" onclick="this.src='/index.php?s=api&c=api&m=captcha&width=120&height=35&'+Math.random();" src="/index.php?s=api&c=api&m=captcha&width=120&height=35" />
</p>
<em>*填寫信息已加密，保證您的隱私安全，我們會盡快與您取得聯系，謝謝您的信任。*</em>
<span>
<button type="submit" onclick="dr_ajax_submit('/index.php?s=form&c=zizhuguahao&m=post', 'myform', '2000', '/index.php?s=form&c=zizhuguahao&m=post')" class="btn green"> 提交內容</button>
<i onclick="swtClick('gh_zxkf')">在線客服</i>
</span>
</form>