<div class="pb-form">
    <form action="?" method="post" data-ajax-form onsubmit="return false;">
        <div class="mui-input-group">
            <div class="mui-input-row">
                <label>手机</label>
                <input name="phone" type="text" class="mui-input-clear mui-input" placeholder="请输入手机">
            </div>
            <div class="mui-input-row captcha">
                <img data-captcha src="/retrieve/captcha" onclick="this.src='/retrieve/captcha?'+Math.random();"/>
                <label>图片验证</label>
                <input type="text" name="captcha" autocomplete="off" class="mui-input-clear mui-input" placeholder="输入验证码" />
            </div>
            <div class="mui-input-row captcha">
                <div>
                    <button type="button" class="btn btn-sm" data-verify-generate>获取验证码</button>
                    <button type="button" class="btn btn-sm" data-verify-countdown style="display:none;"></button>
                    <button type="button" class="btn btn-sm" data-verify-regenerate style="display:none;">重新获取</button>
                </div>
                <label>短信验证码</label>
                <input type="text" name="verify" class="mui-input-clear mui-input" placeholder="输入验证码" />
            </div>
        </div>

        <div class="submit">
            <button type="submit" class="mui-btn mui-btn-block mui-btn-primary">提交</button>
        </div>

    </form>
</div>