<fieldset class="fieldset">
<label class="field-label">認證方式</label>
<div class="checkable-wrapper-v">
<div class="checkable-item">
<input class="chcecked--extra-fields" type="checkbox" name="identification" id="v-healthid-input" value="healthid">
<label for="v-healthid-input">健保卡</label>
<div class="fields">
<fieldset class="fieldset">
<label for="healthid-required" class="field-label">健保卡卡號 <span class="field-required">必填</span></label>
<input type="text" id="healthid-required" inputmode="number" aria-required="true" class="field-input">
</fieldset>
</div>
</div>
<div class="checkable-item">
<input class="chcecked--extra-fields" type="checkbox" name="identification" id="v-moica-input" value="moica" checked>
<label for="v-moica-input">自然人憑證
<div class="desc">
自然人憑證是可以在網路上作資料交換時，如同網路身分證辨識雙方身分。「憑證」包含了「數位簽章」跟「公開金鑰」。
</div>
</label>
<div class="fields">
<button type="button" class="button button-primary">行動自然人憑證驗證</button>
</div>
</div>
<div class="checkable-item">
<input class="chcecked--extra-fields" type="checkbox" name="identification" id="v-phone-input" value="phone">
<label for="v-phone-input">實名手機門號</label>
<div class="fields">
<fieldset class="fieldset">
<label for="phone-required" class="field-label">手機號碼 <span class="field-required">必填</span></label>
<input type="text" id="phone-required" inputmode="number" aria-required="true" class="field-input">
</fieldset>
</div>
</div>
</div>
</fieldset>