yanglao/application/admin/view/service/shop/goods/refuse.html

<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Note')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-note" data-rule="required" class="form-control" name="row[note]" type="text" value="">
        </div>
    </div>
    <div class="form-group"><input type="hidden" name="id" value="{$row.id|htmlentities}" class="form-control"></div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed">{:__('OK')}</button>
        </div>
    </div>
</form>