yanglao/application/admin/view/service/card/refund/edit.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">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" min="0" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="{$row.user_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Package_card_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-package_card_id" data-rule="required" min="0" data-source="package/card/index" class="form-control selectpage" name="row[package_card_id]" type="text" value="{$row.package_card_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="{$row.name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-image" class="form-control" size="50" name="row[image]" type="text" value="{$row.image|htmlentities}">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-image" class="btn btn-danger faupload" data-input-id="c-image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-image" class="btn btn-primary fachoose" data-input-id="c-image" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Paytype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-paytype" data-rule="required" class="form-control selectpicker" name="row[paytype]">
                {foreach name="paytypeList" item="vo"}
                    <option value="{$key|htmlentities}" {in name="key" value="$row.paytype"}selected{/in}>{$vo|htmlentities}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Orderid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-orderId" data-rule="required" class="form-control" name="row[orderId]" type="text" value="{$row.orderId|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Original_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-original_price" min="0" class="form-control" step="0.01" name="row[original_price]" type="number" value="{$row.original_price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-price" data-rule="required" min="0" class="form-control" step="0.01" name="row[price]" type="number" value="{$row.price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Discount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-discount" data-rule="required" min="0" class="form-control" name="row[discount]" type="number" value="{$row.discount|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Coupon_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-coupon_id" data-rule="required" data-source="coupon/index" class="form-control selectpage" name="row[coupon_id]" type="text" value="{$row.coupon_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Coupon_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-coupon_price" data-rule="required" min="0" class="form-control" step="0.01" name="row[coupon_price]" type="number" value="{$row.coupon_price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Payprice')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-payprice" data-rule="required" min="0" class="form-control" step="0.01" name="row[payprice]" type="number" value="{$row.payprice|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_refund_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-total_refund_price" data-rule="required" class="form-control" step="0.01" name="row[total_refund_price]" type="number" value="{$row.total_refund_price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Refund_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-refund_price" data-rule="required" min="0" class="form-control" step="0.01" name="row[refund_price]" type="number" value="{$row.refund_price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Starttime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-starttime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[starttime]" type="text" value="{:$row.starttime?datetime($row.starttime):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Endtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-endtime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[endtime]" type="text" value="{:$row.endtime?datetime($row.endtime):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Trade_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-trade_no" class="form-control" name="row[trade_no]" type="text" value="{$row.trade_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_service')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_service" data-rule="required" class="form-control selectpicker" name="row[is_service]">
                {foreach name="isServiceList" item="vo"}
                    <option value="{$key|htmlentities}" {in name="key" value="$row.is_service"}selected{/in}>{$vo|htmlentities}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_update')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-is_update" data-rule="required" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[is_update]" type="text" value="{:$row.is_update?datetime($row.is_update):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_nums')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-total_nums" data-rule="required" min="0" class="form-control" name="row[total_nums]" type="number" value="{$row.total_nums|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Use_nums')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-use_nums" data-rule="required" min="0" class="form-control" name="row[use_nums]" type="number" value="{$row.use_nums|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="statusList" item="vo"}
            <label for="row[status]-{$key|htmlentities}"><input id="row[status]-{$key|htmlentities}" name="row[status]" type="radio" value="{$key|htmlentities}" {in name="key" value="$row.status"}checked{/in} /> {$vo|htmlentities}</label>
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Paytime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-paytime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[paytime]" type="text" value="{:$row.paytime?datetime($row.paytime):''}">
        </div>
    </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 disabled">{:__('OK')}</button>
        </div>
    </div>
</form>