jiankangyijia/application/admin/view/usermember/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" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="{$row.user_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Realname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-realname" class="form-control" name="row[realname]" type="text" value="{$row.realname|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcard" class="form-control" name="row[idcard]" type="text" value="{$row.idcard|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Relation')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-relation" class="form-control" name="row[relation]" type="text" value="{$row.relation|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" class="form-control" name="row[mobile]" type="text" value="{$row.mobile|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gender')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-gender" data-rule="required" min="0" class="form-control selectpicker" name="row[gender]">
                {foreach name="genderList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.gender"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Birthday')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-birthday" class="form-control" name="row[birthday]" type="number" value="{$row.birthday|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Marital_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="maritalStatusList" item="vo"}
            <label for="row[marital_status]-{$key}"><input id="row[marital_status]-{$key}" name="row[marital_status]" type="radio" value="{$key}" {in name="key" value="$row.marital_status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Allergies_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="allergiesStatusList" item="vo"}
            <label for="row[allergies_status]-{$key}"><input id="row[allergies_status]-{$key}" name="row[allergies_status]" type="radio" value="{$key}" {in name="key" value="$row.allergies_status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Allergies_text')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-allergies_text" class="form-control" name="row[allergies_text]" type="text" value="{$row.allergies_text|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Familymedical_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="familymedicalStatusList" item="vo"}
            <label for="row[familymedical_status]-{$key}"><input id="row[familymedical_status]-{$key}" name="row[familymedical_status]" type="radio" value="{$key}" {in name="key" value="$row.familymedical_status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Familymedical_text')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-familymedical_text" class="form-control" name="row[familymedical_text]" type="text" value="{$row.familymedical_text|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Chronicdisease_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="chronicdiseaseStatusList" item="vo"}
            <label for="row[chronicdisease_status]-{$key}"><input id="row[chronicdisease_status]-{$key}" name="row[chronicdisease_status]" type="radio" value="{$key}" {in name="key" value="$row.chronicdisease_status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Chronicdisease_text')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-chronicdisease_text" class="form-control" name="row[chronicdisease_text]" type="text" value="{$row.chronicdisease_text|htmlentities}">
        </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>