jiankangyijia/application/admin/view/doctor/add.html

<form id="add-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">{:__('Ruletype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-ruletype" data-rule="required" class="form-control selectpicker" name="row[ruletype]">
                {foreach name="ruletypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="1"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Nickname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-nickname" class="form-control" name="row[nickname]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Avatar')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-avatar" class="form-control" size="50" name="row[avatar]" type="text" value="">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-avatar" class="btn btn-danger faupload" data-input-id="c-avatar" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-avatar"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-avatar" class="btn btn-primary fachoose" data-input-id="c-avatar" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-avatar"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-avatar"></ul>
        </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="{$key}" {in name="key" value="0"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </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="">
        </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="">
        </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="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard_z_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-idcard_z_image" class="form-control" size="50" name="row[idcard_z_image]" type="text" value="">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-idcard_z_image" class="btn btn-danger faupload" data-input-id="c-idcard_z_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-idcard_z_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-idcard_z_image" class="btn btn-primary fachoose" data-input-id="c-idcard_z_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-idcard_z_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-idcard_z_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard_f_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-idcard_f_image" class="form-control" size="50" name="row[idcard_f_image]" type="text" value="">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-idcard_f_image" class="btn btn-danger faupload" data-input-id="c-idcard_f_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-idcard_f_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-idcard_f_image" class="btn btn-primary fachoose" data-input-id="c-idcard_f_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-idcard_f_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-idcard_f_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="idcardStatusList" item="vo"}
            <label for="row[idcard_status]-{$key}"><input id="row[idcard_status]-{$key}" name="row[idcard_status]" type="radio" value="{$key}" {in name="key" value="-1"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Doctor_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-doctor_image" class="form-control" size="50" name="row[doctor_image]" type="text" value="">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-doctor_image" class="btn btn-danger faupload" data-input-id="c-doctor_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-doctor_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-doctor_image" class="btn btn-primary fachoose" data-input-id="c-doctor_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-doctor_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-doctor_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Doctor_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="doctorStatusList" item="vo"}
            <label for="row[doctor_status]-{$key}"><input id="row[doctor_status]-{$key}" name="row[doctor_status]" type="radio" value="{$key}" {in name="key" value="-1"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('English_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="englishStatusList" item="vo"}
            <label for="row[english_status]-{$key}"><input id="row[english_status]-{$key}" name="row[english_status]" type="radio" value="{$key}" {in name="key" value="1"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </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]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="1"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Keshi_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-keshi_id" data-rule="required" data-source="keshi/index" class="form-control selectpage" name="row[keshi_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Hospital')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hospital" class="form-control" name="row[hospital]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Goodat')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-goodat" class="form-control" name="row[goodat]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ordernum')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ordernum" class="form-control" name="row[ordernum]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Level_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-level_id" data-rule="required" data-source="doctorlevel/index" class="form-control selectpage" name="row[level_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Info')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-info" class="form-control " rows="5" name="row[info]" cols="50"></textarea>
        </div>
    </div>
    <!--<div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Wechat_openid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-wechat_openid" class="form-control" name="row[wechat_openid]" type="text">
        </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>