jiankangyijia/application/admin/view/wenzhenorder/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">{:__('Order_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_no" class="form-control" name="row[order_no]" type="text" value="{$row.order_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="{$row.user_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Member_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-member_id" data-rule="required" data-source="member/index" class="form-control selectpage" name="row[member_id]" type="text" value="{$row.member_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Doctor_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-doctor_id" data-rule="required" data-source="doctor/index" class="form-control selectpage" name="row[doctor_id]" type="text" value="{$row.doctor_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ordertype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-ordertype" data-rule="required" class="form-control selectpicker" name="row[ordertype]">
                {foreach name="ordertypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.ordertype"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-total_fee" data-rule="required" class="form-control" step="0.01" name="row[total_fee]" type="number" value="{$row.total_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Book_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-book_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[book_time]" type="text" value="{:$row.book_time?datetime($row.book_time):''}">
        </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="{$key}" {in name="key" value="$row.status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cancel_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-cancel_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[cancel_time]" type="text" value="{:$row.cancel_time?datetime($row.cancel_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cancel_reason')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-cancel_reason" class="form-control" name="row[cancel_reason]" type="text" value="{$row.cancel_reason|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pay_out_trade_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pay_out_trade_no" class="form-control" name="row[pay_out_trade_no]" type="text" value="{$row.pay_out_trade_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pay_type')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pay_type" class="form-control" name="row[pay_type]" type="text" value="{$row.pay_type|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pay_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pay_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[pay_time]" type="text" value="{:$row.pay_time?datetime($row.pay_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Accept_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-accept_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[accept_time]" type="text" value="{:$row.accept_time?datetime($row.accept_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Video_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-video_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[video_time]" type="text" value="{:$row.video_time?datetime($row.video_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Finish_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-finish_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[finish_time]" type="text" value="{:$row.finish_time?datetime($row.finish_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Feedback_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-feedback_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[feedback_time]" type="text" value="{:$row.feedback_time?datetime($row.feedback_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Feedback_remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-feedback_remark" class="form-control" name="row[feedback_remark]" type="text" value="{$row.feedback_remark|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Feedback_images')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-feedback_images" class="form-control" size="50" name="row[feedback_images]" type="textarea" value="{$row.feedback_images|htmlentities}">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-feedback_images" class="btn btn-danger faupload" data-input-id="c-feedback_images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="true" data-preview-id="p-feedback_images"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-feedback_images" class="btn btn-primary fachoose" data-input-id="c-feedback_images" data-mimetype="image/*" data-multiple="true"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-feedback_images"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-feedback_images"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Refund_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-refund_price" class="form-control" step="0.01" name="row[refund_price]" type="number" value="{$row.refund_price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Refund_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="refundStatusList" item="vo"}
            <label for="row[refund_status]-{$key}"><input id="row[refund_status]-{$key}" name="row[refund_status]" type="radio" value="{$key}" {in name="key" value="$row.refund_status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </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>