jiankangyijia/application/admin/view/doctoralipay/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">{:__('Doctor_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-doctor_id" data-rule="required" data-source="doctor/index" data-field="nickname" disabled class="form-control selectpage" name="row[doctor_id]" type="text" value="{$row.doctor_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Realname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-realname" data-rule="required" class="form-control" name="row[realname]" type="text" value="{$row.realname|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pay_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pay_no" data-rule="required" class="form-control" name="row[pay_no]" type="text" value="{$row.pay_no|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>