lanjingling/application/admin/view/user_wallet/newone.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">选择门店:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-company_id" data-rule="required" data-source="company/index" data-field="name" name="company_id" class="form-control selectpage" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">操作店员:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-staff_id" data-rule="required" data-source="company_staff/index" data-field="truename" name="staff_id" class="form-control selectpage" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">联系方式:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" data-rule="required" class="form-control" step="0.01" name="mobile" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">客户姓名:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-nickname" data-rule="required" class="form-control" step="0.01" name="nickname" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">车牌号:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-car_number" data-rule="required" class="form-control" step="0.01" name="car_number" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-address" class="form-control" name="address" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Comefrom')}:</label>
        <div class="col-xs-12 col-sm-8">

            <div class="radio">
                {foreach name="comefrom" item="vo"}
                <label for="row[status]-{$key}"><input id="row[status]-{$key}" name="comefrom" type="radio" value="{$vo}"  /> {$vo}</label>
                {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control" name="remark" 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">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>