shequ/application/admin/view/jiankangdata/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="{$row.user_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Xueya_low')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-xueya_low" class="form-control" name="row[xueya_low]" type="text" value="{$row.xueya_low|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Xueya_high')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-xueya_high" class="form-control" name="row[xueya_high]" type="text" value="{$row.xueya_high|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Xuetang')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-xuetang" class="form-control" name="row[xuetang]" type="text" value="{$row.xuetang|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Createdate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-createdate" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[createdate]" type="text" value="{$row.createdate}">
        </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>