yuanshan_zuche/application/admin/view/orderbacklog/refund.html

<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <input type="hidden" name="id" value="{$row.id}">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">订单号:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.orderno}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">借出价格:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.lease_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">基础保障费:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.base_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">手续费:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.service_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">车辆押金:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.yajin_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">违章押金:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.weizhang_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">取车费:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.get_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">还车费:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.back_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">总价:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.total_fee}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">优惠券减除:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.coupon_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">最终支付:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.pay_fee}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Starttime')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input  disabled class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true"  type="text" value="{$row.starttime|datetime}">
        </div>
    </div>
    <hr>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Old_endtime')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input  disabled class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true"  type="text" value="{$row.old_endtime|datetime}">
        </div>
    </div>
    <div class="form-group">
        <label  class="control-label col-xs-12 col-sm-2">{:__('New_endtime')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input disabled class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true"  type="text" value="{$row.new_endtime|datetime}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Back_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.back_back_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Back_base_price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.back_base_price}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Back_pay_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.back_pay_fee}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">同意需退回价格:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-back_fee" class="form-control" name="back_fee" type="number" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">备注:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control" name="remark" type="text" value="">
        </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-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>