yuanshan_zuche/application/admin/view/ordercancel/applysunshi.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="{$row.pay_fee}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">下单时间:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.createtime|date='Y-m-d',###}">
        </div>
    </div>
    <hr>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">取消理由:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.reason}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">取消时间:</label>
        <div class="col-xs-12 col-sm-8">
            <input  class="form-control" disabled  type="text" value="{$row.canceltime|date='Y-m-d',###}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">索赔价格:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-money" class="form-control" name="money" type="number" value="">
            一般用于车子已经送到半路，订单却被取消，所造成的运费、燃油费、人工费
        </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" required="" 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">{:__('OK')}</button>
        </div>
    </div>
</form>