billiards-server/application/admin/view/order/order/recharge.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">{:__('No')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-no" data-rule="required" class="form-control" name="row[no]" type="text" value="{$row.no|htmlentities}" disabled>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">申述:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="radio">
                {foreach name="boolList" item="vo"}
                <label for="row[is_appeal]-{$key}"><input disabled id="row[is_appeal]-{$key}" name="row[is_appeal]" type="radio" value="{$key}" {in name="key" value="$row.is_appeal"}checked{/in} /> {$vo}</label>
                {/foreach}
            </div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">申述原因:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea class="form-control" rows="3" disabled >{$row.appeal_reason}</textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_real_amount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input disabled id="c-total_real_amount" data-rule="required" class="form-control" step="0.01" name="row[total_real_amount]" type="number" value="{$row.total_real_amount|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_service_amount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input disabled id="c-total_service_amount" data-rule="required" class="form-control" step="0.01" name="row[total_service_amount]" type="number" value="{$row.total_service_amount|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Trip_amount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input disabled id="c-trip_amount" data-rule="required" class="form-control" step="0.01" name="row[trip_amount]" type="number" value="{$row.trip_amount|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Voucher_amount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input disabled id="c-voucher_amount" class="form-control" step="0.01" name="row[voucher_amount]" type="number" value="{$row.voucher_amount|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Membership_discount_amount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input disabled id="c-membership_discount_amount" class="form-control" step="0.01" name="row[membership_discount_amount]" type="number" value="{$row.membership_discount_amount|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">已退款:</label>
        <div class="col-xs-12 col-sm-8">
            <input disabled id="c-refund_amount" data-rule="required" class="form-control" step="1" name="row[refund_amount]" type="number" value="{$row.refund_amount|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Payment_type')}:</label>
        <div class="col-xs-12 col-sm-8">

            <select disabled  id="c-payment_type" data-rule="required" class="form-control selectpicker" name="row[payment_type]">
                {foreach name="paymentTypeList" item="vo"}
                <option value="{$key}" {in name="key" value="$row.payment_type"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="radio">
                {foreach name="statusList" item="vo"}
                <label for="row[status]-{$key}"><input disabled id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="$row.status"}checked{/in} /> {$vo}</label>
                {/foreach}
            </div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">退出行费:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="radio">
                {foreach name="boolList" item="vo"}
                <label for="row[back_trip]-{$key}"><input id="row[back_trip]-{$key}" name="row[back_trip]" type="radio" value="{$key}" {in name="key" value="0"}checked{/in} /> {$vo}</label>
                {/foreach}
            </div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">退款给用户:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="radio">
                <input id="c-refund" data-rule="required" class="form-control" step="1" name="row[refund]" type="number" value="{$max_refund_amount}">
            </div>
        </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>