billiards-server/application/admin/view/voucher/add.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">{:__('Description')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-description" data-rule="required" class="form-control" name="row[description]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Takeamount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-takeAmount" data-rule="required" class="form-control" step="0.01" name="row[takeAmount]" type="number" value="0.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fullamount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fullAmount" data-rule="required" class="form-control" step="0.01" name="row[fullAmount]" type="number" value="200.00">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Indate_day')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-indate_day" data-rule="required" class="form-control" name="row[indate_day]" type="number" value="180">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Exchange_score')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-exchange_score" data-rule="required" class="form-control" name="row[exchange_score]" type="number" value="100">
        </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>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>