70 lines
3.3 KiB
HTML
70 lines
3.3 KiB
HTML
<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Refund_no')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-refund_no" data-rule="required" class="form-control" name="row[refund_no]" type="text" value="">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Order_no')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-order_no" data-rule="required" class="form-control" name="row[order_no]" type="text" value="">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Amount')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-amount" data-rule="required" class="form-control" step="0.01" name="row[amount]" type="number" value="0.00">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Result_refund_fee')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-result_refund_fee" data-rule="required" class="form-control" name="row[result_refund_fee]" type="number" value="0">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Result_refund_no')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-result_refund_no" data-rule="required" class="form-control" name="row[result_refund_no]" type="text" value="">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-remark" data-rule="required" class="form-control" name="row[remark]" type="text" value="">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
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<div class="col-xs-12 col-sm-8">
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<div class="radio">
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{foreach name="statusList" item="vo"}
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<label for="row[status]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="1"}checked{/in} /> {$vo}</label>
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{/foreach}
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Result_status')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-result_status" data-rule="required" class="form-control" name="row[result_status]" type="text" value="">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Result_refund_status')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-result_refund_status" data-rule="required" class="form-control" name="row[result_refund_status]" type="text" value="">
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</div>
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</div>
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<div class="form-group layer-footer">
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<label class="control-label col-xs-12 col-sm-2"></label>
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<div class="col-xs-12 col-sm-8">
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<button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
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</div>
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</div>
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</form>
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