book_admin/application/admin/view/referral/vipreferral/edit.html

<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label for="c-referral_id" class="control-label col-xs-12 col-sm-2">{:__('Referral_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-referral_id" data-rule="required" data-source="referral/index" class="form-control selectpage" name="row[referral_id]" type="text" value="{$row.referral_id}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-short_url" class="control-label col-xs-12 col-sm-2">{:__('Short_url')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-short_url" data-rule="required" class="form-control" name="row[short_url]" type="text" value="{$row.short_url}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-push" class="control-label col-xs-12 col-sm-2">{:__('Push')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-push" data-rule="required" class="form-control selectpicker" name="row[push]">
                {foreach name="pushList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.push"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </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>