book_admin/application/admin/view/special/recharge/tpl/add.html

<style type="text/css">
    .goods_value {
        padding-top: 7px;
    }
</style>
<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <div class="form-group">
        <label for="c-title" class="control-label col-xs-12 col-sm-2">{:__('标题')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-title" data-rule="required" class="form-control" name="row[title]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label for="c-goods_id" class="control-label col-xs-12 col-sm-2">商品:</label>
        <div class="col-xs-12 col-sm-8">
            <input name="row[money]" value="0" type="hidden">
            <a href="javascript:" class="btn btn-primary js_choose_goods"><i class="fa fa-list"></i>选择商品</a>
            <input id="c-goods_id" class="js_selected_goods_id form-control" data-rule="required" name="row[goods_id]" type="hidden">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">商品类型:</label>
        <div class="col-xs-12 col-sm-8 goods_value">
            <span class="js_selected_goods_type_text"></span>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">价格:</label>
        <div class="col-xs-12 col-sm-8 goods_value">
            <span class="js_selected_goods_money"></span>
        </div>
    </div>
    <div class="form-group js_kandian_group">
        <label class="control-label col-xs-12 col-sm-2">充值书币数:</label>
        <div class="col-xs-12 col-sm-8 goods_value">
            <span class="js_selected_goods_kandian"></span>
        </div>
    </div>
    <div class="form-group js_kandian_group">
        <label class="control-label col-xs-12 col-sm-2">赠送书币数:</label>
        <div class="col-xs-12 col-sm-8 goods_value">
            <span class="js_selected_goods_free_kandian"></span>
        </div>
    </div>
    <div class="form-group js_kandian_group">
        <label class="control-label col-xs-12 col-sm-2">免费书币时效(天):</label>
        <div class="col-xs-12 col-sm-8 goods_value">
            <span class="js_selected_goods_free_day"></span>
        </div>
    </div>
    <div class="form-group js_vip_group">
        <label class="control-label col-xs-12 col-sm-2">VIP天数:</label>
        <div class="col-xs-12 col-sm-8 goods_value">
            <span class="js_selected_goods_day"></span>
        </div>
    </div>

    <div class="form-group">
        <label for="c-channel_id" class="control-label col-xs-12 col-sm-2">{:__('Channel_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-channel_id" data-rule="required" class="form-control" name="row[channel_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group js_kandian_group">
        <label for="c-cost" class="control-label col-xs-12 col-sm-2">{:__('Cost')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-cost" class="form-control" step="0.01" name="row[cost]" type="number" value="0.00">
        </div>
    </div>
    <div class="form-group">
        <label for="c-status" 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]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="normal"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </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-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>