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- <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">{:__('Title')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-title" class="form-control" name="row[title]" type="text">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Content')}:</label>
- <div class="col-xs-12 col-sm-8">
- <textarea id="c-content" class="form-control editor" rows="5" name="row[content]" cols="50"></textarea>
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Is_read')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-is_read" class="form-control" name="row[is_read]" type="number" value="0">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Ctime')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-ctime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[ctime]" type="text" value="{:date('Y-m-d H:i:s')}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Doctor_id')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-doctor_id" data-rule="required" data-source="doctor/index" class="form-control selectpage" name="row[doctor_id]" type="text" value="">
- </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">
- <input id="c-status" class="form-control" name="row[status]" type="text" value="0">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Institution_id')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-institution_id" data-rule="required" data-source="institution/index" class="form-control selectpage" name="row[institution_id]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Department_id')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-department_id" data-rule="required" data-source="department/index" class="form-control selectpage" name="row[department_id]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Count')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-count" class="form-control" name="row[count]" type="number" value="1">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Url')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-url" class="form-control" name="row[url]" type="text">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Type')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-type" class="form-control" name="row[type]" type="text">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Htime')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-htime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[htime]" type="text" value="{:date('Y-m-d H:i:s')}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Application_id')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-application_id" data-rule="required" data-source="application/index" class="form-control selectpage" name="row[application_id]" type="text" value="">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Is_remote')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-is_remote" class="form-control" name="row[is_remote]" type="text">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Exam_id')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-exam_id" data-rule="required" data-source="exam/index" class="form-control selectpage" name="row[exam_id]" type="text" value="">
- </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>
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