<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">{:__('Order_sn')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_sn" data-rule="required" class="form-control" name="row[order_sn]" type="text" value="''">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('House_ids')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-house_ids" data-rule="required" data-source="house/index" data-multiple="true" class="form-control selectpage" name="row[house_ids]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Store_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-store_name" data-rule="required" class="form-control" name="row[store_name]" type="text" value="''">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Industry_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-industry_id" data-rule="required" data-source="industry/index" class="form-control selectpage" name="row[industry_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="''">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" data-rule="required" class="form-control" name="row[mobile]" type="text" value="''">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('License')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-license" data-rule="required" class="form-control" name="row[license]" 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">
            
            <div class="radio">
            {foreach name="statusList" item="vo"}
            <label for="row[status]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="1"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pay_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pay_time" data-rule="required" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[pay_time]" 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">{:__('Transaction_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-transaction_id" data-rule="required" data-source="transaction/index" class="form-control selectpage" name="row[transaction_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Store_icon')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-store_icon" class="form-control" name="row[store_icon]" type="text" value="''">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Province')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-province" class="form-control" name="row[province]" type="text" value="NULL">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('City')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class='control-relative'><input id="c-city" class="form-control" data-toggle="city-picker" name="row[city]" type="text" value="''"></div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Region')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-region" class="form-control" name="row[region]" type="text" value="''">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Images')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-images" class="form-control" size="50" name="row[images]" type="textarea" value="NULL">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="plupload-images" class="btn btn-danger plupload" data-input-id="c-images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-images"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-images" class="btn btn-primary fachoose" data-input-id="c-images" data-mimetype="image/*" data-multiple="true"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-images"></span>
            </div>
            <ul class="row list-inline plupload-preview" id="p-images"></ul>
        </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>