allocatr/application/admin/view/order/invoice/add.html
2025-04-16 17:51:41 +08:00

102 lines
4.5 KiB
HTML

<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">订单编号:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-order_id" data-rule="required" disabled data-source="order/index" class="form-control" type="text" value="{$row.order_no}">
</div>
</div>
<input class="form-control" style="display: none" type="text" value="{$row.id}">
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">发票类型:</label>
<div class="col-xs-12 col-sm-8">
<select id="c-source" data-live-search="true" title="请选择" data-rule="required" name="row[invoice_type]" class="form-control">
<option value="1">公司发票</option>
<option value="2">个人发票</option>
</select>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">抬头/名字:</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 class="control-label col-xs-12 col-sm-2">纳税人识别号:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-tax_number" class="form-control" name="row[tax_number]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">金额:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-amount" data-rule="required" class="form-control" step="0.01" name="row[amount]" type="number">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">公司地址:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-company_address" class="form-control" name="row[company_address]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">公司电话:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-company_phone" class="form-control" name="row[company_phone]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">开户行:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-bank_name" class="form-control" name="row[bank_name]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">开户账号:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-bank_account" class="form-control" name="row[bank_account]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">接收邮箱:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-recipient_email" class="form-control" name="row[recipient_email]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">接收地址:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-recipient_address" class="form-control" name="row[recipient_address]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">接收名字:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-recipient_name" class="form-control" name="row[recipient_name]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">接收电话:</label>
<div class="col-xs-12 col-sm-8">
<input id="c-recipient_phone" class="form-control" name="row[recipient_phone]" type="text">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-12 col-sm-2">备注:</label>
<div class="col-xs-12 col-sm-8">
<textarea id="c-remark" class="form-control " rows="5" name="row[remark]" cols="50"></textarea>
</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-primary btn-embossed disabled">{:__('OK')}</button>
</div>
</div>
</form>