beauti-nof/application/admin/view/mobile_flow_area_template/add.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">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text">
        </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">
            {:build_radios('row[status]',$status, 0)}
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('选择地区')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class='control-relative'>
                <input id="names" class="form-control" data-toggle="areapicker" data-iscustomer="true" data-datasource="true" data-input-name="names"
                data-input-val="city_code" name="row[city]" type="text" value="" autocomplete="off" />
            </div>
        </div>
        <a href="javascript:;" class="btn btn-success btn-add-city" title="{:__('Add')}" ><i class="fa fa-plus"></i> {:__('Add')}</a>
    </div>
    <!-- <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('已选地区')}:</label>
        <div class="col-xs-12 col-sm-8">
            <table class="table table-striped table-bordered table-hover table-nowrap" width="100%" id="city-table">
            </table>
        </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">
            <input type="hidden" name="row[city_code]" id="city_code">
            <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>