guoyao-jiankang/application/admin/view/orders/self_add.html

{extend name="common/common2" /}
{block name="main"}
<div class="row">
    <div class="col-sm-12">
        <div class="ibox float-e-margins">
            <div class="ibox-content">
                <form method="post" action="{:url('selfAdd',[],'')}/mode/{$mode}" class="form-horizontal">
                    {if $mode==0}
                    <input type="hidden" name="source_type" value="4">
                    {/if}
                    <div class="form-group">
                        <label class="col-sm-2 control-label">任务内容<span class="text-danger">*</span></label>
                        <div class="col-sm-6">
                            <textarea name="content" class="form-control" cols="30" rows="3"  id="value"></textarea>
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-sm-2 control-label">所在科室/部门</label>
                        <div class="col-sm-6">
                            {:widget('common/select',['name'=>'dep_id','lists'=>$dep_list,'value'=>$dep_id])}
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-sm-2 control-label">图片</label>
                        <div class="col-sm-6">
                            {:widget('common/upimg',['name'=>'images','multi'=>1,'val'=>''])}
                        </div>
                    </div>
                    {if $mode==1}
                    <div class="form-group">
                        <label class="col-sm-2 control-label">报修紧急程度<span class="text-danger">*</span></label>
                        <div class="col-sm-6">
                            <select name="repair_priority" class="form-control" >
                                <option value="2">普通</option>
                                <option value="1">可延缓</option>
                                <option value="3">紧急</option>

                            </select>
                        </div>
                    </div>
                    {/if}
                    <div class="hr-line-dashed"></div>
                    <div class="form-group">
                        <div class="col-sm-6 col-sm-offset-2">
                            <button class="btn btn-primary ajax-post" data-layer="1" target-form="form-horizontal" type="submit">确 定</button>
                            <button  class="btn cancel-btn btn-default" type="button">取 消</button>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>
{/block}
{block name="script"}
<script>

</script>
{/block}