mitrobill/ui/theme/default/refill.tpl

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2017-03-11 02:51:06 +07:00
{include file="sections/header.tpl"}
<div class="row">
<div class="col-sm-12 col-md-12">
<div class="panel panel-default panel-hovered panel-stacked mb30">
<div class="panel-heading">{$_L['Recharge_Account']}</div>
<div class="panel-body">
<form class="form-horizontal" method="post" role="form" action="{$_url}prepaid/refill-post" >
<div class="form-group">
<label class="col-md-2 control-label">{$_L['Select_Account']}</label>
<div class="col-md-6">
<select id="personSelect" name="id_customer" style="width: 100%" data-placeholder="{$_L['Select_Customer']}...">
<option></option>
{foreach $c as $cs}
<option value="{$cs['id']}">{$cs['username']}</option>
{/foreach}
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{$_L['Code_Voucher']}</label>
<div class="col-md-6">
<input type="text" class="form-control" id="code" name="code" placeholder="{$_L['Enter_Voucher_Code']}">
</div>
</div>
<div class="form-group">
<div class="col-lg-offset-2 col-lg-10">
<button class="btn btn-success waves-effect waves-light" type="submit">{$_L['Recharge']}</button>
Or <a href="{$_url}customers/list">{$_L['Cancel']}</a>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
{include file="sections/footer.tpl"}