mitrobill/ui/ui/refill.tpl
2024-03-16 20:41:24 +07:00

39 lines
1.8 KiB
Smarty

{include file="sections/header.tpl"}
<div class="row">
<div class="col-sm-12 col-md-12">
<div class="panel panel-primary panel-hovered panel-stacked mb30">
<div class="panel-heading">{Lang::T('Refill Account')}</div>
<div class="panel-body">
<form class="form-horizontal" method="post" role="form" action="{$_url}plan/refill-post">
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Select Account')}</label>
<div class="col-md-6">
<select id="personSelect" class="form-control select2" name="id_customer"
style="width: 100%" data-placeholder="{Lang::T('Select a customer')}...">
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Code Voucher')}</label>
<div class="col-md-6">
<input type="text" class="form-control" id="code" name="code"
placeholder="{Lang::T('Enter voucher code here')}">
</div>
</div>
<div class="form-group">
<div class="col-lg-offset-2 col-lg-10">
<button class="btn btn-success"
type="submit">{Lang::T('Recharge')}</button>
Or <a href="{$_url}customers/list">{Lang::T('Cancel')}</a>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
{include file="sections/footer.tpl"}