61 lines
2.7 KiB
PHP

<form class="layui-form layui-box" style='padding:25px 30px 20px 0' action="{:request()->url()}" data-auto="true" method="post">
<div class="layui-form-item">
<label class="layui-form-label">收货人姓名</label>
<div class="layui-input-block">
<input class="layui-input" required placeholder="请输入收货人姓名" title="请输入收货人姓名" name="username" value="{$username}">
</div>
</div>
<div class="layui-form-item">
<label class="layui-form-label">收货人手机</label>
<div class="layui-input-block">
<input class="layui-input" pattern="^1\d{10}$" required placeholder="请输入收货人手机" title="请输入收货人手机" name="phone" value="{$phone}">
</div>
</div>
<div class="layui-form-item">
<label class="layui-form-label label-required">收货省市区</label>
<div class="layui-input-block">
<div class="layui-col-xs4 padding-right-5">
<select name="form_express_province" class="layui-select block full-width" lay-ignore></select>
</div>
<div class="layui-col-xs4 padding-right-5">
<select name="form_express_city" class="layui-select block full-width" lay-ignore></select>
</div>
<div class="layui-col-xs4">
<select name="form_express_area" class="layui-select block full-width" lay-ignore></select>
</div>
</div>
</div>
<div class="layui-form-item">
<label class="layui-form-label">详细地址</label>
<div class="layui-input-block">
<textarea required placeholder="请输入详细地址" title="请输入详细地址" name="address" class="layui-textarea">{$address|default=""}</textarea>
</div>
</div>
<div class="layui-form-item">
<label class="layui-form-label">备注</label>
<div class="layui-input-block">
<textarea required placeholder="请输入备注" title="请输入备注" name="desc" class="layui-textarea">{$desc|default=""}</textarea>
</div>
</div>
<div class="hr-line-dashed"></div>
<div class="layui-form-item text-center">
{if isset($order_no)}<input type='hidden' value='{$order_no}' name='order_no'>{/if}
<button class="layui-btn" type='submit'>保存数据</button>
<button class="layui-btn layui-btn-danger" type='button' data-confirm="确定要取消编辑吗?" data-close>取消编辑</button>
</div>
<script>
require(['pcasunzips'], function () {
new PCAS('form_express_province', 'form_express_city', 'form_express_area', '{$province}', '{$city}', '{$area}');
});
</script>
</form>