dm-v3.7in6.com/application/admin/view/qcode_bach/reprint.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">公司名称：</label>
        <div class="col-xs-12 col-sm-8">
            <input id="sel-n" name="row[nickname]" data-rule="required" style="font-size: 20px;" data-source="qcode_bach/sel_n" data-primary-key="nickname" data-field="nickname" class="form-control selectpage" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">辅料名称：</label>
        <div class="col-xs-12 col-sm-8">
            <input id="sel-p" name="row[product_name]" placeholder="辅料名称和辅料编码填一个即可,都填写以辅料编码为准" style="font-size: 20px;" data-source="qcode_bach/sel_p" data-primary-key="product_name" data-field="product_name" class="form-control selectpage" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">辅料编码：</label>
        <div class="col-xs-12 col-sm-8">
            <input id="sel-c" name="row[product_code]" placeholder="辅料名称和辅料编码填一个即可,都填写以辅料编码为准" style="font-size: 20px;" data-source="qcode_bach/sel_c" data-primary-key="product_code" data-field="product_code" class="form-control selectpage" type="number" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">配盘数：</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sqrcd" data-rule="required" style="font-size: 20px;" class="form-control" name="row[sqrcd]" type="number" value="162">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">数量：</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-num" class="form-control" style="font-size: 20px;" name="row[num]" type="text">
        </div>
    </div>

    <div class="form-group layer-footer" >
        <div style="text-align: center">
            <button type="submit" id="btn" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>