odd_job/app/agent/view/report/entryform.html

<div class="layui-fluid">
	<div class="layui-row layui-col-space15">
		<div class="layui-col-md12">
			<div class="layui-card">
				<div class="layui-card-header">报备名单</div>
				<div class="layui-card-body" pad15>

					<div class="layui-form layui-form-pane" lay-filter="LAY-report-entryform-edit">
						<input type="hidden" name="id" value="{$entry.id}">
						<div class="layui-form-item">
							<label class="layui-form-label">经纪人</label>
							<div class="layui-input-block">
								<select name="brokerid" lay-search>
									<option value="">全部经纪人（可搜索）</option>
									{volist name="brokerlist" id="vo"}
									<option value="{$vo['id']}" {$entry.brokerid==$vo.id ? 'selected' : '' }>{$vo['title']}</option>
									{/volist}
								</select>
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">意向工厂</label>
							<div class="layui-input-block">
								<select name="factoryid" lay-search>
									<option value="">请选择意向工厂（可搜索）...</option>
									{volist name="factorylist" id="vo"}
									<option value="{$vo['id']}" {$entry.factoryid==$vo.id ? 'selected' : '' }>{$vo['title']}</option>
									{/volist}
								</select>
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label"><span style="color:#f90c05;">*</span>姓名</label>
							<div class="layui-input-block">
								<input type="text" name="realname" value="{$entry.realname}" lay-verify="required" placeholder="请输入..."
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">手机号</label>
							<div class="layui-input-block">
								<input type="text" name="mobile" value="{$entry.mobile}" lay-verify="phone" placeholder="请输入..." autocomplete="off"
								 class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label"><span style="color:#f90c05;">*</span>身份证号</label>
							<div class="layui-input-block">
								<input type="text" name="idcard" value="{$entry.idcard}" lay-verify="required" placeholder="请输入..."
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item" pane>
							<label class="layui-form-label">性别</label>
							<div class="layui-input-block">
								<input type="radio" name="gender" value="男" title="男" {eq name="entry.gender|default='男'" value="男" }checked{/eq} />
								<input type="radio" name="gender" value="女" title="女" {eq name="entry.gender" value="女" }checked{/eq} />
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label"><span style="color:#f90c05;">*</span>民族</label>
							<div class="layui-input-block">
								<input type="text" name="nation" value="{$entry.nation}" lay-verify="required" placeholder="请输入..." autocomplete="off"
								 class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">户籍地址</label>
							<div class="layui-input-block">
								<input type="text" name="address" value="{$entry.address}" placeholder="请输入..." autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label"><span style="color:#f90c05;">*</span>出发日期</label>
							<div class="layui-input-block">
								<input type="text" name="startdate" id="startdate" value="{$entry.startdate}" lay-verify="required" placeholder="请选择..."
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label"><span style="color:#f90c05;">*</span>到达日期</label>
							<div class="layui-input-block">
								<input type="text" name="enddate" id="enddate" value="{$entry.enddate}" lay-verify="required" placeholder="请选择..."
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label"><span style="color:#f90c05;">*</span>返费模式</label>
							<div class="layui-input-block">
								<input type="text" name="reftype" value="{$entry.reftype}" lay-verify="required" placeholder="请输入..."
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label"><span style="color:#f90c05;">*</span>返费政策</label>
							<div class="layui-input-block">
								<input type="text" name="refpolicy" value="{$entry.refpolicy}" lay-verify="required" placeholder="请输入..."
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">报备备注</label>
							<div class="layui-input-block">
								<input type="text" name="agentremark" value="{$entry.agentremark}" placeholder="请输入..." autocomplete="off"
								 class="layui-input">
							</div>
						</div>
						<div class="layui-form-item" pane>
							<label class="layui-form-label">状态</label>
							<div class="layui-input-block">
								<input type="radio" name="status" value="1" title="待确认" {eq name="entry.status|default=1" value="1" }checked{/eq} />
								<input type="radio" name="status" value="2" title="已确认" {eq name="entry.status" value="2" }checked{/eq} />
							</div>
						</div>
						<div class="layui-form-item">
							<div class="layui-input-block">
								<input type="button" lay-submit lay-filter="LAY-report-entryform-edit-submit" value="确认提交" class="layui-btn">
							</div>
						</div>
					</div>

				</div>
			</div>
		</div>
	</div>
</div>

<script>
	layui.config({
		base: '/static/echoui/' //静态资源所在路径
	}).extend({
		index: 'lib/index' //主入口模块
	}).use(['index', 'form', 'set', 'upload', 'laydate', 'selectN', 'selectM'], function() {
		var $ = layui.$,
			setter = layui.setter,
			admin = layui.admin,
			form = layui.form,
			laydate = layui.laydate,
			upload = layui.upload,
			selectN = layui.selectN,
			selectM = layui.selectM;
		form.render();

		laydate.render({
			elem: '#startdate',
			type: 'date'
		});
		laydate.render({
			elem: '#enddate',
			type: 'date'
		});
		laydate.render({
			elem: '#createtime',
			type: 'datetime'
		});

		form.on('submit(LAY-report-entryform-edit-submit)', function(obj) {
			var index = parent.layer.getFrameIndex(window.name);
			admin.req({
				url: setter.baseAgentUrl + 'report/editentry',
				type: 'post',
				data: obj.field,
				done: function(res) {
					layer.msg("提交成功", {
						icon: 1
					});
					parent.layui.table.reload('LAY-report-entrylist-table'); //重载表格
					parent.layer.close(index);
				}
			});
		});

	});
</script>