koha-tmpl/intranet-tmpl/default/en/maninvoice.tmpl

   1 <!-- TMPL_INCLUDE Name="members-top.inc" -->
   2 <div id="mainbloc">
   3         <h1 class="member">Manual Invoice</h1>
   4         <form action="/cgi-bin/koha/maninvoice.pl" method="post">
   5         <input type="hidden" name="bornum" value="<!-- TMPL_VAR NAME="bornum" -->">
   6         <p><label class="label100">Borrowernumber </label><!-- TMPL_VAR NAME="bornum" --></p>
   7         <p>
   8                 <label class="label100"><b>Type</label>
   9                 <select name="type">
  10                         <option value="L">Lost Item</option>
  11                         <option value="F">Fine</option>
  12                         <option value="A">Account Management Fee</option>
  13                         <option value="N">New Card</option>
  14                         <option value="M">Sundry</option>
  15                         <option value="REF">Cash Refund</option>
  16                 </select>
  17         </p>
  18         <p><label class="label100">Itemnumber</label><input type="text" name="itemnum"></p>
  19         <p><label class="label100">Description</label><input type="text" name="desc" size="50"></p>
  20         <p><label class="label100">Amount</label><input type="text" name="amount"></p>
  21         <p><label class="label100"><input type="submit" class="button" name="add" value="Add"></p>
  22         </table>
  23         </form>
  24 </div>
  25 <!-- TMPL_INCLUDE Name="members-bottom.inc" -->