pig/application/admin/view/lottery/tickets/add.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">{:__('T1')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-t1" class="form-control" name="row[t1]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('T2')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-t2" class="form-control" name="row[t2]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('T3')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-t3" class="form-control" name="row[t3]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('T4')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-t4" class="form-control" name="row[t4]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('T5')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-t5" class="form-control" name="row[t5]" type="number">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>