source: pro-violet-viettel/sourcecode/application/modules/admin/views/admin_acc/edit_admin.php

<div class="modal-dialog">
        <div class="modal-content">
                <div class="modal-header no-padding">
                        <div class="table-header">
                                <button aria-hidden="true" data-dismiss="modal" class="close" type="button">
                                        <span class="white">×</span>
                                </button>
                                Cập nhật quản trị viên
                        </div>
                </div>

                <div class="modal-body">
                        <form id="editAdmin_<?php echo $admin_id;?>" onsubmit="return false;" class="form-horizontal " role="form">
                                <input type="hidden" name="admin_id" value="<?php echo $admin_id; ?>" />
                                <div class="form-group">
                                        <label for="form-field-1" class="col-sm-3 control-label no-padding-right"> Họ tên </label>
                                        <div class="col-sm-9">
                                                <span class="input-icon">
                                                        <input type="text" name="full_name" placeholder="Họ tên" value="<?php echo $full_name; ?>">
                                                        <i class="icon-user blue"></i>
                                                </span>
                                        </div>
                                        <label class="block clearfix has-error">
                                                <div class="help-block"> </div>
                                        </label>
                                        
                                </div>
                                <div class="form-group">
                                        <label for="form-field-2" class="col-sm-3 control-label no-padding-right"> Tà i khoản </label>
                                        <div class="col-sm-9">
                                                <label class="block clearfix has-error">
                                                        <span class="input-icon">
                                                                <input type="text" name="login_name" placeholder="Tà i khoản" value="<?php echo $login_name; ?>">
                                                                <i class="icon-user blue"></i>
                                                        </span>
                                                        <div class="help-block"> </div>
                                                </label>
                                        </div>
                                </div>

                                <div class="form-group">
                                        <label for="form-field-3" class="col-sm-3 control-label no-padding-right"> Email </label>
                                        <div class="col-sm-9">
                                                <span class="input-icon">
                                                        <input type="text" name="email" placeholder="Email" value="<?php echo $email; ?>">
                                                        <i class="icon-envelope blue"></i>
                                                </span>
                                        </div>
                                        <label class="block clearfix has-error">
                                                <div class="help-block"> </div>
                                        </label>
                                        
                                </div>
                                <div class="form-group">
                                        <label for="form-field-4" class="col-sm-3 control-label no-padding-right"> Phone </label>
                                        <div class="col-sm-9">
                                                <span class="input-icon">
                                                        <input type="text" name="phone" placeholder="Phone" value="<?php echo $phone; ?>">
                                                        <i class="icon-phone blue"></i>
                                                </span>
                                        </div>
                                        <label class="block clearfix has-error">
                                                <div class="help-block"> </div>
                                        </label>
                                        
                                </div>

                                <div class="space-4"></div>
                                <div class="clearfix form-actions">
                                        <div class="col-md-offset-3 col-md-9">
                                                <button type="button"  onclick="return updateAdmin('<?php echo $admin_id;?>')" class="btn btn-info">
                                                        <i class="icon-ok bigger-110"></i>
                                                        Hoà n tất
                                                </button>

                                                &nbsp; &nbsp; &nbsp;
                                                <button id="close_<?php echo $admin_id;?>" class="btn btn-primary" data-dismiss="modal">
                                                        Hủy
                                                </button>
                                        </div>
                                </div>
                        </form>
                </div>
        </div>