
<patTemplate:tmpl name="pageoutput" unusedvars="strip">
	<h2 class="page-header">{PAGETITLE} : {GUEST_NAME} {BOOKING_NUMBER}</h2>

	<form action="{JOMRES_SITEPAGE_URL_NOSEF}" method="post" name="adminForm" class="form-horizontal">
		<fieldset>
			<div class="control-group">
				<label class="control-label" for="service_description">{HSERVICEDESCRIPTION}</label>

				<div class="controls">
					<input class="inputbox" type="text" name="service_description" value=""/>
				</div>
			</div>
			<div class="control-group">
				<label class="control-label" for="service_value">{HSERVICEVALUE}</label>

				<div class="controls">
					<input class="inputbox" type="text" name="service_value" value=""/>
				</div>
			</div>
			<div class="control-group">
				<label class="control-label" for="service_qty">{HQTY}</label>

				<div class="controls">
					<input class="inputbox" type="text" name="service_qty" value=""/>
				</div>
			</div>
			<div class="control-group">
				<label class="control-label" for="taxrate">{HTAXRATE}</label>

				<div class="controls">
					{TAXRATEDROPDOWN}
				</div>
			</div>
			<div class="form-actions">
				{JOMRESTOOLBAR}
			</div>
			<input type="hidden" name="contract_uid" value="{CONTRACTUID}"/>
			<input type="hidden" name="task" value="add_service_to_bill"/>
			{CSRF_TOKEN}
		</fieldset>
	</form>
</patTemplate:tmpl>