{$layout "layout_popup"}

<h3>添加非标报头</h3>
<form method="post" class="ui form" data-tea-action="$" data-tea-success="success">
	<input type="hidden" name="headerPolicyId" :value="headerPolicyId"/>
	<table class="ui table definition selectable">
		<tr>
			<td class="title">报头名称<em>（Name）</em></td>
			<td>
				<input type="text" name="name" maxlength="100" ref="focus" v-model="headerName"/>
                <p class="comment">比如<code-label>hello_world</code-label>。</p>
			</td>
		</tr>
	</table>
	<submit-btn></submit-btn>
</form>
