<div class="page page-product_retur" data-name="product_retur">
  <div class="navbar navbar-large">
    <div class="navbar-bg">
    </div>
    <div class="navbar-inner">
      <div class="left">
        <a href="#" class="link back">
          <i class="icon f7-icons arrow-back">arrow_left</i>
        </a>
      </div>
      <div class="title">Product Retur</div>
      <div class="title-large">
        <div class="title-large-text">Product Retur</div>
      </div>
      <div class="right">
      </div>
    </div>
  </div>
  <div class="page-content">
    <form class="mt-40 mb-20">
      <input type="hidden" id="p4_product_id" value="">
      <input type="hidden" id="p4_retur_cat" value="">
      <label for="p4_name">Product Name</label>
      <input type="text" id="p4_name" placeholder="Product Name" value="">
      <label for="p4_item_code">Item Code</label>
      <input type="text" id="p4_item_code" placeholder="Item Code" value="">
      <label for="p4_from_to">From/To</label>
      <input type="text" id="p4_from_to" placeholder="From/To" value="">
      <label for="p4_action_at">Action At</label>
      <input type="datetime-local" id="p4_action_at" placeholder="Action At" value="">
      <label for="p4_qty">Qty</label>
      <input type="text" id="p4_qty" placeholder="Qty" value="">
      <label for="p4_price_per_unit">Price Per Unit</label>
      <input type="text" id="p4_price_per_unit" placeholder="Price Per Unit" value="">
      <label for="p4_invoice">Invoice Id</label>
      <input type="text" id="p4_invoice" placeholder="Invoice Id" value="">
      <label for="p4_returid">Retur Id</label>
      <input type="text" id="p4_returid" placeholder="Retur Id" value="">
      <a href="#" id="product_retur_button" class="btn btn-primary btn-block fw-700 mb-30">Save</a>
    </form>
  </div>
</div>