<form class="form-horizontal az-form" id="form" name="form" method="POST">
	<input type="hidden" name="idpayment_type" id="idpayment_type">
	<div class="form-group">
		<label class="control-label col-md-4">Nama Jenis Pembayaran <red>*</red></label>
		<div class="col-md-5">
			<input type="text" class="form-control" id="payment_type_name" name="payment_type_name"/>
		</div>
	</div>
</form>