48 lines
3.0 KiB
PHP
48 lines
3.0 KiB
PHP
<div class="modal fade" id="orgTopUpModal" tabindex="-1" role="dialog" aria-hidden="true">
|
|
<div class="modal-dialog" role="document">
|
|
<div class="modal-content">
|
|
<div class="color-line"></div>
|
|
<div class="modal-header">
|
|
<h4 class="modal-title titleHead" ></h4>
|
|
<small class="font-bold">Complete the form for the Top Up</small>
|
|
</div>
|
|
<div class="modal-body">
|
|
<div class="alert alert-danger hidden" id="topupError"></div>
|
|
<div class="alert alert-success hidden" id="topupSuccess"></div>
|
|
<form action="{{url('admin/topups')}}" id="dealerTopForm" method="POST">
|
|
<input type="hidden" name="organisation" class="org_id" id="selectedOrgId" value="">
|
|
{{csrf_field()}}
|
|
<div class="row">
|
|
<div class="form-group col-md-12">
|
|
<label for="topUpAmount" class="col-form-label">Amount</label>
|
|
<input required type="number" class="form-control" name="amount" id="topUpAmount" placeholder="Amount">
|
|
</div>
|
|
<div class="form-group col-md-12">
|
|
<label for="paymentMethod" class="col-form-label">Payment Method</label>
|
|
<select name="payment" id="paymentMethod" class="form-control select2" data-toggle="select2" data-placeholder="Select Payment Method">
|
|
<option value="None">Select Payment Method</option>
|
|
<option value="cash">Cash</option>
|
|
<option value="Mobile Money">Mobile Money</option>
|
|
</select>
|
|
</div>
|
|
<div class="form-group col-md-12">
|
|
<label for="discount" class="col-form-label">Commission (%)</label>
|
|
<input type="text" name="discount" id="discount" class="form-control discountInput" required="">
|
|
</div>
|
|
<div class="form-group col-md-12">
|
|
<label for="discount" class="col-form-label">Finanl Amount</label>
|
|
<input type="text" name="final_amount" id="discount" class="form-control discountInput" required="">
|
|
</div>
|
|
</div>
|
|
|
|
<button type="submit" class="btn btn-primary btn-block">Add </button>
|
|
<button type="reset" class="btn btn-danger btn-block" data-dismiss="modal">Close</button>
|
|
</form>
|
|
</div>
|
|
<!-- <div class="modal-footer">
|
|
<button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
|
|
<button type="button" class="btn btn-primary">Save changes</button>
|
|
</div> -->
|
|
</div>
|
|
</div>
|
|
</div> |