@extends('layouts.master') @section('page_title') @if(isset($page_title)) {{ $page_title }} @endif @endsection @section('css') @endsection @section('content')
@include('commons.notifications')
{{-- start of content --}}

{!! Form::open(['url' => 'reports', 'class' => 'form-horizontal form-label-left']) !!}
{!! Form::select('client', $clients ,old('client'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Select Client' , 'id' => 'client']) !!} {!! $errors->first('client', '

:message

') !!}
{!! Form::select('service', $service ,old('service'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Select Service' , 'id' => 'service']) !!} {!! $errors->first('service', '

:message

') !!}
{!! Form::text('contact_person', old('contact_person'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Enter Contact Person' , 'id' => 'contact_person']) !!} {!! $errors->first('contact_person', '

:message

') !!}
{!! Form::text('email', old('email'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Enter Email' , 'id' => 'email']) !!} {!! $errors->first('email', '

:message

') !!}
{!! Form::textarea('discussion', old('discussion'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Enter discussion' , 'id' => 'discussion']) !!} {!! $errors->first('discussion', '

:message

') !!}
{!! Form::select('payment_type', $payment_type ,old('payment_type'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Select payment type' , 'id' => 'payment_type']) !!} {!! $errors->first('payment_type', '

:message

') !!}
{!! Form::text('current_balance', old('current_balance'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Enter current balance' , 'id' => 'current_balance']) !!} Enter amount without comma {!! $errors->first('current_balance', '

:message

') !!}
{!! Form::select('payment_status', $payment_status ,old('payment_status'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Select payment Status' , 'id' => 'payment_status']) !!} {!! $errors->first('payment_status', '

:message

') !!}
{!! Form::text('last_follow_up_date', old('last_follow_up_date'), ['class' => 'form-control col-md-7 col-xs-12 followUpdates', 'placeholder'=>'Enter date' , 'id' => 'last_follow_up_date']) !!} {!! $errors->first('last_follow_up_date', '

:message

') !!}
{!! Form::text('next_follow_up_date', old('next_follow_up_date'), ['class' => 'form-control col-md-7 col-xs-12 followUpdates', 'placeholder'=>'Enter date' , 'id' => 'next_follow_up_date']) !!} {!! $errors->first('next_follow_up_date', '

:message

') !!}
{!! Form::close() !!}
{{-- end of x_content --}}
{{-- end of x_panel --}}
@endsection @section('javascript') @endsection