84 lines
3.8 KiB
PHP
Executable File
84 lines
3.8 KiB
PHP
Executable File
@extends('layouts.master')
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@section('page_title')
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@if(isset($page_title))
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{{ $page_title }}
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@endif
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@endsection
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@section('content')
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<div class="">
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<div class="page-title">
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<div class="title_left" style="width:800px !important;">
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<ol class="breadcrumb">
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<li><a href="{!! url('dashboard') !!}">Dashboard</a></li>
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<li class="active">Create Service</li>
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</ol>
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</div>
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</div>
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<div class="clearfix"></div>
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<div class="row">
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<div class="col-md-12 col-sm-12 col-xs-12">
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<div class="x_panel">
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<div class="x_title">
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@include('commons.notifications')
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<div class="clearfix"></div>
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</div>
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{{-- start of content --}}
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<div class="x_content">
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<br>
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{!! Form::model($client, [
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'method' => 'PATCH',
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'url' => ['ussdclients', $client],
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'class' => 'form-horizontal form-label-left'
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]) !!}
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<div class="form-group">
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<label class="control-label col-md-3 col-sm-3 col-xs-12" for="amountPaid">Amount Paid</label>
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<div class="col-md-6 col-sm-6 col-xs-12 {{ $errors->has('amount_paid') ? 'has-error' : ''}}">
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{!! Form::number('amount_paid', old('amount_paid'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Enter amount total amount paid' , 'id' => 'amountPaid']) !!}
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{!! $errors->first('amount_paid', '<p class="help-block">:message</p>') !!}
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<p class="help-block" style="color: red;">-- no commas --</p>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-md-3 col-sm-3 col-xs-12" for="paymentType">Payment Type</label>
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<div class="col-md-6 col-sm-6 col-xs-12 {{ $errors->has('payment_type') ? 'has-error' : ''}}">
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{!! Form::text('payment_type', old('payment_type'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Enter payment type e.g. initial deposit' , 'id' => 'paymentType']) !!}
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{!! $errors->first('payment_type', '<p class="help-block">:message</p>') !!}
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-md-3 col-sm-3 col-xs-12" for="remarks">Remarks</label>
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<div class="col-md-6 col-sm-6 col-xs-12 {{ $errors->has('remarks') ? 'has-error' : ''}}">
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{!! Form::text('remarks', old('remarks'), ['class' => 'form-control col-md-7 col-xs-12', 'placeholder'=>'Enter remarks' , 'id' => 'remarks']) !!}
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{!! $errors->first('remarks', '<p class="help-block">:message</p>') !!}
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</div>
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</div>
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<div class="ln_solid"></div>
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<div class="form-group">
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<div class="col-md-6 col-sm-6 col-xs-12 col-md-offset-3">
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<button type="submit" class="btn btn-success"><i class="fa fa-save"></i> Submit</button>
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</div>
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</div>
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{!! Form::close() !!}
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</div>
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{{-- end of x_content --}}
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</div>
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{{-- end of x_panel --}}
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</div>
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</div>
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</div>
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@endsection
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@section('javascript')
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<script type="text/javascript">
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$(function(){
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$('select').select2();
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});
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</script>
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@endsection
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