81 lines
4.3 KiB
PHP
81 lines
4.3 KiB
PHP
<div class="modal fade" id="financePaymentsEditForm" tabindex="-1" role="dialog" aria-labelledby="paymentModalLabel" aria-hidden="true">
|
|
<div class="modal-dialog">
|
|
<div class="modal-content">
|
|
<div class="modal-header">
|
|
<!-- <h4 class="modal-title">Default Modal</h4> -->
|
|
<h5 class="modal-title text-center" id="paymentModalLabelHeading">Update Payment Details</h5>
|
|
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
|
|
<span aria-hidden="true">×</span>
|
|
</button>
|
|
</div>
|
|
<div class="modal-body">
|
|
<form class="form-vertical" method="POST" id="financeEditForm" action="{{ url('mnos/finance_update') }}">
|
|
{{ csrf_field() }}
|
|
<input type="hidden" name="mno_id" id="mnoIdEdit" value="{{ $network_arr->id }}">
|
|
<input type="hidden" name="payment_id" id="paymentIdEdit" value="">
|
|
<div class="row">
|
|
<div class="form-group">
|
|
<div class="col-md-12">
|
|
<label for="financeServicesEdit">Services *</label>
|
|
{!! Form::select('services[]', $service_type_names , old('services'), ['class' => 'form-control' , 'id' => 'financeServicesEdit', 'required' => 'required', 'multiple'=> 'true', 'style' => 'width: 100%']) !!}
|
|
</div>
|
|
</div>
|
|
<div class="form-group" >
|
|
<div class="col-md-12" style="padding-bottom: 5px;">
|
|
<label for="invoiceNumberEdit">Invoice Number *</label>
|
|
<input type="text" class="form-control" name="invoice_number" id="invoiceNumberEdit" required >
|
|
</div>
|
|
</div>
|
|
<div class="form-group" >
|
|
<div class="col-md-12" style="padding-bottom: 5px;">
|
|
<label for="invoiceAmountEdit">Invoice Amount</label>
|
|
<input type="text" class="form-control" name="invoice_amount" id="invoiceAmountEdit" required >
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-md-12">
|
|
<div class='input-group date' id='myDatepicker2' style="padding-bottom: 5px;">
|
|
<label for="invoiceDateEdit">Invoice Date *</label>
|
|
<input type="text" class="form-control" name="invoice_date" id="invoiceDateEdit" required >
|
|
<div class="input-group-addon">
|
|
<span class="fa fa-calendar"></span>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<div class="col-md-12" style="padding-bottom: 5px">
|
|
<label for="invoiceStatusEdit">Status *</label>
|
|
{!! Form::select('invoice_status', [ 'PAID' => 'PAID', 'UNPAID' => 'UNPAID'] , old('services'), ['class' => 'form-control' , 'id' => 'invoiceStatusEdit', 'required' => 'required', 'placeholder' => '', 'style' => 'width: 100%']) !!}
|
|
</div>
|
|
</div>
|
|
<div class="form-group" >
|
|
<div class="col-md-12" style="padding-bottom: 5px;">
|
|
<label for="remarksEdit">Remarks</label>
|
|
<input type="text" class="form-control" name="remarks" id="remarksEdit"></textarea>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
<div class="form-group" style="margin-bottom: 0.2rem; padding-bottom: 5px; padding-top: 5px;">
|
|
<div class="col-md-12" style="padding-bottom: 10px;">
|
|
<button type="submit" class="btn btn-success btn-block updateBtn"> <i class="fa fa-send"></i> Submit</button>
|
|
</div>
|
|
</div>
|
|
<div class="form-group" style="margin-bottom: 0.5rem; padding-bottom: 5px; padding-top: 5px;">
|
|
<div class="col-md-12">
|
|
<button type="button" class="btn btn-dark btn-block" data-dismiss="modal"><i class="fa fa-close"></i> Close</button>
|
|
</div>
|
|
</div>
|
|
|
|
</div>
|
|
</form>
|
|
</div>
|
|
|
|
</div>
|
|
<!-- /.modal-content -->
|
|
</div>
|
|
<!-- /.modal-dialog -->
|
|
</div>
|
|
<!-- /.modal -->
|