@extends('layouts.app')

@section('header')
<div class="card borderless-card">
    <div class="card-block primary-breadcrumb">
        <div class="breadcrumb-header">
            <h5>Advance Payment</h5>
        </div>
        <div class="page-header-breadcrumb">
            <ul class="breadcrumb-title">
                <li class="breadcrumb-item">
                    <a href="{{ \URL::to('/')}}">
                        <i class="fas fa-home"></i>
                    </a>
                </li>
                <li class="breadcrumb-item"><a href="{{ \URL::to('advancePayment') }}">List Advance Payment</a>
                </li>
                <li class="breadcrumb-item"><a href="#">Edit Advance Payment</a>
                </li>
            </ul>
        </div>
    </div>
</div>

@endsection

@section('content')

<!-- Basic Form Inputs card start -->
<div class="card">
    <div class="card-header">
        <h5>Edit Advance Payment</h5>
    </div>
    <div class="card-block">
        <form method="post" action="{{ \URL::to('advancePayment/update') }}" data-parsley-validate="">
            {{ csrf_field() }}
            <input type="hidden" name="advancepayment_id" value="{{ $advancePayment->id }}">

            <div class="form-group row">
                 <label for="admissions" class="col-sm-2 col-form-label">Admission Id <i class="text-danger">*</i></label>
                <div class="col-sm-10">
                    <input class="form-control" id="admissions" name="admission_id" readonly="" value="{{$advancePayment->admission->admission_code}}"></select>
                </div>
            </div>

            <div class="form-group row">
                <label class="col-sm-2 col-form-label">Amount <i class="text-danger">*</i></label>
                <div class="col-sm-10">
                    <input type="number" step="2" id="amount" name="amount" class="form-control" required="" value="{{ $advancePayment->amount }}">
                </div>
            </div>

            <div class="form-group row">
                 <label for="mode" class="col-sm-2 col-form-label">Payment Mode <i class="text-danger">*</i></label>
                <div class="col-sm-10">
                    <select class="form-control"  name="mode">
                        @foreach($payment as $pay)
                            <option value="{{ $pay['id'] }}" {{ ($advancePayment->method == $pay['id']) ? 'selected' : ''  }}>{{ $pay['text'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>

            <div class="form-group row">
                 <label for="mode" class="col-sm-2 col-form-label">Other</label>
                <div class="col-sm-10">
                    <textarea id="other" name="other" class="form-control">{{ $advancePayment->other }}</textarea> 
                </div>
            </div>

            <div class="row">
                <label class="col-sm-2"></label>
                <div class="col-sm-10">
                    <button type="submit" class="btn btn-primary m-b-0">Update</button>
                </div>
            </div>

           
        </form>
    </div>
</div>

@endsection