@extends('admin.layouts.layouts') @section('title', 'Edit | History Documents') @section('content')
{!! Form::model($document, [ 'route' => ['legal-documents.update-history', $document->id], 'method' => 'POST', 'class' => 'legal-document-history-edit', 'id' => 'legal-document-history-edit', 'enctype' => 'multipart/form-data', ]) !!} @method('PUT') {!! Form::hidden('id', $document->id ?? '') !!} {!! Form::hidden('location_id', $document->legalDocument->location_id ?? '') !!}
{!! Form::label('document_number', 'Document Number') !!} * {!! Form::text('document_number', old('document_number'), [ 'class' => 'form-control', 'placeholder' => 'Enter Document Number', 'id' => 'document_number', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The document number field is required.', 'data-parsley-errors-container' => '#document_number_error', ]) !!}
{!! Form::label('attachment', 'Attachment') !!}
{!! Form::file('attachment', [ 'class' => 'form-control', 'id' => 'attachment', 'data-parsley-filetype' => 'pdf,doc,docx,png,jpg,jpeg', 'data-parsley-errors-container' => '#attachment_error', ]) !!} @php $extension = pathinfo($document->attachment, PATHINFO_EXTENSION); $imageExtensions = ['jpeg', 'png', 'jpg']; @endphp @if (!empty($document->attachment) && file_exists(public_path('storage/' . $document->attachment))) @if (in_array(strtolower($extension), $imageExtensions))
Aadhar Front
@else @endif @else No Image @endif
{{ form::hidden('hidden_reply_date', date('d-m-Y', strtotime($document->reply_date)), ['id' => 'hidden_reply_date']) }}
{!! Form::label('reply_date', 'Reply Date') !!} * {!! Form::text('reply_date', old('reply_date', date('d-m-Y', strtotime($document->reply_date))), [ 'id' => 'reply_date', 'class' => 'form-control', 'placeholder' => 'Select Reply Date', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The reply date field is required.', 'data-parsley-errors-container' => '#reply_date_error', ]) !!}
{{ form::hidden('hidden_payment_date', date('d-m-Y', strtotime($document->payment_date)), ['id' => 'hidden_payment_date']) }}
{!! Form::label('payment_date', 'Payment Date') !!} * {!! Form::text('payment_date', old('payment_date', date('d-m-Y', strtotime($document->payment_date))), [ 'id' => 'payment_date', 'class' => 'form-control', 'placeholder' => 'Select Payment Date', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The payment date field is required.', 'data-parsley-errors-container' => '#payment_date_error', ]) !!}
{!! Form::label('document_status', 'Document Status') !!} {!! Form::select('document_status', ['Pending' => 'Pending', 'Close' => 'Close'], old('document_status'), [ 'class' => 'form-control', 'id' => 'document_status', ]) !!}
{!! Form::label('legal_fees', 'Legal Fees') !!} {!! Form::text('legal_fees', old('legal_fees'), [ 'class' => 'form-control input', 'placeholder' => 'Enter Fees Amount', 'id' => 'legal_fees', ]) !!}
{!! Form::label('legal_fees_payment_mode', 'Legal Fess Payment Mode') !!} {!! Form::select( 'legal_fees_payment_mode', $payment_modes, old('legal_fees_payment_mode', $document->legal_payment_mode ?? ''), [ 'class' => 'form-control', 'placeholder' => 'Select Legal Fees Payment Mode', 'id' => 'legal_fees_payment_mode', ], ) !!}
{!! Form::label('cheque_no', 'Legal Fees Cheque Number', ['class' => 'form-label']) !!} * {!! Form::text('cheque_no', old('cheque_no'), [ 'id' => 'cheque_no', 'class' => 'form-control chequeNo', 'placeholder' => 'Enter Legal Fees Cheque Number', 'maxlength' => '10', 'data-parsley-trigger' => 'keyup', 'data-parsley-minlength' => '6', 'data-parsley-maxlength' => '10', 'oninput' => 'this.value=this.value.slice(0,this.maxLength)', 'data-parsley-minlength-message' => 'Legal fees cheque number must be at least 6 characters.', 'data-parsley-maxlength-message' => 'Legal fees cheque number may not be greater than 10 characters.', 'data-parsley-errors-container' => '#cheque_no_error', ]) !!}
{!! Form::label('other_fees', 'Other Fees') !!} {!! Form::text('other_fees', old('other_fees'), [ 'class' => 'form-control input', 'placeholder' => 'Enter Fees Amount', 'id' => 'other_fees', ]) !!}
{!! Form::label('other_fees_payment_mode', 'Other Fess Payment Mode') !!} {!! Form::select( 'other_fees_payment_mode', $payment_modes, old('other_fees_payment_mode', $document->other_payment_mode ?? ''), [ 'class' => 'form-control', 'placeholder' => 'Select Payment Mode', 'id' => 'other_fees_payment_mode', ], ) !!}
{!! Form::label('other_cheque_no', 'Other Fees Cheque Number', ['class' => 'form-label']) !!} * {!! Form::text('other_cheque_no', old('other_cheque_no'), [ 'id' => 'other_cheque_no', 'class' => 'form-control chequeNo', 'placeholder' => 'Enter Other Fees Cheque Number', 'maxlength' => '10', 'data-parsley-trigger' => 'keyup', 'data-parsley-minlength' => '6', 'data-parsley-maxlength' => '10', 'oninput' => 'this.value=this.value.slice(0,this.maxLength)', 'data-parsley-minlength-message' => 'Other fees cheque number must be at least 6 characters.', 'data-parsley-maxlength-message' => 'Other fees cheque number may not be greater than 10 characters.', 'data-parsley-errors-container' => '#other_cheque_no_error', ]) !!}
{!! Form::label('office_expense_type_id', 'Office Expense Type', ['class' => 'form-label']) !!} * {!! Form::select('office_expense_type_id', $office_expense_types, old('office_expense_type_id'), [ 'class' => 'form-control office_expense_type', 'placeholder' => 'Select Office Expense Type', 'id' => 'office_expense_type_id', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The expesne type field is required.', 'data-parsley-errors-container' => '#office_expense_type_id_error', ]) !!}
{!! Form::label('office_expense_sub_type_id', 'Office Expense Sub Type', ['class' => 'form-label']) !!} * {!! Form::select('office_expense_sub_type_id', $office_expense_sub_types, old('office_expense_sub_type_id'), [ 'class' => 'form-control office_expense_sub_type', 'placeholder' => 'Select Office Expense Sub Type', 'id' => 'office_expense_sub_type_id', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The expesne sub type field is required.', 'data-parsley-errors-container' => '#office_expense_sub_type_id_error', ]) !!}
{!! Form::close() !!}
@endsection @section('page-js') @endsection