@php $payTypes = ['Cash' => 'Cash', 'Online' => 'Online', 'Cheque' => 'Cheque']; @endphp @extends('admin.layouts.layouts') @section('title', 'Edit | History License Document') @section('content')
{!! Form::model($renew, [ 'route' => ['history-document-update', $renew->id], 'method' => 'PUT', 'class' => 'license-document-history-edit', 'id' => 'license-document-history-edit', 'enctype' => 'multipart/form-data', ]) !!} {!! Form::hidden('id', $renew->id) !!} {!! Form::hidden('license_document_id', $renew->license_document_id) !!} {!! Form::hidden('license_type', $documentData->license_type) !!} @if (isset($documentData->location_id)) {!! Form::hidden('location_id', $documentData->location_id, ['id' => 'location_id']) !!} @else {!! Form::hidden('location_id', '', ['id' => 'location_id']) !!} @endif
{!! Form::label('document_number', 'Document Number') !!} * {!! Form::text('document_number', old('document_number', $renew->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('file', 'Attachment') !!}
{!! Form::file('attachment', [ 'class' => 'form-control', 'id' => 'file', 'data-parsley-filetype' => 'pdf,doc,docx,png,jpg,jpeg', 'data-parsley-errors-container' => '#attachment_error', ]) !!} @php $extension = pathinfo($renew->attachment, PATHINFO_EXTENSION); $imageExtensions = ['jpeg', 'png', 'jpg']; @endphp @if (!empty($renew->attachment) && file_exists(public_path('storage/' . $renew->attachment))) @if (in_array(strtolower($extension), $imageExtensions))
Aadhar Front
@else @endif @else No Image @endif
{!! Form::label('issue_date', 'Issue Date') !!} * {!! Form::text('issue_date', old('issue_date', $renew->issue_date ? date('d-m-Y', strtotime($renew->issue_date)) : null), [ 'class' => 'form-control datepicker', 'placeholder' => 'Select Issue Date', 'id' => 'issue_date', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The issue date field is required.', 'data-parsley-errors-container' => '#issue_date_error', ]) !!}
{!! Form::label('expiry_date', 'Expiry Date') !!} {!! Form::text( 'expiry_date', old('expiry_date', $renew->expiry_date ? date('d-m-Y', strtotime($renew->expiry_date)) : null), [ 'class' => 'form-control expirydatepicker', 'placeholder' => 'Select Expiry Date', 'id' => 'expiry_date', ], ) !!}
{!! Form::label('payment_date', 'Payment Date') !!} * {!! Form::text('payment_date', old('payment_date', $renew->payment_date ? date('d-m-Y', strtotime($renew->payment_date)) : null), [ 'class' => 'form-control datepicker', 'placeholder' => 'Select Payment Date', 'id' => '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('fees_amount', 'License Fees Amount') !!} * {!! Form::text('fees_amount', old('fees_amount', $renew->fees_amount), [ 'class' => 'form-control', 'placeholder' => 'Enter License Fees Amount', 'id' => 'fees_amount', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The license fees amount field is required.', 'data-parsley-errors-container' => '#fees_amount_error', ]) !!}
{!! Form::label('pay_type', 'Payment Mode') !!} * {!! Form::select('pay_type', $payTypes, old('pay_type', $renew->pay_type), [ 'class' => 'form-control', 'placeholder' => 'Select Payment Mode', 'id' => 'pay_type', 'data-parsley-required' => true, 'data-parsley-required-message' => 'The payment mode field is required.', 'data-parsley-errors-container' => '#pay_type_error', ]) !!}
{!! Form::label('cheque_no', 'Cheque Number', ['class' => 'form-label']) !!} * {!! Form::text('cheque_no', old('cheque_no', $renew->cheque_no), [ 'id' => 'cheque_no', 'class' => 'form-control chequeNo', 'placeholder' => 'Enter 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' => 'Cheque number must be at least 6 characters.', 'data-parsley-maxlength-message' => 'Cheque number may not be greater than 10 characters.', 'data-parsley-errors-container' => '#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