@extends('layouts/pos_layout') @section('title', '| '.$moduleTitle) @section('content')
{{ $moduleTitle }}
{!! Form::open(array('url' => '', 'role' => 'form', 'class'=>'form-horizontal form-groups')) !!}
{!! Form::label('voucher_no', 'Bill No:', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::text('voucher_no', $incentiveBillNo, ['class' => 'form-control', 'id' => 'voucher_no', 'type' => 'text', 'readonly', 'autocomplete'=>'off']) !!}
{!! Form::label('voucher_date', 'Voucher Date:*', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::text('voucher_date', ($data) ? $data->voucher_date : null, ['class' => 'form-control', 'id' => 'voucher_date', 'type' => 'text', 'placeholder' => 'Enter Date', 'readonly' => true]) !!}

{!! Form::label('customer_id', 'Customer:*', ['class' => 'col-sm-3 control-label']) !!}

{{--
{!! Form::label('paid_amount', 'Paid Amount:*', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::text('paid_amount', $value = null, ['class' => 'form-control', 'id' => 'paid_amount', 'type' => 'number', 'placeholder' => 'Paid Amount', 'readonly' => true]) !!}
--}}
{!! Form::label('due_amount', 'Due Amount:*', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::text('due_amount', $value = null, ['class' => 'form-control', 'id' => 'due_amount', 'type' => 'number', 'placeholder' => 'Due Amount', 'readonly' => true]) !!}

{!! Form::label('pay_amount', 'Pay Amount:*', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::text('pay_amount', ($data) ? $data->paid_incentive_amount : null, ['class' => 'form-control', 'id' => 'pay_amount', 'type' => 'number', 'placeholder' => 'Enter Amount', 'readonly' => false]) !!}


{!! Form::label('submit', ' ', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::submit(($data) ? 'Update' : 'Submit', ['id' => 'add', 'class' => 'btn btn-info']); !!} {{-- Close --}}
{!! Form::close() !!}
@endsection