@extends('layouts/eims_pre_admission_layout') @section('title', '| ' . $pageTitle) @section('content') {{Form::open(['method'=>"post", 'id'=>"pre_admission_payment_form", 'enctype'=>"multipart/form-data"])}} {!! Form::hidden('companyId', $company->encoded_id ?? null, ['id'=> 'companyId']) !!}
X {{-- --}}

{{ $pageTitle }}

@if($preAdmissionData->eims_pre_admission_fees_collection == null)
{!! Form::label('admission_no', 'Admission No: ', ['class' => 'control-label'], false) !!}
{!! Form::text('admission_no', $preAdmissionData ? $preAdmissionData->admission_no : null, ['class' => 'form-control', 'id' => 'admission_no','placeholder' => 'Enter Admission No', 'readonly']) !!}

{!! Form::label('dob', 'Date of birth: *', ['class' => 'control-label'], false) !!}
{!! Form::text('dob', $preAdmissionData ? date('d-m-Y',strtotime($preAdmissionData->dob)) : null, ['class' => 'form-control', 'id' => 'dob', 'placeholder' => 'dd-mm-yyyy', 'readonly']) !!}

@if($company->companyType === 'UNV' ) {{-- national_id --}}
{!! Form::label('national_id', 'National ID: *', ['class' => 'control-label'], false) !!}
{!! Form::text('national_id', $preAdmissionData ? $preAdmissionData->national_id : null, ['class' => 'form-control', 'id' => 'national_id', 'placeholder' => 'Enter your national ID', 'readonly']) !!}

@elseif($company->companyType === 'SCL' || $company->companyType === 'CLG') {{-- birth_certificate_id --}}
{!! Form::label('birth_certificate_id', 'Birth Certificate ID: *', ['class' => ' control-label'], false) !!}
{!! Form::text('birth_certificate_id', $preAdmissionData ? $preAdmissionData->birth_certificate_id : null, ['class' => 'form-control', 'id' => 'birth_certificate_id', 'placeholder' => 'Enter your birth certificate ID', 'readonly']) !!}

@endif {{-- phone_number --}}
{!! Form::label('phone_number', 'Phone Number: * (Same phone number used in admission) ', ['class' => 'control-label'], false) !!}
{!! Form::text('phone_number', $preAdmissionData ? $preAdmissionData->phone_number : null, ['class' => 'form-control', 'id' => 'phone_number', 'type' => 'text', 'placeholder' => 'Enter phone number', 'readonly']) !!}

{!! Form::label('payment_method', 'Payment Method: *', ['class' => 'control-label'],false) !!}
@foreach($paymentMethods as $keyPaymentMethod => $paymentMethod) @endforeach

{{Form::hidden('pre_admission_fees_id', $preAdmissionFee->id, ['id' => 'pre_admission_fees_id'])}} {{-- payment amount --}}
{!! Form::label('pre_admission_fees_amount', 'Payment Amount: *', ['class' => 'control-label'],false) !!}
{!! Form::number('pre_admission_fees_amount', $preAdmissionFee->amount, [ 'class' => 'form-control', 'id' => 'pre_admission_fees_amount', 'readonly' => true]) !!}

@elseif($preAdmissionData->eims_pre_admission_fees_collection != null && $preAdmissionData->eims_pre_admission_fees_collection->status == '2')
{!! Form::label('admission_no', 'Admission No: ', ['class' => 'control-label'], false) !!}
{!! Form::text('admission_no', $preAdmissionData ? $preAdmissionData->admission_no : null, ['class' => 'form-control', 'id' => 'admission_no','placeholder' => 'Enter Admission No', 'readonly']) !!}

{!! Form::label('dob', 'Date of birth: *', ['class' => 'control-label'], false) !!}
{!! Form::text('dob', $preAdmissionData ? date('d-m-Y',strtotime($preAdmissionData->dob)) : null, ['class' => 'form-control', 'id' => 'dob', 'placeholder' => 'dd-mm-yyyy', 'readonly']) !!}

@if($company->companyType === 'UNV' ) {{-- national_id --}}
{!! Form::label('national_id', 'National ID: *', ['class' => 'control-label'], false) !!}
{!! Form::text('national_id', $preAdmissionData ? $preAdmissionData->national_id : null, ['class' => 'form-control', 'id' => 'national_id', 'placeholder' => 'Enter your national ID', 'readonly']) !!}

@elseif($company->companyType === 'SCL' || $company->companyType === 'CLG') {{-- birth_certificate_id --}}
{!! Form::label('birth_certificate_id', 'Birth Certificate ID: *', ['class' => ' control-label'], false) !!}
{!! Form::text('birth_certificate_id', $preAdmissionData ? $preAdmissionData->birth_certificate_id : null, ['class' => 'form-control', 'id' => 'birth_certificate_id', 'placeholder' => 'Enter your birth certificate ID', 'readonly']) !!}

@endif {{-- phone_number --}}
{!! Form::label('phone_number', 'Phone Number: * (Same phone number used in admission) ', ['class' => 'control-label'], false) !!}
{!! Form::text('phone_number', $preAdmissionData ? $preAdmissionData->phone_number : null, ['class' => 'form-control', 'id' => 'phone_number', 'type' => 'text', 'placeholder' => 'Enter phone number', 'readonly']) !!}

{!! Form::label('payment_method', 'Payment Method: *', ['class' => 'control-label'],false) !!}
@foreach($paymentMethods as $keyPaymentMethod => $paymentMethod) @endforeach

{{Form::hidden('pre_admission_fees_id', $preAdmissionFee->id, ['id' => 'pre_admission_fees_id'])}} {{-- payment amount --}}
{!! Form::label('pre_admission_fees_amount', 'Payment Amount: *', ['class' => 'control-label'],false) !!}
{!! Form::number('pre_admission_fees_amount', $preAdmissionFee->amount, [ 'class' => 'form-control', 'id' => 'pre_admission_fees_amount', 'readonly' => true]) !!}

@else
Already Paid.Please wait for Payment Slip
@endif
{{Form::close()}} {{-- Tab Loading Scripts --}} @endsection