@extends('layouts.main') @push('styles') @endpush @section('content')

{{ __('payments.make_payment') }}

@include('flash::message')

 {{ $hospital_information->name }}

{{ $hospital_information->phone_number }}, {{ $hospital_information->email }},
{{ get_name($hospital_information->sub_county,'id', 'name', 'subcounties') }}, {{ get_name($hospital_information->district,'id', 'name', 'districts') }},
{{ $hospital_information->country }}.

{{ __('payments.payment_date') }} : {{ streamline_date_time(\Carbon\Carbon::now()->toDateTimeString()) }}



{{ Form::open(['route' => 'payments.make_payment', 'data-toggle' => 'validator']) }}
{{ __('payments.items') }}
@php $options = ""; foreach ($items as $item){ $options .= ""; } @endphp
{{ __('payments.add_item') }}
{{ __('payments.payment') }}
{{ __('payments.bank_account_details') }}
{{ Form::text('account_balance', 0, ['class'=>'form-control compulsory', 'id'=>'account_balance', 'readonly']) }} {{ Form::hidden('bank_id', 0, ['class'=>'form-control compulsory', 'id'=>'bank_id']) }}

{{ Form::textarea('memo', '', ['class'=>'form-control', 'placeholder'=>'Memo']) }}

{{ Form::close() }}
@endsection @push('scripts') @endpush