streamline-emr/docker/statistics/Modules/ClinicalData/Resources/views/eye_glasses/edit.blade.php

@extends('layouts.main')

@push('styles')
    <link href="{{ asset('elite/bower_components/icheck/skins/all.css') }}" rel="stylesheet">
@endpush

@section('content')
    <div class="row bg-title">
        <div class="col-lg-3 col-md-4 col-sm-4 col-xs-12">
            <h4 class="page-title">Edit</h4>
        </div>
        <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
            <ol class="breadcrumb">
                <li><a href="{{ route('home') }}">Dashboard</a></li>
                <li><a href="/opticals/">Eye Glasses</a></li>
                <li class="active">Edit</li>
            </ol>
        </div>
    </div>

    <div class="row">
        <div class="col-sm-12">
            @include('clinical_data::eye_glasses.menu')
        </div>
    </div>

    @include('flash::message')
    <div class="white-box">
        {{ Form::model($eye_glass, ['method' => 'PUT', 'route' => ['opticals.update',$eye_glass], 'data-toggle' => 'validator']) }}

        <div class="row">
            <div class="col-md-6">
                <div class="form-group">
                    {{ Form::label('name','Optical Item Name') }}
                    {{ Form::text('name',$eye_glass->name,['class' => 'form-control compulsory', 'required']) }}
                </div>

                <div class="form-group">
                    {{ Form::label('non_insured_price','Cash Price') }}
                    {{ Form::text('non_insured_price', $eye_glass->non_insured_price,['class' => 'form-control compulsory', 'required']) }}
                </div>

                <div class="form-group">
                    {{ Form::label('inventory_account', 'Inventory Asset Account') }}
                    {{ Form::select('inventory_account', $inventory_asset_accounts, $eye_glass->inventory_account, ['class' => 'form-control compulsory', 'required']) }}
                    <div class="help-block with-errors"></div>
                </div>
            </div>
            <div class="col-md-6">
                <div class="form-group">
                    {{ Form::label('buying_price','Optical Item Buying Price') }}
                    {{ Form::text('buying_price', $eye_glass->buying_price,['class' => 'form-control compulsory', 'required']) }}
                </div>

                <div class="form-group">
                    {{ Form::label('account_id', 'Income Account') }}
                    {{ Form::select('account_id', $chart_of_accounts, $eye_glass->account_id, ['class' => 'form-control compulsory', 'required']) }}
                    <div class="help-block with-errors"></div>
                </div>

                <div class="form-group">
                    {{ Form::label('cost_of_goods_account', 'Cost of Goods Account') }}
                    {{ Form::select('cost_of_goods_account', $cost_of_goods_accounts, $eye_glass->cost_of_goods_account, ['class' => 'form-control compulsory', 'required']) }}
                    <div class="help-block with-errors"></div>
                </div>
            </div>
        </div>

        {{ Form::button('Submit',['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
        {{ Form::button('Cancel',['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}

        {{ Form::close() }}
    </div>
@endsection

@push('scripts')
    <script src="{{ asset('elite/js/validator.js') }}"></script>

    <!-- icheck -->
    <script src="{{ asset('elite/bower_components/icheck/icheck.min.js') }}"></script>
    <script src="{{ asset('elite/bower_components/icheck/icheck.init.js') }}"></script>
@endpush