streamline-emr/docker/streamline-src/Modules/Investigations/Resources/views/labs/create.blade.php

@extends('layouts.main')

@push('styles')
    <link href="{{ asset('elite/bower_components/select2/select2.min.css') }}" rel="stylesheet" />
    <link href="{{ asset('/elite/bower_components/datatables/jquery.dataTables.min.css') }}" rel="stylesheet" type="text/css" />
    <link href="{{ asset('elite/tables/css/buttons.dataTables.min.css') }}" rel="stylesheet" type="text/css" />
    <link href="{{ asset('elite/bower_components/bootstrap-datepicker/bootstrap-datepicker.min.css') }}" rel="stylesheet" type="text/css" />
@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">{{ __('labs.create') }}</h4>
        </div>
        <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
            <ol class="breadcrumb">
                <li><a href="{{ route('home') }}"><i class="fa fa-home"></i> {{ __('labs.home') }}</a></li>
            </ol>
        </div>
    </div>

    <div class="row">
        <div class="col-sm-12">
            @include('investigations::labs.menu')
            @include('flash::message')

            <div class="white-box" style="border-radius: 5px;">
                <div class="table-responsive">
                    {{ Form::open(['method'=>'post', 'method' => 'POST', 'route' => 'labs.store']) }}

                    <div class="row">
                        <div class="col-12">
                            <div class="form-group">
                                <label>{{ __('labs.name') }}</label>
                                <input name="name" type="text" class="form-control compulsory" required>
                            </div>
                        </div>
                        {{-- <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.cost') }}</label>
                                <input name="cost_price" class="form-control compulsory" required type="number">
                            </div>
                        </div> --}}
                    </div>

                    <div class="row">
                        {{-- <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.insurance_status') }}</label>
                                <select name="chi_status" class="form-control">
                                    <option>- {{ __('labs.select') }} -</option>
                                    <option value="1">{{ __('labs.yes') }}</option>
                                    <option value="0">{{ __('labs.no') }}</option>
                                </select>
                            </div>
                        </div> --}}
                        {{-- <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.non_insured_price') }}</label>
                                <input name="non_insured_price" class="form-control" type="number">
                            </div>

                        </div> --}}
                    </div>

                    <div class="row">
                        {{-- <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.insured_price') }}</label>
                                <input name="insured_price" class="form-control" type="number">
                            </div>
                        </div>

                        <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.income_account') }}</label>
                                {{ Form::select('chart_of_account', $chart_of_accounts, null, ['class'=>'form-control compulsory income_account', 'required']) }}
                            </div>
                        </div> --}}
                    </div>

                    {{-- <div class="row">
                        <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.stock') }}</label>
                                <input name="stock" class="form-control" type="number">
                            </div>
                        </div>

                        <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.reorder_level') }}</label>
                                <input name="re_order_level" class="form-control" type="number">
                            </div>
                        </div>
                    </div> --}}

                    <div class="row">
                        <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.description') }}</label>
                                <textarea name="description" class="form-control" type="text"></textarea>
                            </div>
                        </div>
                        <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.form') }}</label>
                                <select name="form" class="form-control">
                                    <option>- {{ __('labs.select') }} -</option>
                                    @foreach($forms as $lab)
                                        <option value="{{ $lab->id }}">{{ $lab->name }}</option>
                                    @endforeach
                                </select>
                            </div>
                        </div>
                    </div>

                    <div class="row">
                        <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.unit') }}</label>
                                <select name="unit" class="form-control compulsory" required >
                                    <option>- {{ __('labs.select') }} -</option>
                                    @foreach($units as $lab)
                                        <option value="{{ $lab->id }}">{{ $lab->name }}</option>
                                    @endforeach
                                </select>
                            </div>
                        </div>
                        <div class="col-6">
                            <div class="form-group">
                                {{ Form::label('expenses_account_id', __('general_items.expense_account')) }}
                                {{ Form::select('expenses_account_id', $expense_accounts, null, ['class' => 'form-control expenses_account', 'required']) }}
                                <div class="help-block with-errors"></div>
                            </div>
                        </div>
                        <div class="col-6">
                            <div class="form-group">
                                {{ Form::label('re_order_level_id', __('labs.reorder_level') ) }}
                                {{ Form::number('re_order_level', null, ['class' => 'form-control ']) }}
                                <div class="help-block with-errors"></div>
                            </div>
                        </div>
                        {{-- <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.expiry_date') }}</label>
                                <input name="expiry_date" id="expiry_date" readonly class="form-control compulsory" required value="{{ $lab->expiry_date }}" type="text">
                            </div>
                        </div> --}}
                    </div>

                    <div class="row">
                        {{-- <div class="col-6">
                            <div class="form-group">
                                <label>{{ __('labs.supplier') }}</label>
                                <select name="supplier" class="form-control compulsory" required >
                                    <option>- {{ __('labs.select') }} -</option>
                                    @foreach($suppliers as $lab)
                                        <option value="{{ $lab->id }}">{{ $lab->name }}</option>
                                    @endforeach
                                </select>
                            </div>
                        </div> --}}
                        
                        

                        <div class="col-6">
                        </div>
                        <div class="col-6">
                            <div class="form-group text-right">
                                <input type="submit" class="btn btn-rounded btn-success">
                            </div>
                        </div>
                    </div>

                    {{ Form::close() }}

                </div>
            </div>

        </div>
    </div>
@endsection

@push('scripts')
    <script src="{{ asset('elite/bower_components/select2/select2.min.js') }}"></script>
    <script type="text/javascript" src="{{ asset('elite/bower_components/bootstrap-datepicker/bootstrap-datepicker.min.js') }}"></script>
    <script>
        $('#expiry_date').datepicker({
            autoclose: true,
            todayHighlight: true,
            format: 'dd/mm/yyyy',
        });

        $('.expenses_account,.income_account').select2({
            placeholder: "-- Select --"
        });
    </script>
@endpush