streamline-emr/docker/streamline-src/Modules/Investigations/Resources/views/labs/edit.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.labs') }}</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;">
                {{ Form::open(['method' => 'post', 'method' => 'PUT', 'route' => ['labs.update', $lab]]) }}
                <div class="form-group">
                    <input name="id" value="{{ $lab->id }}" type="hidden">

                    <label>{{ __('labs.name') }}</label>
                    <input name="name" type="text" class="form-control" value="{{ $lab->name }}">
                </div>

                {{-- <div class="form-group">
                    <label>{{ __('labs.cost') }}</label>
                    <input name="cost_price" class="form-control" type="number" value="{{ $lab->cost_price }}">
                </div> --}}

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

                {{-- <div class="form-group">
                    <label>{{ __('labs.non_insured_price') }}</label>
                    <input name="non_insured_price" class="form-control" type="number"
                        value="{{ $lab->non_insured_price }}">
                </div> --}}

                {{-- <div class="form-group">
                    <label>{{ __('labs.insured_price') }}</label>
                    <input name="insured_price" class="form-control" type="number" value="{{ $lab->insured_price }}">
                </div> --}}
{{-- 
                <div class="form-group">
                    <label>{{ __('labs.chart_of_account') }}</label>
                    {{ Form::select('chart_of_account', $chart_of_accounts, $lab->account_id, ['class' => 'form-control compulsory income_account', 'required']) }}
                </div> --}}

                <div class="form-group">
                    {{ Form::label('expenses_account_id', __('general_items.expense_account')) }}
                    {{ Form::select('expenses_account_id', $expense_accounts, $lab->expenses_account_id, ['class' => 'form-control expenses_account', 'required']) }}
                    <div class="help-block with-errors"></div>
                </div>

                {{-- <div class="form-group">
                    <label>{{ __('labs.stock') }}</label>
                    <input name="stock" type="number" class="form-control" value="{{ $lab->store_stock }}">
                </div> --}}

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

                <div class="form-group">
                    <label>{{ __('labs.description') }}</label>
                    <input name="description" type="text" class="form-control" value="{{ $lab->description }}">
                </div>

                <div class="form-group">
                    {{ Form::label('unit_id',  __('labs.form')) }}
                    {{ Form::select('form', $forms, $lab->form_id, ['class' => 'form-control expenses_account']) }}
                    <div class="help-block with-errors"></div>
                    {{-- <select name="form" class="form-control">
                        <option>- {{ __('labs.select') }} -</option>
                        <option value="{{ get_name($lab->form_id, 'id', 'id', 'drug_forms') }}">
                            {{ get_name($lab->form_id, 'id', 'name', 'drug_forms') }}</option>
                        @foreach ($forms as $lab)
                            <option value="{{ $lab->id }}">{{ $lab->name }}</option>
                        @endforeach
                    </select> --}}
                </div>

                <div class="form-group">
                    {{ Form::label('unit_id',  __('labs.unit')) }}
                    {{ Form::select('unit', $units, $lab->unit_id, ['class' => 'form-control expenses_account']) }}
                    <div class="help-block with-errors"></div>
                </div>

                {{-- <div class="form-group">
                    <label>{{ __('labs.expiry_date') }}</label>
                    <input name="expiry_date" id="expiry_date" class="form-control" readonly
                        value="{{ $lab->expiry_date }}" type="text">
                </div> --}}

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

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

                {{ Form::close() }}

            </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: 'yyyy-mm-dd'
        });

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