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编辑当前文件:/home/rejoandoctor/test.joruridoctor.com/resources/views/back/refund/add_refund.blade.php

@extends('layouts.app')

@section('title', 'Refund')

@section('content')

<div class="container-fluid">
    	@include('layouts.flash-messages')
    	<div class="card o-hidden border-0 shadow-lg my-5">
            <div class="card-body p-0">
                
                <div class="row">
                	<div class="col-lg-3"></div>
                    <div class="col-lg-6">
                        <div class="p-5">
                            <div class="text-center">
                                <h1 class="h4 text-gray-900 mb-4">Make a Refund!</h1>
                            </div>
                            @if ($errors->any())
		                        <div class="alert alert-danger">
		                            <ul>
		                                @foreach ($errors->all() as $error)
		                                    <li>{{ $error }}</li>
		                                @endforeach
		                            </ul>
		                        </div>
		                    @endif
                            <form class="user" action="{{route('storeRefund', Request::segment(3))}}" method="POST">
                            	@csrf
                                <div class="form-group row">
                                    @if(!empty($ticket->due_amount))
                                    <div class="col-sm-3">
                                        <label>Due Amount</label>
                                        <input type="number" class="form-control" id="exampleFirstName"
                                            placeholder="" value="{{$ticket->due_amount}}" name="due_amount" readonly="">
                                    </div>
                                    <div class="col-sm-5">
                                        <label>Refund Charge</label>
                                        <input type="number" class="form-control" name="refund_charge" id="exampleFirstName"
                                            placeholder="Refund Charge Amount" required="">
                                    </div>
                                     <div class="col-sm-4">
                                        <label>Source Name</label>
                                        <select class="form-control" name="agent_id" readonly="">
                                            <option value="{{$agent->agent->id}}">{{$agent->agent->agent_name}}</option>
                                        </select>
                                    </div>
                                    @else
                                    <div class="col-sm-8">
                                        <input type="number" class="form-control" name="refund_charge" id="exampleFirstName"
                                            placeholder="Refund Charge Amount" required="">
                                    </div>
                                     <div class="col-sm-4">
                                        <select class="form-control" name="agent_id" readonly="">
                                            <option value="{{$agent->agent->id}}">{{$agent->agent->agent_name}}</option>
                                        </select>
                                    </div>
                                    @endif
                                   
                                </div>
                               
                                <div class="form-group row">
                                	<div class="col-sm-6">
                                        <input type="number" class="form-control"
                                            placeholder="Refund Amount" name="refund_amount" required="">
                                    </div>
                                    <div class="col-sm-6">
                                        <select class="form-control" name="bank_id">
                                        	<option value="">Paid Through</option>
                                        	@foreach($bank as $result)
                                        		<option value="{{$result->bank->id}}">{{$result->bank->bank_name}}</option>
                                        	@endforeach
                                        </select>
                                    </div>
                                    
                                </div>
                                <div class="form-group row">
                                	<div class="col-sm-12">
                                    	<input type="text" class="form-control" id="date" placeholder="Refund Date" name="ticket_refund_date" autocomplete="off">
                                	</div>
                                </div>
                                
                                <input type="hidden" name="customer_id" value="{{Auth::user()->customer_id}}">
                                <button class="btn btn-primary btn-user btn-block" type="submit">
                                    Refund Now
                                </button>
                            </form>
                        </div>
                    </div>
                    <div class="col-lg-3"></div>
                </div>
            </div>
        </div>
        
    </div>

@endsection