@extends('AdminLte.template')

<!--Title-->
@section('title')
Pharmacy Outstanding Report
@endsection
<!--Title Close-->

<!--External CSS-->
@section('ExternalCss')
@parent
@endsection
<!--External CSS Close--> 
@section('Content')
<div class="col-md-12 txtCenter">
    <h3>Pharmacy Outstanding Report</h3>
    {{ Form::open(['action' => 'RegisterReportController@outStandingReportOld','autocomplete' => 'off','id' => 'patientdata']) }}
    <br/>
    <div class="col-md-12 txtCenter">
        <span class="fontsize10 required">✱</span>
        <label class="inputType"> Store : </label> 
        <input type="text" size="20" name="storeName" id="storeName" class="input inputType borderNone borderBottom blue noPadding" value="All" required>
        <input type="hidden" name="storeId" id="storeId" value="All">
    </div> 
    <br/><br/>
    <div class="col-md-12 txtCenter">
        <label class="inputType">As On Date : </label> 
        <input name="toDate" id="toDate" value="{{date('Y-m-d')}}" class="inputType borderNone borderBottom blue noPadding" type="date">
    </div>
    <br/><br/>
    <div class="col-md-12 txtCenter">
        <label class="inputType">Patient Category :</label>
        <select name="rateType" id="rateType" class="inputType borderNone borderBottom blue noPadding">
            <option value="All">All</option>
            @foreach($rateTypeData as $rateType)
            <option value="{{$rateType->id}}">{{$rateType->rate_type}}</option>
            @endforeach
        </select>
        <select name="rateCard" id="rateCard" class="inputType borderNone borderBottom blue noPadding">
            <option value="All">All</option>
        </select>
    </div>
    <br/><br/>
    <div class="col-md-12 txtCenter">
        <label class="inputType">Report Type :</label>
        <select name="reportType" id="reportType" class="inputType borderNone borderBottom blue noPadding">
            <option value="B">Bill Wise</option>
            <option value="P">Patient Wise</option>
        </select>
    </div>
    <br/><br/>
    <button name="Submit"  id="btnSubmit" class="btn btn-success btn-sm">Submit</button>
</div>
@endsection

<!--Bootstrap Modals-->      
@section('BootstrapModals')
@endsection
<!--Bootstrap Modals Close-->

@section('ExternalJs')
<script src="{{ asset ("/js/store_search.js?$releaseVersion") }}"></script>
<script src="{{ asset ("/js/outstanding_report.js?$releaseVersion") }}"></script>
@endsection