@extends('AdminLte.template')

<!--Title-->
@section('title')
Sales Bill Carry Forward
@endsection
<!--Title Close-->

<!--External CSS-->
@section('ExternalCss')
@parent
<style>
    ul,li{font-size:14px;}
</style>
@endsection
<!--External CSS Close--> 

@section('Content')
<!-- Your Page Content Here -->
<div class="col-md-12 txtCenter">
    <h3>Sales Bill Carry Forward</h3>
    <br/>
    {{ Form::open(['action' => 'RegisterReportController@salesBillCarryForward','autocomplete' => 'off','id' => 'carryForwardForm']) }}
    <div class="col-md-12 txtCenter">
        <span class="fontsize10 required">✱</span>
        <label class="inputType">Bill No : </label> 
        <!-- <input type="hidden" name="storeId" id="storeId" value="All"> -->
        <input type="text" name="carryFwdFyear" size="2" id="carryFwdFyear" class="input inputType borderNone borderBottom blue noPadding" value="{{$trnFyear}}">
        /<input type="text" name="billNo" size="14" id="billNo" class="input inputType billNo borderNone borderBottom blue noPadding">
    </div>
    <br/><br/>

    <div class="col-md-12 txtCenter">
        <label class="inputType">UH ID : </label> 
        <input name="UHID" id="UHID" value="" class="inputType borderNone readOnlyBackground borderBottom blue noPadding" type="input" readonly>
        &nbsp;
        <label class="inputType">IP ID : </label> 
        <input name="IPID" id="IPID" value="" class="inputType borderNone readOnlyBackground borderBottom blue noPadding" type="input" readonly>
    </div>
    <br/><br/>

    <div class="col-md-12 txtCenter">
        <label class="inputType">Patient Name : </label> 
        <input name="patientName" id="patientName" class="inputType readOnlyBackground borderNone borderBottom blue noPadding" readonly>
        &nbsp;
        <!-- <label class="inputType">Status : </label> 
        <select name="trnStatus" id="trnStatus" class="inputType borderNone borderBottom blue noPadding" required>
            <option value="A">All</option>
            <option value="C">Completed</option>
            <option value="P">Partial</option>
            <option value="T">Cancelled</option>
        </select>
        &nbsp;
        <label class="inputType">Report Type : </label>
        <select name="reportType" id="reportType" class="inputType borderNone borderBottom blue noPadding" required>
            <option value="B">Both</option>
            <option value="S">Summary</option>
        </select> -->
    </div>
    <br/><br/>

    <!-- <div class="col-md-12 txtCenter">
        <label class="inputType"> Patient : </label> 
        <input type="text" size="20" name="patientName" id="patientName" class="input inputType borderNone borderBottom blue noPadding">
        <input type="hidden" name="patientId" id="patientId">
        &nbsp;&nbsp;<label class="inputType borderNone blue"> OR </label> 
        &nbsp; &nbsp;  <label class="inputType"> Customer : </label> 
        <input type="text" size="20" name="customerName" id="customerName" class="input inputType borderNone borderBottom blue noPadding">
        <input type="hidden" name="customerId" id="customerId">
    </div>
    <br/><br/> -->
    <button name="Submit" value="submit" disabled id="carryForward" class="btn btn-success btn-sm">Carry Forward</button>
    {{ Form::close() }}
</div>
@endsection

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

<!--External JS-->
@section('ExternalJs')

<script src="{{ asset ("/js/sales_bill_carry_forward.js?$releaseVersion") }}"></script>

@endsection
<!--External JS Close-->