66 lines
3.6 KiB
PHP
66 lines
3.6 KiB
PHP
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<div class="modal fade common-validation-modal" id="deposit">
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<div class="modal-dialog modal-dialog-centered modal-md">
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<div class="modal-content">
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<div class="modal-header">
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<h1 class="modal-title fs-5">{{__('Transfer Cheque') }}</h1>
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<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
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</div>
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<div class="modal-body">
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<div class="personal-info">
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<form action="" method="post" class="ajaxform_instant_reload">
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@csrf
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<input type="hidden" name="transaction_id" id="deposit_transaction_id">
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<div class="row">
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<div class="col-lg-12 order-form-section">
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<div class="costing-list">
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<ul>
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<li><span>{{ __('Received From') }}</span> <span>:</span> <span id="received_from"></span></li>
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<li><span>{{ __('Cheque Amount') }}</span> <span>:</span> <span id="cheque_amount"></span></li>
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<li><span>{{ __('Cheque Number') }}</span> <span>:</span> <span id="cheque_no"></span></li>
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<li><span>{{ __('Cheque Date') }}</span> <span>:</span> <span id="cheque_date"></span></li>
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<li><span>{{ __('Reference No') }}</span> <span>:</span> <span id="ref_no"></span></li>
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</ul>
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</div>
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</div>
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<div class="col-lg-12 mb-2">
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<label>{{ __('Deposit To') }}</label>
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<div class="gpt-up-down-arrow position-relative">
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<select name="payment_type" class="form-control table-select w-100" required>
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<option value=""> {{ __('Select one') }}</option>
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<option value="cash">{{ __('Cash') }}</option>
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@foreach ($banks as $bank)
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<option value="{{ $bank->id }}">{{ $bank->name }}</option>
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@endforeach
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</select>
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<span></span>
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</div>
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</div>
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<div class="col-lg-12">
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<label>{{__('Transfer Date')}}</label>
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<input type="date" name="date" class="form-control" value="{{ now()->format('Y-m-d') }}">
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</div>
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<div class="col-lg-12 mb-2">
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<label>{{__('Description')}}</label>
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<textarea name="note" class="form-control" placeholder="Enter description"></textarea>
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</div>
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</div>
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<div class="col-lg-12">
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<div class="button-group text-center mt-5">
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<button type="reset" class="theme-btn border-btn m-2">{{__('Reset') }}</button>
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<button type="submit" class="theme-btn m-2 submit-btn">{{__('Send') }}</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div>
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