63 lines
3.5 KiB
PHP
63 lines
3.5 KiB
PHP
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<div class="modal fade common-validation-modal" id="supplier-create-modal">
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<div class="modal-dialog modal-dialog-centered modal-lg">
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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">{{ __('Create Supplier') }}</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="{{ route('business.purchases.store.supplier') }}" method="post" enctype="multipart/form-data"
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class="ajaxform_instant_reload">
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@csrf
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<div class="row">
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<div class="col-lg-6 mb-2">
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<label>{{ __('Name') }}</label>
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<input type="text" name="name" required class="form-control" placeholder="{{ __('Enter Name') }}">
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</div>
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<div class="col-lg-6 mb-2">
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<label>{{ __('Phone') }}</label>
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<input type="number" name="phone" required class="form-control" placeholder="{{ __('Enter phone number') }}">
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</div>
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<div class="col-lg-6 mb-2">
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<label>{{ __('Email') }}</label>
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<input type="email" name="email" class="form-control" placeholder="{{ __('Enter Email') }}">
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</div>
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<div class="col-lg-6 mb-2">
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<label>{{ __('Address') }}</label>
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<input type="text" name="address" class="form-control" placeholder="{{ __('Enter Address') }}">
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</div>
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<div class="col-lg-6 mb-2">
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<label>{{ __('Due') }}</label>
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<input type="number" name="due" step="any" class="form-control" placeholder="{{ __('Enter Due') }}">
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</div>
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<div class="col-lg-12">
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<div class="row">
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<div class="col-10">
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<label class="img-label">{{ __('Image') }}</label>
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<input type="file" accept="image/*" name="image" class="form-control file-input-change" data-id="image">
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</div>
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<div class="col-1 align-self-center mt-3">
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<img src="{{ asset('assets/images/icons/upload.png') }}" id="image" class="table-img">
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</div>
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</div>
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</div>
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<input type="hidden" name="type" value="Supplier">
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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 class="theme-btn m-2 submit-btn">{{ __('Save') }}</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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