@extends('layouts.adminLayout.admin_design') @section('content')
<link rel="stylesheet" href="{{asset('js/lib/tags/bootstrap-tagsinput.css')}}">
<link rel="stylesheet" href="{{asset('js/lib/tags/app.css')}}">

<div class="content-wrapper">
    <section class="content-header">
        <h1>{{ $title }}</h1>
        <ol class="breadcrumb">
            <li><a href="{{ route('dashboard') }}"><i class="fa fa-dashboard"></i> {{ __('lbl.home') }}</a></li>
            <li><a href="{{ route('customers') }}"> {{ __('lbl.customers') }}</a></li>
            <li class="active">{{ $title }}</li>
        </ol>
    </section>
    <section class="content">
        <!-- {{ Form::open(["class"=>"form-horizontal", "method"=>"POST", "name" => "customer_request", "id" => "customer_request"]) }} -->
        <div class="modal-content form-horizontal">
            <div class="modal-header  box box-default" style="border-radius:0px;">
                <div class="box-body">
                    <div class="form-group required">
                        <label for="first_name" class="col-sm-3 control-label">{{ __('lbl.first_name') }}</label>
                        <div class="col-sm-8">
                            {{ Form::text('first_name', ($customer->first_name)??"", ["class"=>"form-control mxlen_100","placeholder"=>__('lbl.first_name'),"id"=>"first_name"]) }}
                        </div>
                    </div>
                    <div class="form-group required">
                        <label for="last_name" class="col-sm-3 control-label">{{ __('lbl.last_name') }}</label>
                        <div class="col-sm-8">
                            {{ Form::text('last_name', ($customer->last_name)??"", ["class"=>"form-control mxlen_100","placeholder"=>__('lbl.last_name'),"id"=>"last_name"]) }}
                        </div>
                    </div>
                    <div class="form-group  ">
                        <label for="email" class="col-sm-3 control-label">{{ __('lbl.email') }}</label>
                        <div class="col-sm-8">
                            {{ Form::text('email', ($customer->email)??"", ["class"=>"form-control mxlen_100","placeholder"=>__('lbl.email'),"id"=>"email"]) }}
                        </div>
                    </div>
                    <div class="form-group ">
                        <label for="member_id" class="col-sm-3 control-label">{{ __('lbl.member_id') }}</label>
                        <div class="col-sm-8">
                            {{ Form::number('member_id', ($customer->member_id)??"", ["class"=>"form-control mxlen_100","placeholder"=>__('lbl.member_id'),"id"=>"member_id"]) }}
                        </div>
                    </div>
                    <div class="form-group ">
                        <label for="company" class="col-sm-3 control-label">{{ __('lbl.company') }}</label>
                        <div class="col-sm-8">
                            {{ Form::text('company', ($customer->company)??"", ["class"=>"form-control mxlen_100","placeholder"=>__('lbl.company'),"id"=>"company"]) }}
                        </div>
                    </div>
                    <div class="form-group required">
                        <label for="phone_number" class="col-sm-3 control-label">{{ __('lbl.phone_number') }}</label>
                        <div class="col-sm-8">
                            {{ Form::number('phone_number', ($customer->phone_number)??"", ["class"=>"form-control mxlen_100","placeholder"=>__('lbl.phone_number'),"id"=>"phone_number"]) }}
                        </div>
                    </div>
                    <div class="form-group ">
                        <label for="date_of_birth" class="col-sm-3 control-label">{{ __('lbl.date_of_birth') }}</label>
                        <div class="col-sm-8">
                            
                            {{ Form::text('dob', ($customer->dob)??"", ["class"=>"form-control mxlen_100","placeholder"=>__('lbl.date_of_birth'),"id"=>"dob"]) }}
                        </div>
                    </div>
                    <div class="form-group mytags">
                        <label for="customer_tags" class="col-sm-3 control-label">{{ __('lbl.customer_tags') }}</label>
                        <div class="col-sm-8">
                            {{ Form::text('customer_tags', ($customer->customer_tags)??"", ["class"=>"form-control mxlen_100","placeholder"=>"","data-role"=>"tagsinput","id"=>"customer_tags"]) }}
                        </div>
                    </div>
                </div>
                <div class="modal-footer">
                    <div class="row">
                        <div class="col-md-6 col-md-offset-5">
                            <button type="submit" id="customerEdit" class="clickbtncommon btn btn-primary pull-left btn-sm "><i class="fa fa-save icon-white"></i> {{ __('lbl.save') }}</button>
                            <a href="{{route('customers')}}" class="clickbtncommon btn btn-primary pull-left btn-sm"><i class="fa fa-backward"></i>  {{ __('lbl.back') }}</a>
                        </div>
                    </div>
                    <div id="errorLog" class="pull-left"></div>
                </div>
            </div>
             
            {{Form::hidden('id',$customer->id,['id'=>'id'])}} 
            {{Form::hidden('action',route('customers_edit',$customer->id),['id'=>'action'])}}

            <!-- {{ Form::close() }} -->
                    </div>
    </section>
</div>

@endsection 
@section('pagescript') 
{!! Helper::pagejs([ 
    'js/lib/select2/dist/js/select2.full.min.js', 
    'js/lib/bootstrap-daterangepicker/daterangepicker.js', 
    'js/lib/bootstrap-datepicker/dist/js/bootstrap-datepicker.min.js', 
    'js/lib/plugins/timepicker/bootstrap-timepicker.min.js'
    ]) !!} 
{!! Helper::datatablelib('customers/list.js') !!} 
@stop