@if ($errors->any())
@foreach ($errors->all() as $error)
- {{ $error }}
@endforeach
@endif
{!! Form::open(['action' => 'BillFormatController@store', 'method' => 'POST', 'class' => 'form-horizontal','data-parsley-validate','enctype'=>'multipart/form-data']) !!}

{{Form::file('logo', ['class'=>'form-control'])}}
{{Form::label('company', 'Company Name', ['class'=>'required'])}}
{{Form::text('company', $BillFormat->company, ['class'=>'form-control', 'placeholder'=>'Company Name', 'required'])}}
{{Form::label('addressLine1', 'Address Line1', ['class'=>'required'])}}
{{Form::text('addressLine1', $BillFormat->addressLine1, ['class'=>'form-control text-top-margin', 'placeholder'=>'Address Line 1', 'required'])}}
{{Form::label('addressLine2', 'Address Line2', ['class'=>'required'])}}
{{Form::text('addressLine2', $BillFormat->addressLine2, ['class'=>'form-control text-set-margin', 'placeholder'=>'Address Line 2', 'required'])}}
{{Form::label('addressLine3', 'Address Line3', ['class'=>'required'])}}
{{Form::text('addressLine3', $BillFormat->addressLine3, ['class'=>'form-control text-set-margin', 'placeholder'=>'Address Line 3', 'required'])}}
{{Form::label('contactNo', 'Contact No', ['class'=>'required'])}}
{{Form::text('contactNo', $BillFormat->contact, ['class'=>'form-control text-set-margin', 'placeholder'=>'Contact No', 'required'])}}
{{Form::label('email', 'Email', ['class'=>'required'])}}
{{Form::text('email', $BillFormat->email, ['class'=>'form-control text-set-margin', 'placeholder'=>'Email', 'required'])}}
{{Form::label('gstNo', 'GST No', ['class'=>'required'])}}
{{Form::text('gstNo', $BillFormat->gstNo, ['class'=>'form-control text-set-margin', 'placeholder'=>'GST NO', 'required'])}}
{{Form::text('billHeading', $BillFormat->heading, ['class'=>'form-control', 'placeholder'=>'Bill Heading', 'required','style'=>"text-align:center;font-weight:bold"])}}
{{Form::label('invoiceNo', 'Invoice No', ['class'=>'required'])}}
{{Form::text('invoiceNo', $autoInvoiceNo, ['class'=>'form-control', 'placeholder'=>'Invoice No', 'required'])}}
{{Form::text('pumpName', null, ['class'=>'form-control','id'=>'newBillPumpName', 'placeholder'=>'Pump Name'])}}
{{Form::select('pump',$pumps,null,['class'=>'form-control', 'placeholder'=>'--- Select Pump ---','id'=>'getPumpIdBill','style'=>"display:none"])}}
{{Form::select('pumpCompany',$Company,null,['class'=>'form-control', 'placeholder'=>'--- Select Oil Company ---', 'required','id'=>'pumpCompany'])}}
{{Form::text('custGSTNo', null, ['class'=>'form-control','id'=>'setPumpGSTNo', 'placeholder'=>'Customer GST No'])}}
{{Form::text('pumpAddress', $BillFormat->pumpAddress, ['class'=>'form-control text-set-margin','id'=>'pumpAddress', 'placeholder'=>'Pump Address'])}}
Sr.No |
Title |
Description |
Qty |
Rate |
Amount |
1 |
{{Form::text('subTitle', $BillFormat->subTitle, ['class'=>'form-control','id'=>'subTitle', 'placeholder'=>'Title', 'required'])}}
|
{{Form::text('otherModule', null, ['class'=>'form-control','id'=>'otherModule', 'placeholder'=>'Other Module'])}}
|
{{Form::text('qty', null, ['class'=>'form-control billText','id'=>'billQty', 'placeholder'=>'Qty', 'required'])}}
|
{{Form::text('rate', null, ['class'=>'form-control billText','id'=>'billRate', 'placeholder'=>'Rate', 'required'])}}
|
{{Form::text('amount', null, ['class'=>'form-control billText','id'=>'billAmount', 'placeholder'=>'Amount', 'readonly'])}}
|
Discount(Rs) |
|
{{Form::text('billDiscount', 0, ['class'=>'form-control billText','id'=>'billDiscount', 'placeholder'=>'readonly'])}}
{{Form::text('billDiscountAmt', null, ['class'=>'form-control billText','id'=>'billDiscountAmt', 'placeholder'=>'Discount Amt', 'hidden'])}}
|
Sub Total |
|
{{Form::text('subTotal', null, ['class'=>'form-control billText','id'=>'billSubTotal', 'placeholder'=>'Sub Total', 'readonly'])}}
|
SGST/IGST(%) |
{{Form::text('igst', $BillFormat->igst, ['class'=>'form-control billText','id'=>'billIgst', 'placeholder'=>'IGST'])}}
|
{{Form::text('igstAmt', null, ['class'=>'form-control billText','id'=>'gstBillAmt', 'placeholder'=>'IGST Amt', 'readonly'])}}
|
Total Amount |
|
{{Form::text('totalAmt', null, ['class'=>'form-control billText','id'=>'totalBillAmt', 'placeholder'=>'Total Amount', 'readonly'])}}
|
In Words |
{{Form::text('amtInWord', null, ['class'=>'form-control','id'=>'amountInWord'])}}
|
Payment Mode
Wire Transfer Details for INR
{{Form::label('bank', 'Bank', ['class'=>'required col-md-2'])}}
{{Form::text('bank', $BillFormat->bank, ['class'=>'form-control', 'placeholder'=>'Bank Name', 'required'])}}
{{Form::label('bank', 'Bank Address', ['class'=>'required col-md-2'])}}
{{Form::text('bankAddress', $BillFormat->bankAddress, ['class'=>'form-control', 'placeholder'=>'Bank Name', 'required'])}}
{{Form::label('acctName', 'A/C Name', ['class'=>'required text-set-margin col-md-2'])}}
{{Form::text('acctName', $BillFormat->acctName, ['class'=>'form-control text-set-margin', 'placeholder'=>'Account Name', 'required'])}}
{{Form::label('acctNo', 'A/C No', ['class'=>'required text-set-margin col-md-2'])}}
{{Form::text('acctNo', $BillFormat->acctNo, ['class'=>'form-control text-set-margin', 'placeholder'=>'Account No', 'required'])}}
{{Form::label('ifscCode', 'IFSC Code', ['class'=>'required text-set-margin col-md-2'])}}
{{Form::text('ifscCode', $BillFormat->ifscCode, ['class'=>'form-control text-set-margin', 'placeholder'=>'IFSC Code', 'required'])}}
{{Form::submit('Generate Bill', ['class'=>'btn btn-primary'])}}
{{Form::reset('Clear', ['class'=>'btn btn-danger'])}}
{!! Form::close() !!}