386 lines
20 KiB
PHP
386 lines
20 KiB
PHP
@extends('layouts.app')
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@section('content')
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<div class="page-content">
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<div class="container-fluid">
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<div class="row justify-content-center">
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<div class="col-xl-12">
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<div class="card">
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<form class="needs-validation" novalidate id="invoice_form">
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<div class="card-body border-bottom border-bottom-dashed p-4">
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<div class="row">
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<div class="col-lg-4">
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<div class="profile-user mx-auto mb-3">
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<input id="profile-img-file-input" type="file" class="profile-img-file-input" />
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<label for="profile-img-file-input" class="d-block" tabindex="0">
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<span
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class="d-flex align-items-center justify-content-center overflow-hidden rounded border border-dashed"
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style="height: 60px; width: 256px;">
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<img src="assets/images/logo-dark.png"
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class="card-logo card-logo-dark user-profile-image img-fluid" alt="logo dark">
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<img src="assets/images/logo-light.png"
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class="card-logo card-logo-light user-profile-image img-fluid" alt="logo light">
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</span>
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</label>
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</div>
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<div>
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<div>
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<label for="companyAddress">Address</label>
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</div>
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<div class="mb-2">
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<textarea class="form-control bg-light border-0" id="companyAddress" rows="3" placeholder="Company Address"
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required></textarea>
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<div class="invalid-feedback">
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Please enter a address
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</div>
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</div>
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<div>
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<input type="text" class="form-control bg-light border-0" id="companyaddpostalcode"
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minlength="5" maxlength="6" placeholder="Enter Postal Code" required />
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<div class="invalid-feedback">
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The US zip code must contain 5 digits, Ex. 45678
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</div>
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</div>
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</div>
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</div>
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<!--end col-->
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<div class="col-lg-4 ms-auto">
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<div class="mb-2">
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<input type="text" class="form-control bg-light border-0" id="registrationNumber" maxlength="12"
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placeholder="Legal Registration No" required />
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<div class="invalid-feedback">
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Please enter a registration no, Ex., 012345678912
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</div>
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</div>
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<div class="mb-2">
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<input type="email" class="form-control bg-light border-0" id="companyEmail"
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placeholder="Email Address" required />
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<div class="invalid-feedback">
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Please enter a valid email, Ex., example@gamil.com
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</div>
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</div>
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<div class="mb-2">
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<input type="text" class="form-control bg-light border-0" id="companyWebsite"
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placeholder="Website" required />
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<div class="invalid-feedback">
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Please enter a website, Ex., www.example.com
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</div>
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</div>
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<div>
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<input type="text" class="form-control bg-light border-0" data-plugin="cleave-phone"
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id="compnayContactno" placeholder="Contact No" required />
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<div class="invalid-feedback">
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Please enter a contact number
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</div>
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</div>
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</div>
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</div>
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<!--end row-->
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</div>
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<div class="card-body p-4">
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<div class="row g-3">
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<div class="col-lg-3 col-sm-6">
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<label for="invoicenoInput">Invoice No</label>
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<input type="text" class="form-control bg-light border-0" id="invoicenoInput"
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placeholder="Invoice No" value="#VL25000355" readonly="readonly" />
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</div>
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<!--end col-->
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<div class="col-lg-3 col-sm-6">
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<div>
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<label for="date-field">Date</label>
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<input type="text" class="form-control bg-light border-0" id="date-field"
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data-provider="flatpickr" data-time="true" placeholder="Select Date-time">
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</div>
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</div>
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<!--end col-->
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<div class="col-lg-3 col-sm-6">
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<label for="choices-payment-status">Payment Status</label>
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<div class="input-light">
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<select class="form-control bg-light border-0" data-choices data-choices-search-false
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id="choices-payment-status" required>
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<option value="">Select Payment Status</option>
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<option value="Paid">Paid</option>
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<option value="Unpaid">Unpaid</option>
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<option value="Refund">Refund</option>
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</select>
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</div>
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</div>
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<!--end col-->
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<div class="col-lg-3 col-sm-6">
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<div>
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<label for="totalamountInput">Total Amount</label>
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<input type="text" class="form-control bg-light border-0" id="totalamountInput"
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placeholder="$0.00" readonly />
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</div>
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</div>
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<!--end col-->
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</div>
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<!--end row-->
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</div>
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<div class="card-body border-top border-top-dashed p-4">
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<div class="row">
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<div class="col-lg-4 col-sm-6">
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<div>
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<label for="billingName" class="text-muted text-uppercase fw-semibold">Billing Address</label>
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</div>
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<div class="mb-2">
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<input type="text" class="form-control bg-light border-0" id="billingName"
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placeholder="Full Name" required />
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<div class="invalid-feedback">
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Please enter a full name
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</div>
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</div>
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<div class="mb-2">
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<textarea class="form-control bg-light border-0" id="billingAddress" rows="3" placeholder="Address" required></textarea>
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<div class="invalid-feedback">
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Please enter a address
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</div>
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</div>
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<div class="mb-2">
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<input type="text" class="form-control bg-light border-0" data-plugin="cleave-phone"
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id="billingPhoneno" placeholder="(123)456-7890" required />
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<div class="invalid-feedback">
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Please enter a phone number
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</div>
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</div>
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<div class="mb-3">
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<input type="text" class="form-control bg-light border-0" id="billingTaxno"
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placeholder="Tax Number" required />
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<div class="invalid-feedback">
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Please enter a tax number
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</div>
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</div>
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<div class="form-check">
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<input type="checkbox" class="form-check-input" id="same" name="same"
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onchange="billingFunction()" />
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<label class="form-check-label" for="same">
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Will your Billing and Shipping address same?
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</label>
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</div>
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</div>
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<!--end col-->
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<div class="col-sm-6 ms-auto">
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<div class="row">
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<div class="col-lg-8">
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<div>
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<label for="shippingName" class="text-muted text-uppercase fw-semibold">Shipping
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Address</label>
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</div>
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<div class="mb-2">
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<input type="text" class="form-control bg-light border-0" id="shippingName"
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placeholder="Full Name" required />
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<div class="invalid-feedback">
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Please enter a full name
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</div>
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</div>
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<div class="mb-2">
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<textarea class="form-control bg-light border-0" id="shippingAddress" rows="3" placeholder="Address" required></textarea>
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<div class="invalid-feedback">
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Please enter a address
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</div>
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</div>
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<div class="mb-2">
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<input type="text" class="form-control bg-light border-0" data-plugin="cleave-phone"
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id="shippingPhoneno" placeholder="(123)456-7890" required />
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<div class="invalid-feedback">
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Please enter a phone number
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</div>
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</div>
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<div>
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<input type="text" class="form-control bg-light border-0" id="shippingTaxno"
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placeholder="Tax Number" required />
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<div class="invalid-feedback">
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Please enter a tax number
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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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<!--end col-->
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</div>
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<!--end row-->
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</div>
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<div class="card-body p-4">
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<div class="table-responsive">
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<table class="invoice-table table-borderless table-nowrap mb-0 table">
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<thead class="align-middle">
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<tr class="table-active">
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<th scope="col" style="width: 50px;">#</th>
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<th scope="col">
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Product Details
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</th>
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<th scope="col" style="width: 120px;">
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<div class="d-flex currency-select input-light align-items-center">
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Rate
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<select class="form-selectborder-0 bg-light" data-choices data-choices-search-false
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id="choices-payment-currency" onchange="otherPayment()">
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<option value="$">($)</option>
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<option value="£">(£)</option>
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<option value="₹">(₹)</option>
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<option value="€">(€)</option>
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</select>
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</div>
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</th>
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<th scope="col" style="width: 120px;">Quantity</th>
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<th scope="col" class="text-end" style="width: 150px;">Amount</th>
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<th scope="col" class="text-end" style="width: 105px;"></th>
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</tr>
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</thead>
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<tbody id="newlink">
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<tr id="1" class="product">
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<th scope="row" class="product-id">1</th>
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<td class="text-start">
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<div class="mb-2">
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<input type="text" class="form-control bg-light border-0" id="productName-1"
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placeholder="Product Name" required />
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<div class="invalid-feedback">
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Please enter a product name
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</div>
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</div>
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<textarea class="form-control bg-light border-0" id="productDetails-1" rows="2" placeholder="Product Details"></textarea>
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</td>
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<td>
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<input type="number" class="form-control product-price bg-light border-0" id="productRate-1"
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step="0.01" placeholder="0.00" required />
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<div class="invalid-feedback">
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Please enter a rate
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</div>
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</td>
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<td>
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<div class="input-step">
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<button type="button" class='minus'>–</button>
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<input type="number" class="product-quantity" id="product-qty-1" value="0" readonly>
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<button type="button" class='plus'>+</button>
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</div>
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</td>
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<td class="text-end">
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<div>
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<input type="text" class="form-control bg-light product-line-price border-0"
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id="productPrice-1" placeholder="$0.00" readonly />
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</div>
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</td>
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<td class="product-removal">
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<a href="javascript:void(0)" class="btn btn-success">Delete</a>
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</td>
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</tr>
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</tbody>
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<tbody>
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<tr id="newForm" style="display: none;">
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<td class="d-none" colspan="5">
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<p>Add New Form</p>
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</td>
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</tr>
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<tr>
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<td colspan="5">
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<a href="javascript:new_link()" id="add-item" class="btn btn-soft-secondary fw-medium"><i
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class="ri-add-fill me-1 align-bottom"></i> Add Item</a>
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</td>
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</tr>
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<tr class="border-top border-top-dashed mt-2">
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<td colspan="3"></td>
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<td colspan="2" class="p-0">
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<table class="table-borderless table-sm table-nowrap mb-0 table align-middle">
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<tbody>
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<tr>
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<th scope="row">Sub Total</th>
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<td style="width:150px;">
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<input type="text" class="form-control bg-light border-0" id="cart-subtotal"
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placeholder="$0.00" readonly />
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</td>
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</tr>
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<tr>
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<th scope="row">Estimated Tax (12.5%)</th>
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<td>
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<input type="text" class="form-control bg-light border-0" id="cart-tax"
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placeholder="$0.00" readonly />
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</td>
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</tr>
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<tr>
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<th scope="row">Discount <small class="text-muted">(VELZON15)</small></th>
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<td>
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<input type="text" class="form-control bg-light border-0" id="cart-discount"
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placeholder="$0.00" readonly />
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</td>
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</tr>
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<tr>
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<th scope="row">Shipping Charge</th>
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<td>
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<input type="text" class="form-control bg-light border-0" id="cart-shipping"
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placeholder="$0.00" readonly />
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</td>
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</tr>
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<tr class="border-top border-top-dashed">
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<th scope="row">Total Amount</th>
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<td>
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<input type="text" class="form-control bg-light border-0" id="cart-total"
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placeholder="$0.00" readonly />
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</td>
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</tr>
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</tbody>
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</table>
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<!--end table-->
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</td>
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</tr>
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</tbody>
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</table>
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<!--end table-->
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</div>
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<div class="row mt-3">
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<div class="col-lg-4">
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<div class="mb-2">
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<label for="choices-payment-type" class="form-label text-muted text-uppercase fw-semibold">Payment
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Details</label>
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<div class="input-light">
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<select class="form-control bg-light border-0" data-choices data-choices-search-false
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data-choices-removeItem id="choices-payment-type">
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<option value="">Payment Method</option>
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<option value="Mastercard">Mastercard</option>
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<option value="Credit Card">Credit Card</option>
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<option value="Visa">Visa</option>
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<option value="Paypal">Paypal</option>
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</select>
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</div>
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</div>
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<div class="mb-2">
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<input class="form-control bg-light border-0" type="text" id="cardholderName"
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placeholder="Card Holder Name">
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</div>
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<div class="mb-2">
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<input class="form-control bg-light border-0" type="text" id="cardNumber"
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placeholder="xxxx xxxx xxxx xxxx">
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</div>
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<div>
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<input class="form-control bg-light border-0" type="text" id="amountTotalPay"
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placeholder="$0.00" readonly />
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</div>
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</div>
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<!--end col-->
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</div>
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<!--end row-->
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<div class="mt-4">
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<label for="exampleFormControlTextarea1"
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class="form-label text-muted text-uppercase fw-semibold">NOTES</label>
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<textarea class="form-control alert alert-info" id="exampleFormControlTextarea1" placeholder="Notes" rows="2"
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required>All accounts are to be paid within 7 days from receipt of invoice. To be paid by cheque or credit card or direct payment online. If account is not paid within 7 days the credits details supplied as confirmation of work undertaken will be charged the agreed quoted fee noted above.</textarea>
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</div>
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<div class="hstack justify-content-end d-print-none mt-4 gap-2">
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<button type="submit" class="btn btn-success"><i class="ri-printer-line me-1 align-bottom"></i>
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Save</button>
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<a href="javascript:void(0);" class="btn btn-primary"><i
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class="ri-download-2-line me-1 align-bottom"></i> Download Invoice</a>
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<a href="javascript:void(0);" class="btn btn-danger"><i
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class="ri-send-plane-fill me-1 align-bottom"></i> Send Invoice</a>
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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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<!--end col-->
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</div>
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</div>
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</div>
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@endsection
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@push('js')
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<script src="{{ asset('assets/js/pages/invoicecreate.init.js') }}"></script>
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@endpush
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