@extends('AdminLte.template')

<!--Title-->
@section('title')
{{__('Pharmacy Outstanding Report')}}
@endsection
<!--Title Close-->

<!--External CSS-->
@section('ExternalCss')
@parent
@endsection
<!--External CSS Close--> 
@section('Content')
<div class="col-md-12 txtCenter">
    <h3>{{__('Pharmacy Outstanding Report')}}</h3>
    {{ Form::open(['action' => 'RegisterReportController@outStandingReport','autocomplete' => 'off','id' => 'patientdata']) }}
    <br/>
    <div class="col-md-12 txtCenter">
        <label class="inputType">{{__('As On Date')}} : </label> 
        <input name="toDate" id="toDate" value="{{date('Y-m-d')}}" class="inputType borderNone borderBottom blue noPadding" type="date" required>
    </div>
    <br/><br/>
    <div class="col-md-12 txtCenter">
        <label class="inputType">{{__('Report For')}} : </label> 
        <select name="reportFor" id="reportFor" class="inputType borderNone borderBottom blue noPadding">
            <option value="U">{{__('Unsettled Bill / Receipt')}}</option>
            <option value="A">{{__('All Bill / Receipt')}}</option>
        </select>
        &nbsp;
        <label class="inputType fromDateDiv">{{__('From')}} : </label> 
        <input name="fromDate" id="fromDate" class="inputType borderNone borderBottom blue noPadding fromDateDiv" type="date" required>
    </div>
    <br/><br/>
    <div class="col-md-12 txtCenter">
        <label class="inputType">{{__('Patient Category')}} :</label>
        <select name="rateType" id="rateType" class="inputType borderNone borderBottom blue noPadding" required>
            <option value="All">{{__('All')}}</option>
            @foreach($rateTypeData as $rateType)
            <option value="{{$rateType->id}}">{{$rateType->rate_type}}</option>
            @endforeach
        </select>
        <select name="rateCard" id="rateCard" class="inputType borderNone borderBottom blue noPadding" required>
            <option value="All">{{__('All')}}</option>
        </select>
    </div>
    <br/><br/>
    <div class="col-md-12 txtCenter">
        <label class="inputType">{{__('Report Type')}} : </label> 
        <select name="reportType" id="reportType" class="inputType borderNone borderBottom blue noPadding">
            <option value="S">{{__('Summary')}}</option>
            <option value="D">{{__('Detail')}}</option>
        </select>
    </div>
    <br/><br/>
    <button name="Submit"  id="btnSubmit" class="btn btn-success btn-sm">{{__('Submit')}}</button>
</div>
@endsection

<!--Bootstrap Modals-->      
@section('BootstrapModals')
@endsection
<!--Bootstrap Modals Close-->

@section('ExternalJs')
<script src="{{ asset ("/js/outstanding_report.js?$releaseVersion") }}"></script>
@endsection