@extends('layouts.master') @section('title', 'Driver') @section('pageheader') @endsection @section('breadcrumb') @endsection @section('content')
@include ('errors.list') @if(isset($driver['id'])) {{ Form::model($driver, array('route' => array('driver.update', $driver->id),'id'=>'driver_form','method' => 'PUT','files'=>true, 'enctype' => 'multipart/form-data')) }} @else {{ Form::open(array('route' => 'driver.store','id'=>'driver_form','files'=>true, 'enctype' => 'multipart/form-data')) }} @endif
@role('SuperAdmin')
{{ Form::label('company_id', 'Company',array('class' => 'col-sm-4 col-form-label ')) }}
@endrole

Profile Info

{{ Form::label('first_name', 'First Name',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::text('first_name', (isset($user->first_name) ? $user->first_name : null), array('class' => 'form-control','required'=>'')) }}
{{ Form::label('last_name', 'Last Name',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::text('last_name', (isset($user->last_name) ? $user->last_name : null), array('class' => 'form-control','required'=>'')) }}
{{ Form::label('password', 'Password',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::password('password', array('class' => 'form-control',$password)) }} @if(isset($driver['id'])) Keep password field blank if you dont want to change password @endif
{{ Form::label('password', 'Confirm Password',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::password('password_confirmation', array('class' => 'form-control','required'=>'')) }}
{{ Form::label('phone', 'Phone',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('phone', (isset($driver->phone) ? $driver->phone : null), array('class' => 'form-control phoneNumber' , 'id' =>'phone_number')) }}
{{ Form::label('address', 'Address',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::textarea('address', (isset($driver->address) ? $driver->address : null), array('class' => 'form-control','rows'=>'3')) }}

Location Info

{{ Form::label('country', 'Country',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::select('country',['1' => 'US'], (isset($driver->country) ? $driver->country : '1') ,array('class' => 'form-control')) }}
{{ Form::label('state', 'State',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::select('state',$us_states, (isset($driver->state) ? $driver->state : '') ,array('class' => 'form-control')) }}
{{ Form::label('city', 'City',array('class' => 'col-sm-4 col-form-label')) }}
{!! Form::select('city',[''=>'--- Select City ---'],null,['class'=>'form-control']) !!}
{{ Form::label('zip', 'Zip',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('zip', (isset($driver->zip) ? $driver->zip : null), array('class' => 'form-control alphaNumeric','required'=>'')) }}
{{ Form::label('is_active', 'Status',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::select('is_active',['1' => 'Active','0' => 'InActive'], (isset($driver->is_active) ? $driver->is_active : '1'),array('class' => 'form-control')) }}
{{ Form::label('license_no', 'License #',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('license_no', (isset($driver->license_no) ? $driver->license_no : null), array('class' => 'form-control alphaNumeric','required'=>'')) }}
{{ Form::label('license_country', 'Country',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::select('license_country',['1' => 'US'], (isset($driver->license_country) ? $driver->license_country : '1') ,array('class' => 'form-control')) }}
{{ Form::label('expiration_date', 'Expiry Date',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('expiration_date', (isset($driver->expiration_date) ? $driver->expiration_date : null), array('class' => 'form-control lic_expiration_date')) }}
{{ Form::label('hos_profile', 'HOS Profile',array('class' => 'col-sm-3 col-form-label ')) }}

Add Medical Card

@if(isset($company['id']))
{{ Form::label('medicalcard_issue_date', 'Issued Date',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('medicalcard_issue_date[]', (isset($driver->medicalcard_issue_date) ? $driver->medicalcard_issue_date : null), array('class' => 'form-control expiration_date','required'=>'')) }}
{{ Form::label('medicalcard_exp_date', 'Expiry Date',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('medicalcard_exp_date[]', (isset($driver->medicalcard_exp_date) ? $driver->medicalcard_exp_date : null), array('class' => 'form-control expiration_date','required'=>'')) }}
{{ Form::label('medical_certicate_number', 'Certificate Number',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::text('medical_certicate_number[]', (isset($driver->medical_certicate_number) ? $driver->medical_certicate_number : null), array('class' => 'form-control alphaNumeric','required'=>'')) }}
{{ Form::label('medical_card_image', 'Medical Card Image',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::label('medical_exam_approved', 'Medical Exam Approved',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::label('medical_address[]', 'Address',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::textarea('medical_address[]', (isset($driver->medical_address) ? $driver->medical_address : null), array('class' => 'form-control','rows'=>'3')) }}
@else
{{ Form::label('medicalcard_issue_date', 'Issued Date',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('medicalcard_issue_date[]', (isset($driver->medicalcard_issue_date) ? $driver->medicalcard_issue_date : null), array('class' => 'form-control issue_date')) }}
{{ Form::label('medicalcard_exp_date', 'Expiry Date',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::text('medicalcard_exp_date[]', (isset($driver->medicalcard_exp_date) ? $driver->medicalcard_exp_date : null), array('class' => 'form-control expiration_date')) }}
{{ Form::label('medical_certicate_number', 'Certificate Number',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::text('medical_certicate_number[]', (isset($driver->medical_certicate_number) ? $driver->medical_certicate_number : null), array('class' => 'form-control')) }}
{{ Form::label('medical_card_image', 'Medical Card Image',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::label('medical_exam_approved', 'Medical Exam Approved',array('class' => 'col-sm-4 col-form-label ')) }}
{{ Form::label('medical_address[]', 'Address',array('class' => 'col-sm-4 col-form-label')) }}
{{ Form::textarea('medical_address[]', (isset($driver->medical_address) ? $driver->medical_address : null), array('class' => 'form-control','rows'=>'3')) }}
@endif
@if(isset($medical_cards))

Medical Card Listing

# Issue Date Expiry Date Certification number Address Medical Exam Approved Actions
@endif

{{Form::button(' '.$Action, array('type' => 'submit', 'id'=>'save-button', 'class' => 'btn btn-primary ml-3'))}} Cancel
{{ Form::close() }}
@endsection @section('script')