@extends('layouts.default', ['appTopMenu' => true]) @push('scripts')
@endpush @section('content')
@if (session('status'))
{!! session('status') !!}
@elseif(session('failed'))
{{ session('failed') }}
@endif
@csrf @if($i_u=='update') @php $menu_title='Receipt' @endphp @include('update_receipt') @if(session('update_status_n'))
No Record Found
@endif @php $chk_upd_status=0; @endphp @if(session('update_status')) @php $chk_upd_status=1; @endphp @endif @endif @if($i_u=='insert' || ($i_u=='update' && $chk_upd_status==1))
Letter Details
Mode
*
Select
@foreach($getModes as $getMode)
id ==old('ddl_mode')) {{'selected'}} @endif>{{ $getMode->name }}
@endforeach
@error('ddl_mode') {{$message}} @enderror
Categoty
*
Select
@foreach($getCategorys as $getCategory)
id ==old('ddl_category')) {{'selected'}} @endif>{{ $getCategory->category }}
@endforeach
@error('ddl_category') {{$message}} @enderror
Letter Reference No.
@error('txt_refno') {{$message}} @enderror
Letter Date
@error('txt_ldate') {{$message}} @enderror
Subject/Remark
{{old('txt_enq_remark')}}
@error('txt_enq_remark') {{$message}} @enderror
Old Reference No.
@error('txt_orefno') {{$message}} @enderror
Received From
Individual/Organization
Individual
Organization
Individual
Name
*
@error('txt_name') {{$message}} @enderror
Relation
Select
@foreach($getRelationDetails as $getRelationDetail)
id==old('ddl_relation')) {{ 'selected' }} @endif>{{ $getRelationDetail->name }}
@endforeach
Father/Husband Name
Address
*
@error('txt_address') {{$message}} @enderror
State
*
Select
@foreach($getStateDetails as $getStateDetail)
state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}
@endforeach
@error('ddl_state') {{$message}} @enderror
District
*
Select
@if($getDistrictDetails && old('dbn_i_o')=='I') @foreach($getDistrictDetails as $getDistrictDetail)
district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}
@endforeach @endif
@error('ddl_district') {{$message}} @enderror
Tehsil
Select
@if($getSubDistrictDetails && old('dbn_i_o')=='I') @foreach($getSubDistrictDetails as $getSubDistrictDetail)
subdistrict_code) {{'selected'}} @endif>{{$getSubDistrictDetail->subdistrict_name_english}}
@endforeach @endif
Village
Select
@if($getVillageDetails && old('dbn_i_o')=='I') @foreach($getVillageDetails as $getVillageDetail)
village_code) {{'selected'}} @endif>{{$getVillageDetail->village_name_english}}
@endforeach @endif
Pincode
@error('txt_pincode') {{$message}} @enderror
Mobile No.
@error('txt_mobileno') {{$message}} @enderror
Email Id
@error('txt_email') {{$message}} @enderror
Organization
Organization Name
*
@error('txt_oname') {{$message}} @enderror
Post
@error('txt_post') {{$message}} @enderror
Name
*
@error('txt_name_op') {{$message}} @enderror
Address
*
@error('txt_oaddress') {{$message}} @enderror
Pincode
@error('txt_opincode') {{$message}} @enderror
State
*
Select
@foreach($getStateDetails as $getStateDetail)
state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}
@endforeach
@error('ddl_ostate') {{$message}} @enderror
District
*
Select
@if($getDistrictDetails && old('dbn_i_o')=='O') @foreach($getDistrictDetails as $getDistrictDetail)
district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}
@endforeach @endif
@error('ddl_odistrict') {{$message}} @enderror
Tehsil
Select
@if($getSubDistrictDetails && old('dbn_i_o')=='O') @foreach($getSubDistrictDetails as $getSubDistrictDetail)
subdistrict_code) {{'selected'}} @endif>{{$getSubDistrictDetail->subdistrict_name_english}}
@endforeach @endif
Village
Select
@if($getVillageDetails && old('dbn_i_o')=='O') @foreach($getVillageDetails as $getVillageDetail)
village_code) {{'selected'}} @endif>{{$getVillageDetail->village_name_english}}
@endforeach @endif
Mobile No.
@error('txt_omobileno') {{$message}} @enderror
Email Id
@error('txt_oemailid') {{$message}} @enderror
Eligibility
@foreach($getEligibilityMaster as $val) @if(session('getLegalEligibility'))