'facilityrequest', 'id' => 'form-facilityrequest', 'method' => 'POST')); ?>

'150px')); ?>

'required')); ?> 'form-control','name'=>'facility_id','id'=>'facility_id')); ?> has('facility_id')): ?> first('facility_id'); ?>

'form-control','id'=>'hub_id','name'=>'hub_id', 'required')); ?>

'col-sm-2')); ?> 'form-control','id'=>'district_id','name'=>'district_id')); ?>

'col-sm-2')); ?> 'form-control standard-datepicker standard-datepicker-nofuture','placeholder' =>'Start Date...','required'=>'required', 'id'=>'start_date')); ?>

'col-sm-2')); ?> 'form-control standard-datepicker-nofuture','placeholder' =>'End Date...','required'=>'required','id'=>'_date')); ?>

'col-sm-2 ')); ?> 'form-control standard-datepicker-nofuture', 'placeholder' =>'Date Submitted','required'=>'required','id'=>'date_submitted', 'required')); ?>

'col-sm-2 ')); ?> 'form-control col-sm-4', 'placeholder' =>'Hub Coordinator Email address', 'required')); ?> 'col-sm-2', 'hidden')); ?> username,array('class' => 'hidden', 'form-control col-sm-4')); ?>

Item/Commodity	Opening Balance at start of opening cycle	Qty Received during the reporting period	Total Consumption during the reporting period	Losses / Adjustments (-/+)	Total Closing Balance	Maximum Stock Quantity Required	Quantity To Order	Comments

".trans('messages.save'), array('class' => 'btn btn-primary', 'onclick' => 'submit()')); ?>