@extends("layout")
@section("content")
<div>
	<ol class="breadcrumb">
	  <li><a href="{{{URL::route('user.home')}}}">{{trans('messages.home')}}</a></li>
	  <li><a href="{{{URL::route('topup.index')}}}">{{trans('messages.topup')}}</a></li>
	  <li class="active">{{ Lang::choice('messages.request-topup',2) }}</li>
	</ol>
</div>
@if (Session::has('message'))
	<div class="alert alert-info">{{ trans(Session::get('message')) }}</div>
@endif
	<div class="panel panel-default">
		<div class="panel-heading ">
			<span class="glyphicon glyphicon-edit"></span>
			{{trans('messages.edit-commodity-details')}}
		</div>
		<div class="panel-body">
			@if($errors->all())
				<div class="alert alert-danger">
					{{ HTML::ul($errors->all()) }}
				</div>
			@endif
         {{ Form::model($topupRequest, array('route' => array('topup.update', $topupRequest->id), 'method' => 'PUT', 'id' => 'form-edit-topup')) }}
            <div class="form-group">
                {{ Form::label('lab_section ', Lang::choice('messages.test-category', 1)) }}
                {{ Form::select('lab_section', array(null => '')+ $sections, $topupRequest->test_category_id,
                    array('class' => 'form-control', 'rows' => '2')) }}
            </div>
            <div class="form-group">
                {{ Form::label('commodity', trans('messages.commodity')) }}
                {{ Form::select('commodity', array(null => '')+ $commodities,
                    $topupRequest->commodity_id, array('class' => 'form-control', 'id' => 'commodity_id')) }}
            </div>
            <div class="form-group">
                {{ Form::label('current_bal', trans('messages.current-bal')) }}
                {{ Form::text('current_bal', $topupRequest->commodity->available(), array('class' => 'form-control', 'rows' => '2', 'disabled')) }}
            </div>
            <div class="form-group">
                {{ Form::label('order_quantity', trans('messages.order-qty')) }}
                {{ Form::text('order_quantity', Input::old('order_quantity'),array('class' => 'form-control', 'rows' => '2')) }}
            </div>
            <div class="form-group">
                {{ Form::label('remarks ', trans('messages.remarks')) }}
                {{ Form::textarea('remarks', Input::old('remarks'),array('class' => 'form-control', 'rows' => '2')) }}
            </div>
            <div class="form-group actions-row">
                    {{ Form::button('<span class="glyphicon glyphicon-save"></span> '.trans('messages.save'),
                         array('class' => 'btn btn-primary', 'onclick' => 'submit()')) }}
                </div>
            {{ Form::close() }}
        </div>
    </div>
@stop