@extends('layouts.app')
@section('title', \App\CPU\translate('Item View'))
@push('css_or_js')
    <meta name="csrf-token" content="{{ csrf_token() }}">
    <style>
        .form-group {
            margin-bottom: 25px;
            padding-right: 25px;
        }
    </style>
@endpush

@section('content')
    <div class="app-main flex-column flex-row-fluid" id="kt_app_main">
        <div id="kt_app_toolbar" class="app-toolbar py-3 py-lg-6">
            <!--begin::Toolbar container-->
            <div id="kt_app_toolbar_container" class="app-container container-xxxl d-flex flex-stack">
                <!--begin::Page title-->
                <div class="page-title d-flex flex-column justify-content-center flex-wrap me-3">
                    <!--begin::Title-->
                    <h1 class="page-heading d-flex text-dark fw-bold fs-3 flex-column justify-content-center my-0">Claim</h1>
                    <!--end::Title-->
                    <!--begin::Breadcrumb-->
                    <ul class="breadcrumb breadcrumb-separatorless fw-semibold fs-7 my-0 pt-1">
                        <!--begin::Item-->
                        <li class="breadcrumb-item text-muted">
                            <a href="" class="text-muted text-hover-primary">Dashboard</a>
                        </li>
                        <!--end::Item-->
                        <!--begin::Item-->
                        <li class="breadcrumb-item">
                            <span class="bullet bg-gray-400 w-5px h-2px"></span>
                        </li>
                        <!--end::Item-->
                        <!--begin::Item-->
                        <li class="breadcrumb-item text-muted">Claim</li>
                        <!--begin::Item-->
                        <li class="breadcrumb-item">
                            <span class="bullet bg-gray-400 w-5px h-2px"></span>
                        </li>
                        <li class="breadcrumb-item text-muted">{{ \App\CPU\translate('claim View') }}</li>
                        <!--end::Item-->
                    </ul>
                    <!--end::Breadcrumb-->
                </div>
                <!--end::Page title-->
            </div>
            <!--end::Toolbar container-->
        </div>
        <!-- Content Row -->
        <div class="app-container container-xxxl d-flex flex-stack">
            <div class="col-md-12">
                <div class="card">
                    <div class="card-body">
                        <form {{-- action="{{route('admin.item.update',[$b['id']])}}" --}} method="post" enctype="multipart/form-data">
                            @csrf
                            <div class="form-group">
                                <div class="row">
                                    <div class="col-md-4 form-group">
                                        <label for="ID" class="title-color">{{ \App\CPU\translate('ID') }}</label>
                                        <input type="text" name="id" value="{{ $kbd['id'] }}"
                                            class="form-control" id="ID"
                                            placeholder="{{ \App\CPU\translate('ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="LINE_ID"
                                            class="title-color">{{ \App\CPU\translate('LINE ID') }}</label>
                                        <input type="text" name="LINE_ID" value="{{ $kbd->LINE_ID }}"
                                            class="form-control" id="line_id"
                                            placeholder="{{ \App\CPU\translate('LINE ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="ORG_ID" class="title-color">{{ \App\CPU\translate('ORG ID') }}</label>
                                        <input type="text" name="ORG_ID" value="{{ $kbd->ORG_ID }}"
                                            class="form-control" id="org_id"
                                            placeholder="{{ \App\CPU\translate('ORG ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CUSTOMER_ID"
                                            class="title-color">{{ \App\CPU\translate('CUSTOMER ID') }}</label>
                                        <input type="text" name="CUSTOMER_ID" value="{{ $kbd->CUSTOMER_ID }}"
                                            class="form-control" id="customer_id"
                                            placeholder="{{ \App\CPU\translate('CUSTOMER ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CUSTOMER_NUMBER"
                                            class="title-color">{{ \App\CPU\translate('CUSTOMER NUMBER') }}</label>
                                        <input type="text" name="CUSTOMER_NUMBER" value="{{ $kbd->CUSTOMER_NUMBER }}"
                                            class="form-control" id="customer_number"
                                            placeholder="{{ \App\CPU\translate('CUSTOMER NUMBER') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="SITE_NUMBER"
                                            class="title-color">{{ \App\CPU\translate('SITE NUMBER') }}</label>
                                        <input type="text" name="SITE_NUMBER" value="{{ $kbd->SITE_NUMBER }}"
                                            class="form-control" id="site_number"
                                            placeholder="{{ \App\CPU\translate('SITE NUMBER') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="SITE_USE_ID"
                                            class="title-color">{{ \App\CPU\translate('SITE USE ID') }}</label>
                                        <input type="text" name="SITE_USE_ID" value="{{ $kbd->SITE_USE_ID }}"
                                            class="form-control" id="site_use_id"
                                            placeholder="{{ \App\CPU\translate('SITE USE ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="LOCATION_NO"
                                            class="title-color">{{ \App\CPU\translate('LOCATION NO') }}</label>
                                        <input type="text" name="LOCATION_NO" value="{{ $kbd->LOCATION_NO }}"
                                            class="form-control" id="location_no"
                                            placeholder="{{ \App\CPU\translate('LOCATION NO') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CUST_ACCT_SITE_ID"
                                            class="title-color">{{ \App\CPU\translate('CUST ACCT SITE ID') }}</label>
                                        <input type="text" name="CUST_ACCT_SITE_ID"
                                            value="{{ $kbd->CUST_ACCT_SITE_ID }}" class="form-control"
                                            id="cust_acct_site_id"
                                            placeholder="{{ \App\CPU\translate('CUST ACCT SITE ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="PROVINCE"
                                            class="title-color">{{ \App\CPU\translate('PROVINCE') }}</label>
                                        <input type="text" name="PROVINCE" value="{{ $kbd->PROVINCE }}"
                                            class="form-control" id="province"
                                            placeholder="{{ \App\CPU\translate('PROVINCE') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="VENDOR_ID"
                                            class="title-color">{{ \App\CPU\translate('VENDOR ID') }}</label>
                                        <input type="text" name="VENDOR_ID" value="{{ $kbd->VENDOR_ID }}"
                                            class="form-control" id="vendor_id"
                                            placeholder="{{ \App\CPU\translate('VENDOR ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="VENDOR_NO"
                                            class="title-color">{{ \App\CPU\translate('VENDOR NO') }}</label>
                                        <input type="text" name="VENDOR_NO" value="{{ $kbd->VENDOR_NO }}"
                                            class="form-control" id="vendor_id"
                                            placeholder="{{ \App\CPU\translate('VENDOR NO') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="VENDOR_SITE_ID"
                                            class="title-color">{{ \App\CPU\translate('VENDOR SITE ID') }}</label>
                                        <input type="text" name="VENDOR_SITE_ID" value="{{ $kbd->VENDOR_SITE_ID }}"
                                            class="form-control" id="vendor_site_id"
                                            placeholder="{{ \App\CPU\translate('VENDOR SITE ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="KBD_TRX_ID"
                                            class="title-color">{{ \App\CPU\translate('KBD TRX ID') }}</label>
                                        <input type="text" name="KBD_TRX_ID" value="{{ $kbd->KBD_TRX_ID }}"
                                            class="form-control" id="kbd_trx_id"
                                            placeholder="{{ \App\CPU\translate('KBD TRX ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="KBD_TRX_NO"
                                            class="title-color">{{ \App\CPU\translate('KBD TRX NO') }}</label>
                                        <input type="text" name="KBD_TRX_NO" value="{{ $kbd->KBD_TRX_NO }}"
                                            class="form-control" id="kbd_trx_no"
                                            placeholder="{{ \App\CPU\translate('KBD_TRX_NO') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="KBD_DATE"
                                            class="title-color">{{ \App\CPU\translate('KBD DATE') }}</label>
                                        <input type="text" name="KBD_DATE" value="{{ $kbd->KBD_DATE }}"
                                            class="form-control" id="kbd_date"
                                            placeholder="{{ \App\CPU\translate('KBD DATE') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="KBD_CONTRACT_NO"
                                            class="title-color">{{ \App\CPU\translate('KBD CONTRACT NO') }}</label>
                                        <input type="text" name="KBD_CONTRACT_NO" value="{{ $kbd->KBD_CONTRACT_NO }}"
                                            class="form-control" id="kbd_contract_no"
                                            placeholder="{{ \App\CPU\translate('KBD CONTRACT NO') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="KBD_CLASS"
                                            class="title-color">{{ \App\CPU\translate('KBD CLASS') }}</label>
                                        <input type="text" name="KBD_CLASS" value="{{ $kbd->KBD_CLASS }}"
                                            class="form-control" id="kbd_class"
                                            placeholder="{{ \App\CPU\translate('KBD CLASS') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="ITEM_ID"
                                            class="title-color">{{ \App\CPU\translate('ITEM ID') }}</label>
                                        <input type="text" name="ITEM_ID" value="{{ $kbd->ITEM_ID }}"
                                            class="form-control" id="item_id"
                                            placeholder="{{ \App\CPU\translate('ITEM ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="ITEM_NO"
                                            class="title-color">{{ \App\CPU\translate('ITEM NO') }}</label>
                                        <input type="text" name="ITEM_NO" value="{{ $kbd->ITEM_NO }}"
                                            class="form-control" id="item_no"
                                            placeholder="{{ \App\CPU\translate('ITEM NO') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="AMOUNT"
                                            class="title-color">{{ \App\CPU\translate('AMOUNT') }}</label>
                                        <input type="text" name="AMOUNT" value="{{ $kbd->AMOUNT }}"
                                            class="form-control" id="amount"
                                            placeholder="{{ \App\CPU\translate('AMOUNT') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="KBD_PERCENT"
                                            class="title-color">{{ \App\CPU\translate('KBD PERCENT') }}</label>
                                        <input type="text" name="KBD_PERCENT" value="{{ $kbd->KBD_PERCENT }}"
                                            class="form-control" id="kbd_percent"
                                            placeholder="{{ \App\CPU\translate('KBD PERCENT') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="REF_TRX_ID"
                                            class="title-color">{{ \App\CPU\translate('REF TRX ID') }}</label>
                                        <input type="text" name="REF_TRX_ID" value="{{ $kbd->REF_TRX_ID }}"
                                            class="form-control" id="ref_trx_id"
                                            placeholder="{{ \App\CPU\translate('REF TRX ID') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="REF_TRX_NO"
                                            class="title-color">{{ \App\CPU\translate('REF TRX NO') }}</label>
                                        <input type="text" name="REF_TRX_NO" value="{{ $kbd->REF_TRX_NO }}"
                                            class="form-control" id="ref_trx_no"
                                            placeholder="{{ \App\CPU\translate('REF TRX NO') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="REF_TRX_DATE"
                                            class="title-color">{{ \App\CPU\translate('REF TRX DATE') }}</label>
                                        <input type="text" name="REF_TRX_DATE" value="{{ $kbd->REF_TRX_DATE }}"
                                            class="form-control" id="ref_trx_date"
                                            placeholder="{{ \App\CPU\translate('REF TRX DATE') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="REF_QTY"
                                            class="title-color">{{ \App\CPU\translate('REF QTY') }}</label>
                                        <input type="text" name="REF_QTY" value="{{ $kbd->REF_QTY }}"
                                            class="form-control" id="ref_qty"
                                            placeholder="{{ \App\CPU\translate('REF QTY') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="REF_PRICE"
                                            class="title-color">{{ \App\CPU\translate('REF PRICE') }}</label>
                                        <input type="text" name="REF_PRICE" value="{{ $kbd->REF_PRICE }}"
                                            class="form-control" id="ref_price"
                                            placeholder="{{ \App\CPU\translate('REF PRICE') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="REF_AMOUNT"
                                            class="title-color">{{ \App\CPU\translate('REF AMOUNT') }}</label>
                                        <input type="text" name="REF_AMOUNT" value="{{ $kbd->REF_AMOUNT }}"
                                            class="form-control" id="ref_amount"
                                            placeholder="{{ \App\CPU\translate('REF AMOUNT') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CLAIM_AMOUNT"
                                            class="title-color">{{ \App\CPU\translate('CLAIM AMOUNT') }}</label>
                                        <input type="text" name="CLAIM_AMOUNT" value="{{ $claimAmountCalculation }}"
                                            class="form-control" id="claim_amount"
                                            placeholder="{{ \App\CPU\translate('CLAIM AMOUNT') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CLAIM_REFERENCE"
                                            class="title-color">{{ \App\CPU\translate('CLAIM REFERENCE') }}</label>
                                        <input type="text" name="CLAIM_REFERENCE" value="{{ $kbd->CLAIM_REFERENCE }}"
                                            class="form-control" id="claim_reference"
                                            placeholder="{{ \App\CPU\translate('CLAIM REFERENCE') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CLAIM_STATUS"
                                            class="title-color">{{ \App\CPU\translate('CLAIM STATUS') }}</label>
                                        <input type="text" name="CLAIM_STATUS" value="{{ $kbd->CLAIM_STATUS }}"
                                            class="form-control" id="claim_status"
                                            placeholder="{{ \App\CPU\translate('CLAIM STATUS') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="INTEGRATION_STATUS"
                                            class="title-color">{{ \App\CPU\translate('INTEGRATION STATUS') }}</label>
                                        <input type="text" name="INTEGRATION_STATUS"
                                            value="{{ $kbd->INTEGRATION_STATUS }}" class="form-control"
                                            id="integration_status"
                                            placeholder="{{ \App\CPU\translate('INTEGRATION STATUS') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="NOTE1"
                                            class="title-color">{{ \App\CPU\translate('NOTE1') }}</label>
                                        <input type="text" name="NOTE1" value="{{ $kbd->NOTE1 }}"
                                            class="form-control" id="note1"
                                            placeholder="{{ \App\CPU\translate('NOTE1') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="NOTE2"
                                            class="title-color">{{ \App\CPU\translate('NOTE2') }}</label>
                                        <input type="text" name="NOTE2" value="{{ $kbd->NOTE2 }}"
                                            class="form-control" id="note2"
                                            placeholder="{{ \App\CPU\translate('NOTE2') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CREATED_BY"
                                            class="title-color">{{ \App\CPU\translate('CREATED BY') }}</label>
                                        <input type="text" name="CREATED_BY" value="{{ $kbd->CREATED_BY }}"
                                            class="form-control" id="created_by"
                                            placeholder="{{ \App\CPU\translate('CREATED BY') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="CREATION_DATE"
                                            class="title-color">{{ \App\CPU\translate('CREATION DATE') }}</label>
                                        <input type="text" name="CREATION_DATE" value="{{ $kbd->CREATION_DATE }}"
                                            class="form-control" id="creation_date"
                                            placeholder="{{ \App\CPU\translate('CREATION DATE') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="LAST_UPDATE_DATE"
                                            class="title-color">{{ \App\CPU\translate('LAST UPDATE DATE') }}</label>
                                        <input type="text" name="LAST_UPDATE_DATE"
                                            value="{{ $kbd->LAST_UPDATE_DATE }}" class="form-control"
                                            id="last_update_date"
                                            placeholder="{{ \App\CPU\translate('LAST UPDATE DATE') }}">
                                    </div>
                                    <div class="col-md-4 form-group">
                                        <label for="LAST_UPDATE_BY"
                                            class="title-color">{{ \App\CPU\translate('LAST UPDATE BY') }}</label>
                                        <input type="text" name="LAST_UPDATE_BY" value="{{ $kbd->LAST_UPDATE_BY }}"
                                            class="form-control" id="last_update_by"
                                            placeholder="{{ \App\CPU\translate('LAST UPDATE BY') }}">
                                    </div>
                                </div>
                            </div>
                            {{-- <div class="d-flex justify-content-end">
													<button type="submit" class="btn btn-primary px-4">{{\App\CPU\translate('Update')}}</button>
												</div> --}}
                        </form>
                    </div>
                </div>
            </div>
        </div>

    </div>
@endsection

@push('script')
    <script src="{{ asset('public/assets/back-end') }}/js/select2.min.js"></script>
@endpush