
    <?php Fun::lang()?>
    <?php echo Form::open(array('id'=>'form_submit')); ?>

    <div style="overflow:hidden;padding:15px;">
        <div class="form-group row">
            <label class="col-sm-3 col-form-label text-right "><?php echo e(__('administrator.invoice')); ?></label>
            <div class="col-sm-7">
                <input type="text" class="form-control" name="invoice" value="<?php echo e($std->invoice); ?>" readonly>
            </div>
        </div>
        <div class="form-group row">
            <label class="col-sm-3 col-form-label text-right "><?php echo e(__('administrator.paid_amount')); ?></label>
            <div class="col-sm-7">
                <input type="text" class="form-control paid_amount_refund" name="paid_amount" data-pp="<?php echo e($std->paid_amount); ?>"
                       value=" <?php echo e($std->symbol); ?> <?php echo e($std->paid_amount); ?>" readonly>
                <input type="hidden" name="type" value="refund" required>
                <input type="hidden" class="form-control" name="payment_id" value="<?php echo e($std->payment_id); ?>"
                       required>
            </div>
        </div>
        <div class="form-group row">
            <label class="col-sm-3 col-form-label text-right required"><?php echo e(__('administrator.refund_amount')); ?>($)</label>
            <div class="col-sm-7">
                <?php echo Form::text('refund_amount',null, ['class' => 'form-control refund_amount']); ?>

            </div>
        </div>
        <div class="form-group row">
            <label class="col-sm-3 col-form-label text-right required"><?php echo e(__('administrator.date')); ?></label>
            <div class="col-sm-7">
                <?php echo Form::date('date',null, ['class' => 'form-control p_date']); ?>

            </div>
        </div>
        <div class="form-group row">
            <label class="col-sm-3 col-form-label text-right "><?php echo e(__('administrator.note')); ?></label>
            <div class="col-sm-7">
                <?php echo Form::textarea('note',null, ['class' => 'form-control no-resize','rows'=>'5','maxlength'=>'150']); ?>

            </div>
        </div>
    </div>
    <?php echo Form::close(); ?>



<?php /**PATH /home/nsowos/public_html/shr-brand/resources/views/administrator/payment/add-refund.blade.php ENDPATH**/ ?>