KOKINIO - MANAGER

Edit File: 0119860b6565087cb0328954915040d2

<?php $__env->startSection('content'); ?>
<div id="page-content">
    <div class="content-header">
        <div class="header-section">
            <h1>
            <i class="fa fa-recycle"></i>Alta de Clientes<br><small>Recolectora Metropolitana</small>
            </h1>
        </div>
    </div>
	<div class="block">
		<div class="block-title">
            <h2><strong>Cliente</strong> Nuevo</h2>
        </div>
        <form id="form-actor" method="post" enctype="multipart/form-data" class="form-horizontal form-bordered" onsubmit="return false;">
	        <input type="hidden" name="_token" id="csrf-token" value="<?php echo e(csrf_token()); ?>" />
	        <div class="form-group">
	            <label class="col-md-3 control-label">Cliente <span class="text-danger">*</span></label>
                  <div class="col-md-6">
                    <input id="cliente-input" class="form-control" type="text" placeholder="PATOLOGIA ESPECIALIZADA, S.C." required="required" />
                </div>
	        </div>
	        <div class="form-group">
                <label class="col-md-3 control-label">Nombre Comercial <span class="text-danger">*</span></label>
                <div class="col-md-6">
                    <input id="nombre-comercial-input" class="form-control" type="text" placeholder="TARASCOS PAT." required="required"/>
                </div>
            </div>
            <div class="form-group">
	            <label class="col-md-3 control-label">Fecha Alta <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input type="text" id="fecha-alta-datepicker" name="example-datepicker" class="form-control input-datepicker" data-date-format="yyyy-mm-dd" placeholder="yyyy-mm-dd" >
                </div>
	        </div>
	        <div class="form-group">
	            <label class="col-md-3 control-label">Latitude Cliente <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input id="latitude-input" class="form-control" type="number" placeholder="20.681369" required="required" step="0.000000000001" />
                </div>
	        </div>
              <div class="form-group">
                <label class="col-md-3 control-label">Longitude Cliente <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input id="longitude-input" class="form-control" type="number" placeholder="-103.398004" required="required" step="0.000000000001"/>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">No. SEMADES <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input id="semades-input" class="form-control" type="numbre" placeholder="23" required="required"/>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Cuota <span class="text-danger">*</span></label>
                <div class="col-md-3" >
                    <select id="cuota-select" class="form-control" required="required">
                        <option value="0">Selecciona</option>
                    <?php foreach($cuotas as $key => $cuota): ?>
                        <option value="<?php echo $cuota->id; ?>"><?php echo $cuota->cuota; ?></option>
                    <?php endforeach; ?>
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Ruta <span class="text-danger">*</span></label>
                <div class="col-md-3" >
                    <select id="ruta-select" class="form-control" required="required">
                        <option value="0">Selecciona</option>
                    <?php foreach($rutas as $key => $ruta): ?>
                        <option value="<?php echo $ruta->id; ?>"><?php echo $ruta->ruta; ?></option>
                    <?php endforeach; ?>
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Unidad <span class="text-danger">*</span></label>
                <div class="col-md-3" >
                    <select id="unidad-select" class="form-control" required="required">
                        <option value="0">Selecciona</option>
                    <?php foreach($unidades as $key => $unidad): ?>
                        <option value="<?php echo $unidad->id; ?>"><?php echo $unidad->unidad; ?></option>
                    <?php endforeach; ?>
                    </select>
                </div>
            </div>
            <div class="form-group">
                <div class="col-md-12 text-center">
                    <label class="control-label">Peso <span class="text-danger">*</span></label>
                </div>
                 <label class="col-md-2 control-label">Enero </label>
                  <div class="col-md-2">
                    <input id="peso-01-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Febrero</label>
                  <div class="col-md-2">
                    <input id="peso-02-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Marzo </label>
                  <div class="col-md-2">
                    <input id="peso-03-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Abril </label>
                  <div class="col-md-2">
                    <input id="peso-04-input" class="form-control" type="number" placeholder="20" step="0.01"/>
                </div>
                <label class="col-md-2 control-label">Mayo </label>
                  <div class="col-md-2">
                    <input id="peso-05-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Junio </label>
                  <div class="col-md-2">
                    <input id="peso-06-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Julio </label>
                  <div class="col-md-2">
                    <input id="peso-07-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Agosto </label>
                  <div class="col-md-2">
                    <input id="peso-08-input" class="form-control" type="number" placeholder="20" step="0.01"/>
                </div>
                <label class="col-md-2 control-label">Septiembre</label>
                  <div class="col-md-2">
                    <input id="peso-09-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Octubre </label>
                  <div class="col-md-2">
                    <input id="peso-10-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Noviembre</label>
                  <div class="col-md-2">
                    <input id="peso-11-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
                <label class="col-md-2 control-label">Diciembre </label>
                  <div class="col-md-2">
                    <input id="peso-12-input" class="form-control" type="number" placeholder="20" step="0.01" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Precio Unitario <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input id="pu-input" class="form-control" type="number" placeholder="1,167.38" step="0.001" required="required"/>
                </div>
            </div>
           
            <div class="form-group">
                <label class="col-md-3 control-label">Retención</label>
                  <div class="col-md-3">
                    <input id="ret-checkbox" value="1" class="form-control" type="checkbox" placeholder="4" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Inorganicos <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input id="inorganicos-input" class="form-control" type="number" placeholder="20" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Organicos <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input id="organicos-input" class="form-control" type="number" placeholder="70" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Sanitarios <span class="text-danger">*</span></label>
                  <div class="col-md-3">
                    <input id="sanitarios-input" class="form-control" type="number" placeholder="10" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Giro <span class="text-danger">*</span></label>
                <div class="col-md-3" >
                    <select id="giro-select" class="form-control" required="required">
                        <option value="0">Selecciona</option>
                        <?php foreach($giros as $key => $giro): ?>
                            <option value="<?php echo $giro->id; ?>"><?php echo $giro->giro; ?></option>
                        <?php endforeach; ?>
                    </select>
                </div>
            </div>
             <div class="form-group">
                <label class="col-md-3 control-label">Contacto Factura</label>
                  <div class="col-md-3">
                    <input id="cont-fact-input" class="form-control" type="text" placeholder="janette y hugo medina" />
                </div>
            </div>
             <div class="form-group">
                <label class="col-md-3 control-label">Email Factura</label>
                  <div class="col-md-3">
                    <input id="email-fact-input" class="form-control" type="email" placeholder="lvargas@suitesbernini.com.mx" />
                </div>
            </div>
              <div class="form-group">
                <label class="col-md-3 control-label">Contacto Cobranza</label>
                  <div class="col-md-3">
                    <input id="cont-cobr-input" class="form-control" type="text" placeholder="CONTADOR FCO" />
                </div>
            </div>
             <div class="form-group">
                <label class="col-md-3 control-label">Email Cobranza</label>
                  <div class="col-md-3">
                    <input id="email-cobr-input" class="form-control" type="text" placeholder="gascardenas@prodigy.net.mx" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">RFC</label>
                  <div class="col-md-3">
                    <input id="rfc-input" class="form-control" type="text" placeholder="PRB- 100802 -H20" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Dirección</label>
                  <div class="col-md-6">
                    <input id="direccion-input" class="form-control" type="text" placeholder="PASEO DE LOS TAMARINDOS No. 400 - A PISO 1 PTE." />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Telefono</label>
                  <div class="col-md-3">
                    <input id="tel-input" class="form-control" type="text" placeholder="36-15-65-16" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Municipio</label>
                  <div class="col-md-3">
                    <input id="municipio-input" class="form-control" type="text" placeholder="Guadalajara" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Colonia</label>
                  <div class="col-md-3">
                    <input id="colonia-input" class="form-control" type="text" placeholder="Bosques de las lomas" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">C.P.</label>
                  <div class="col-md-3">
                    <input id="cp-input" class="form-control" type="text" placeholder="44760" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Factura entrega</label>
                <div class="col-md-3" >
                    <select id="entrega-select" class="form-control" required="required">
                        <option value="0">Selecciona</option>
                        <option value="MAIL">MAIL</option>
                        <option value="FISICAMENTE">FISICAMENTE</option>
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Modo Pago</label>
                <div class="col-md-3" >
                    <select id="pago-select" class="form-control" required="required">
                        <option value="0">Selecciona</option>
                        <option value="TRANSFERENCIA">TRANSFERENCIA</option>
                        <option value="DEPOSITO">DEPOSITO</option>
                        <option value="EFECTIVO">EFECTIVO</option>
                        <option value="CHEQUE">CHEQUE</option>
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Cuenta Bancaria</label>
                  <div class="col-md-3">
                    <input id="cuenta-input" class="form-control" type="number" placeholder="0666" />
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Fiscal</label>
                <div class="col-md-3" >
                    <select id="fiscal-select" class="form-control" required="required">
                        <option value="0">Selecciona</option>
                        <option value="FISCAL">FISCAL</option>
                        <option value="NO FISCAL">NO FISCAL</option>
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Ultima Factura</label>
                  <div class="col-md-6">
                    <textarea id="ultima-fact-input" class="form-control" type="number" placeholder="JULIO 2016" ></textarea>
                </div>
            </div>
            <div class="form-group">
                <label class="col-md-3 control-label">Observaciones</label>
                  <div class="col-md-6">
                    <input id="observaciones-input" class="form-control" type="text" placeholder="8 FAVOR RESPETAR ORDEN NO DE IZQ. Y SON 18. 752" />
                </div>
            </div>
            <div class="form-group form-actions">
                <div class="col-md-9 col-md-offset-3">
                    <button id="send-button" type="submit" class="btn btn-sm btn-success" onclick="Cliente.getCliente(this)"><i class="fa fa-angle-right"></i> Guardar</button>
                </div>
            </div>
        </form>
	</div>

</div>
<?php echo Html::script("/js/catalogo_js/cliente.js"); ?>

<?php $__env->stopSection(); ?>
<?php echo $__env->make('layout', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>