{!! Form::label('ref_no', 'Ref No:') !!}
{!! Form::text('ref_no', null, ['class' => 'form-control']) !!}
{!! Form::label('front_user_id', 'Front User Id:') !!}
{!! Form::select('front_user_id', \App\Models\FrontUser::pluck('name','id'), null, ['class' => 'form-control']) !!}
{!! Form::label('policy_id', 'Policy Id:') !!}
{!! Form::text('policy_id', null, ['class' => 'form-control']) !!}
{!! Form::label('amount', 'Amount:') !!}
{!! Form::number('amount', null, ['class' => 'form-control']) !!}
{!! Form::label('payment_status', 'Payment Status:') !!}
{!! Form::select('payment_status', ['pending' => 'pending', 'paid' => 'paid', 'failed' => 'failed', 'canceled' => 'canceled'], null, ['class' => 'form-control']) !!}
{!! Form::label('voucher_date', 'Voucher Date:') !!}
{!! Form::text('voucher_date', null, ['class' => 'form-control','id'=>'voucher_date']) !!}
@push('scripts')
@endpush
{!! Form::label('status', 'Status:') !!}
{!! Form::select('status', ['pending' => 'pending', 'canceled' => 'canceled', 'completed' => 'completed'], null, ['class' => 'form-control']) !!}
{!! Form::label('payment_method_id', 'Payment Method Id:') !!}
{!! Form::select('payment_method_id', \App\Models\PaymentMethods::pluck('name','id'), null, ['class' => 'form-control']) !!}