Checklist Records

{!! Html::decode(Form::label('charge', 'Charge *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::select('charge',['' => 'Select Charge'] + $chargedata->toArray() ,null, ['id'=>'charge','class' => 'form-control']) !!} {!! $errors->first('charge', '

:message

') !!}

{!! Html::decode(Form::label('equipment', 'Equipment *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::select('equipment',['' => 'Select Equipment'] + $equipmentdata->toArray() ,null, ['id'=>'equipment','class' => 'form-control']) !!} {!! $errors->first('equipment', '

:message

') !!}

{!! Html::decode(Form::label('status', 'Status ', ['class' => 'col-md-4 control-label'])) !!}

{!! Html::decode(Form::select('status', ['Inactive', 'Active'], null, ['class' => 'm-wrap span12'])) !!} {!! $errors->first('status', '

:message

') !!}

{!! Html::decode(Form::label('validity_active', 'Validity Active ', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::select('validity_active', ['0'=>'No','1'=>'Yes'], null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('validity_active', '

:message

') !!}

{!! Html::decode(Form::label('alert_period', 'Pre Alert Period (in days) ', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('alert_period', null, ['class' => 'm-wrap span12','readonly']) !!} {!! $errors->first('alert_period', '

:message

') !!}

{!! Form::submit(isset($submitButtonText) ? $submitButtonText : 'Create', ['class' => 'btn green']) !!}