{{ Form::hidden('number', $number) }}
{{ Form::hidden('payment_amount', $totalPayment) }}
{{ Form::hidden('installment_id', $installment_id) }}
{{ Form::label("receipt_id", trans('installments.receipt_id')) }} *
{{ Form::text('receipt_id', null, [
'class' => 'form-control',
'id' => 'receipt_id',
'placeholder' => trans('installments.receipt_id')
]) }}
{{ Form::label("payment_name", trans('installments.payment_name')) }} *
{{ Form::text('payment_name', null, [
'class' => 'form-control',
'placeholder' => trans('installments.payment_name')
]) }}
{{ Form::label("recieve_amount", trans('installments.recieve_amount')) }}
{{ Form::number('recieve_amount', $totalPayment, [
'class' => 'form-control',
'placeholder' => trans('installments.recieve_amount'),
]) }}
{{ Form::label("late_amount", trans('installments.late')) }}
{{ Form::number('late_amount', 0, [
'class' => 'form-control',
'placeholder' => trans('installments.late'),
]) }}
{{ Form::label("total_as_letter", trans('installments.total_as_letter')) }}
{{ Form::text('total_as_letter', null, [
'class' => 'form-control',
'placeholder' => trans('installments.total_as_letter'),
]) }}
{{ Form::label("in_digit_of", trans('installments.in_digit_of')) }}
{{ Form::text('in_digit_of', null, [
'class' => 'form-control',
'placeholder' => trans('installments.in_digit_of'),
]) }}
{{ Form::label("with_doc", trans('installments.with_doc')) }}
{{ Form::text('with_doc', null, [
'class' => 'form-control',
'placeholder' => trans('installments.with_doc'),
]) }}
{{ Form::close() }}