@extends('layouts.app')

@section('content')

    <form action="{{ route('discounts.conditional_release.store') }}" class="col col-lg-9 pd-30" id="form_request_ajax" method="POST">
        @csrf
        <div class="page-title divider-b pdb-10 flexbox align-between align-center-y mb-20">
            <h1 class="reset-block primary-color lineheight-130 fs-20">تسجيل الإفراج المشروط للحدث</h1>
        </div>

        <div class="row">

            <x-prisoner-info />

            <x-issue-info type="show_in_discounts"  specificPage="conditional_release" />


            <!-- Widget Block -->
            <div class="col-12 col-md-12">
                <div class="widget-block mb-30 white-bg radius-g pdb-5 form-ui gray-form">

                    <h3 class="far fa-angle-up widget-title fs-15 pdx-20 pdy-10 medium-weight mb-20">الإفراج المشروط للحدث</h3>

                    <div class="widget-content pdx-20">

                        <div class="row gpx-10 ms-10 me-10 divider-b mb-15">

                            <div class="col col-lg-4">
                                <label for="letter_source">مصدر قرار الافراج المشروط للحدث</label>
                                <input type="text" class="req" name="letter_source" value="" placeholder="مصدر قرار الافراج المشروط للحدث">
                            </div>

                            <div class="col col-lg-4">
                                <label for="letter_number">رقم القرار</label>
                                <input type="text"  class="req" name="letter_number" value="" placeholder="رقم القرار">
                            </div>

                            <div class="col col-lg-4  pos-rel">
                                <label for="letter_date_hijri">تاريخ القرار</label>
                                <input type="text" class="date-hijri req" name="letter_date_hijri" id="letter_date_hijri"  placeholder="" value="">
                            </div>

                            <div class="col col-lg-6">
                                <label for="conditional_release_reason">سبب الافراج المشروط للحدث</label>
                                <textarea name="conditional_release_reason" cols="30" rows="10" placeholder="ملاحظات">
                                </textarea>
                            </div>


                            <div class="col col-lg-6">
                                <label for="conditional_release_notes">ملاحظات</label>
                                <textarea name="conditional_release_notes" cols="30" rows="10" placeholder="ملاحظات">

                                </textarea>
                            </div>

                        </div>

                    </div>
                </div>
            </div>

            <div class="col-12 col-md-6">
                <!--  -->
                <label for="" class="color-transparent">..</label>
                <button class="btn fluid primary">حفظ</button>
            </div>


        </div>
    </form>

@endsection

@section('script')
    <script src="{{ asset('assets/js/ajax_judgement.js') }}" defer></script>
@endsection