@extends('admin.layouts.master')
@section('content')
    <section class="section">
        <ul class="breadcrumb breadcrumb-style ">
            <li class="breadcrumb-item">
                <h4 class="page-title m-b-0">Refund Form</h4>
            </li>
            <li class="breadcrumb-item">
                <a href="{{ url('index') }}">
                    <i data-feather="home"></i></a>
            </li>
            <li class="breadcrumb-item active">Add Refund Form</li>
        </ul>
    </section>
    <div class="section-body">
        <div class="row">
            <div class="col-12 col-md-12 col-lg-12">
                <div class="card">
                    <div class="card-header">
                        <h4>Add Refund Form</h4>
                    </div>
                    <div class="card-body">
                        <p class="text-muted">Enter Your Details</p>
                        <form method="POST">
                            <div class="row">
                                <div class="col-md-4">
                                    <div class="form-group">
                                        <label for="productname">Product Name</label>
                                        <input id="productname" type="text" class="form-control" name="productname" tabindex="1" required autofocus>
                                    </div>
                                </div>
                                <div class="col-md-4">
                                    <div class="form-group">
                                        <label for="vendordetail">Vendor Name</label>
                                        <input id="vendordetail" type="text" class="form-control" name="vendordetail" tabindex="1" required autofocus>
                                    </div>
                                </div>
                                <div class="col-md-4">
                                    <div class="form-group">
                                        <label for="orderdate">Order Date</label>
                                        <input id="orderdate" type="date" class="form-control" name="orderdate" tabindex="1" required autofocus>
                                    </div>
                                </div>
                                <div class="col-md-4">
                                    <div class="form-group">
                                        <label for="receivingdate">Receiving Date</label>
                                        <input id="receivingdate" type="date" class="form-control" name="receivingdate" tabindex="1" required autofocus>
                                    </div>
                                </div>
                                <div class="col-md-4">
                                    <div class="form-group">
                                        <label for="email">Email</label>
                                        <input id="email" type="email" class="form-control" name="email" tabindex="1"
                                            required autofocus>
                                    </div>
                                </div>
                                <div class="col-md-4">
                                    <div class="form-group">
                                        <label for="imei">IMEI's</label>
                                        <input id="imei" type="number" class="form-control pwstrength"
                                            data-indicator="pwindicator" name="imei" required>
                                        <div id="pwindicator" class="pwindicator">
                                            <div class="bar"></div>
                                            <div class="label"></div>
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-4">
                                    <div class="form-group">
                                        <label for="invoicenumber">Invoice number</label>
                                        <input id="invoicenumber" type="number" class="form-control" name="invoicenumber" required>
                                    </div>
                                </div>
                                <div class="col-md-6 offset-md-3">
                                    <div class="form-group">
                                        <button type="submit" class="btn btn-primary btn-lg btn-block" tabindex="4">
                                            Submit
                                        </button>
                                    </div>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection