/home/dvjjulio/softtrash/storage/framework/views/d4695d6517cafc1a4bccf5250bfc55aa
<?php $__env->startSection('content'); ?>
<div id="page-content">
<div class="content-header">
<div class="header-section">
<h1>
<i class="fa fa-recycle"></i>Alta de Clientes<br><small>Recolectora Metropolitana</small>
</h1>
</div>
</div>
<div class="block">
<div class="block-title">
<h2><strong>Cliente</strong> Nuevo</h2>
</div>
<form id="form-actor" method="post" enctype="multipart/form-data" class="form-horizontal form-bordered" onsubmit="return false;">
<input type="hidden" name="_token" id="csrf-token" value="<?php echo e(csrf_token()); ?>" />
<div class="form-group">
<label class="col-md-3 control-label">Cliente <span class="text-danger">*</span></label>
<div class="col-md-6">
<input id="cliente-input" class="form-control" type="text" placeholder="PATOLOGIA ESPECIALIZADA, S.C." required="required" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Nombre Comercial <span class="text-danger">*</span></label>
<div class="col-md-6">
<input id="nombre-comercial-input" class="form-control" type="text" placeholder="TARASCOS PAT." required="required"/>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Fecha Alta <span class="text-danger">*</span></label>
<div class="col-md-3">
<input type="text" id="fecha-alta-datepicker" name="example-datepicker" class="form-control input-datepicker" data-date-format="yyyy-mm-dd" placeholder="yyyy-mm-dd" >
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Latitude Cliente <span class="text-danger">*</span></label>
<div class="col-md-3">
<input id="latitude-input" class="form-control" type="number" placeholder="20.681369" required="required" step="0.000000000001" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Longitude Cliente <span class="text-danger">*</span></label>
<div class="col-md-3">
<input id="longitude-input" class="form-control" type="number" placeholder="-103.398004" required="required" step="0.000000000001"/>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">No. SEMADES <span class="text-danger">*</span></label>
<div class="col-md-3">
<input id="semades-input" class="form-control" type="numbre" placeholder="23" required="required"/>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Cuota <span class="text-danger">*</span></label>
<div class="col-md-3" >
<select id="cuota-select" class="form-control" required="required">
<option value="0">Selecciona</option>
<?php foreach($cuotas as $key => $cuota): ?>
<option value="<?php echo $cuota->id; ?>"><?php echo $cuota->cuota; ?></option>
<?php endforeach; ?>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Ruta <span class="text-danger">*</span></label>
<div class="col-md-3" >
<select id="ruta-select" class="form-control" required="required">
<option value="0">Selecciona</option>
<?php foreach($rutas as $key => $ruta): ?>
<option value="<?php echo $ruta->id; ?>"><?php echo $ruta->ruta; ?></option>
<?php endforeach; ?>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Unidad <span class="text-danger">*</span></label>
<div class="col-md-3" >
<select id="unidad-select" class="form-control" required="required">
<option value="0">Selecciona</option>
<?php foreach($unidades as $key => $unidad): ?>
<option value="<?php echo $unidad->id; ?>"><?php echo $unidad->unidad; ?></option>
<?php endforeach; ?>
</select>
</div>
</div>
<div class="form-group">
<div class="col-md-12 text-center">
<label class="control-label">Peso <span class="text-danger">*</span></label>
</div>
<label class="col-md-2 control-label">Enero </label>
<div class="col-md-2">
<input id="peso-01-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Febrero</label>
<div class="col-md-2">
<input id="peso-02-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Marzo </label>
<div class="col-md-2">
<input id="peso-03-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Abril </label>
<div class="col-md-2">
<input id="peso-04-input" class="form-control" type="number" placeholder="20" step="0.01"/>
</div>
<label class="col-md-2 control-label">Mayo </label>
<div class="col-md-2">
<input id="peso-05-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Junio </label>
<div class="col-md-2">
<input id="peso-06-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Julio </label>
<div class="col-md-2">
<input id="peso-07-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Agosto </label>
<div class="col-md-2">
<input id="peso-08-input" class="form-control" type="number" placeholder="20" step="0.01"/>
</div>
<label class="col-md-2 control-label">Septiembre</label>
<div class="col-md-2">
<input id="peso-09-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Octubre </label>
<div class="col-md-2">
<input id="peso-10-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Noviembre</label>
<div class="col-md-2">
<input id="peso-11-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
<label class="col-md-2 control-label">Diciembre </label>
<div class="col-md-2">
<input id="peso-12-input" class="form-control" type="number" placeholder="20" step="0.01" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Precio Unitario <span class="text-danger">*</span></label>
<div class="col-md-3">
<input id="pu-input" class="form-control" type="number" placeholder="1,167.38" step="0.001" required="required"/>
</div>
</div>
<!-- <div class="form-group">
<label class="col-md-3 control-label">Cantidad </label>
<div class="col-md-3">
<input id="cantidad-input" class="form-control" type="number" step="0.01" placeholder="4" />
</div>
</div>-->
<div class="form-group">
<label class="col-md-3 control-label">Retención</label>
<div class="col-md-3">
<input id="ret-checkbox" value="1" class="form-control" type="checkbox" placeholder="4" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Inorganicos <span class="text-danger">*</span></label>
<div class="col-md-3">
<input id="inorganicos-input" class="form-control" type="number" placeholder="20" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Organicos <span class="text-danger">*</span></label>
<div class="col-md-3">
<input id="organicos-input" class="form-control" type="number" placeholder="70" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Sanitarios <span class="text-danger">*</span></label>
<div class="col-md-3">
<input id="sanitarios-input" class="form-control" type="number" placeholder="10" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Giro <span class="text-danger">*</span></label>
<div class="col-md-3" >
<select id="giro-select" class="form-control" required="required">
<option value="0">Selecciona</option>
<?php foreach($giros as $key => $giro): ?>
<option value="<?php echo $giro->id; ?>"><?php echo $giro->giro; ?></option>
<?php endforeach; ?>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Contacto Factura</label>
<div class="col-md-3">
<input id="cont-fact-input" class="form-control" type="text" placeholder="janette y hugo medina" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Email Factura</label>
<div class="col-md-3">
<input id="email-fact-input" class="form-control" type="email" placeholder="lvargas@suitesbernini.com.mx" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Contacto Cobranza</label>
<div class="col-md-3">
<input id="cont-cobr-input" class="form-control" type="text" placeholder="CONTADOR FCO" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Email Cobranza</label>
<div class="col-md-3">
<input id="email-cobr-input" class="form-control" type="text" placeholder="gascardenas@prodigy.net.mx" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">RFC</label>
<div class="col-md-3">
<input id="rfc-input" class="form-control" type="text" placeholder="PRB- 100802 -H20" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Dirección</label>
<div class="col-md-6">
<input id="direccion-input" class="form-control" type="text" placeholder="PASEO DE LOS TAMARINDOS No. 400 - A PISO 1 PTE." />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Telefono</label>
<div class="col-md-3">
<input id="tel-input" class="form-control" type="text" placeholder="36-15-65-16" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Municipio</label>
<div class="col-md-3">
<input id="municipio-input" class="form-control" type="text" placeholder="Guadalajara" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Colonia</label>
<div class="col-md-3">
<input id="colonia-input" class="form-control" type="text" placeholder="Bosques de las lomas" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">C.P.</label>
<div class="col-md-3">
<input id="cp-input" class="form-control" type="text" placeholder="44760" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Factura entrega</label>
<div class="col-md-3" >
<select id="entrega-select" class="form-control" required="required">
<option value="0">Selecciona</option>
<option value="MAIL">MAIL</option>
<option value="FISICAMENTE">FISICAMENTE</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Modo Pago</label>
<div class="col-md-3" >
<select id="pago-select" class="form-control" required="required">
<option value="0">Selecciona</option>
<option value="TRANSFERENCIA">TRANSFERENCIA</option>
<option value="DEPOSITO">DEPOSITO</option>
<option value="EFECTIVO">EFECTIVO</option>
<option value="CHEQUE">CHEQUE</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Cuenta Bancaria</label>
<div class="col-md-3">
<input id="cuenta-input" class="form-control" type="number" placeholder="0666" />
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Fiscal</label>
<div class="col-md-3" >
<select id="fiscal-select" class="form-control" required="required">
<option value="0">Selecciona</option>
<option value="FISCAL">FISCAL</option>
<option value="NO FISCAL">NO FISCAL</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Ultima Factura</label>
<div class="col-md-6">
<textarea id="ultima-fact-input" class="form-control" type="number" placeholder="JULIO 2016" ></textarea>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label">Observaciones</label>
<div class="col-md-6">
<input id="observaciones-input" class="form-control" type="text" placeholder="8 FAVOR RESPETAR ORDEN NO DE IZQ. Y SON 18. 752" />
</div>
</div>
<div class="form-group form-actions">
<div class="col-md-9 col-md-offset-3">
<button id="send-button" type="submit" class="btn btn-sm btn-success" onclick="Cliente.getCliente(this)"><i class="fa fa-angle-right"></i> Guardar</button>
</div>
</div>
</form>
</div>
</div>
<?php echo Html::script("/js/catalogo_js/cliente.js"); ?>
<?php $__env->stopSection(); ?>
<?php echo $__env->make('layout', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>