<div class="modal" id="modal-form_cicil" tabindex="-1" role="dialog" aria-hidden="true" data-backdrop="static" >
   <div class="modal-dialog modal-lg">
      <div class="modal-content">
          <div class="modal-content" style="border-left: #6495ED 6px solid;">
     
<form class="form-horizontal" data-toggle="validator" method="post">
<?php echo e(csrf_field()); ?> <?php echo e(method_field('POST')); ?>

   
   <div class="modal-header">
      <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true"> &times; </span> </button>
      <h6 class="modal-title">Cicilan Pelunasan</h6>
   </div>

    <input type="hidden" id="id2" name="id2">
    
<div style="padding: 5px 40px;">

    <h6 id="nofaktur2"></h6>
    <br>

<div class="row">
    <div class="col-sm-5 col-md-5">
        
        <div class="form-group">
    		<label>TOTAL FAKTUR</label>
    		<input id="totalfaktur" type="number" class="form-control" name="totalfaktur"  readonly="true">
        </div>         
        
        <div class="form-group">
            <label>Tgl. Cicilan</label>
            <input id="tglcicil" type="date" class="form-control" name="tglcicil" autofocus  required >
        </div>    
        
        <div class="form-group">
    		<label>BESAR CICILAN</label>
    		<input id="ttlcicil" type="number" class="form-control" name="ttlcicil" value ="0" autofocus required autocomplete="off">
    		<small class="text-muted">Nominal Cicilan</small>
        </div> 
    
    </div>
    <div class="col-sm-1"></div>
    <div class="col-sm-6 col-md-6">
        <div class="form-group">
    		<label>Keterangan</label>
    		<textarea id="ketcicil" class="form-control" name="ketcicil" rows="6" autofocus required autocomplete="off"></textarea>
        </div>     

    
        <div class="modal-footer">
            <button  id="submit-cicil" type="submit" class="btn btn-primary btn-save"><i class="fa fa-floppy-o"></i> Simpan Cicilan </button> 
            <button type="button" class="btn btn-warning btn-close" data-dismiss="modal"><i class="fa fa-times-circle"></i> Cancel </button>
        </div>
    </div>
    </div>
    
</div>

</form>

         </div>
      </div>
   </div>
</div>   
<?php /**PATH /home/myprojeq/public_html/sriayu/resources/views/pelunasan/form_cicil.blade.php ENDPATH**/ ?>