{{ (@$receiver) ? 'Edit Receiver' : 'Add Receiver' }}

{{ Form::open( [ 'method'=> 'POST', 'url' => (@$cash_parcels=='true' ? route('cash-receiver.store') : route('receiver.store')), 'id'=> 'receiver_save', 'enctype' => 'multipart/form-data']) }} {{Form::hidden('id',@$receiver->id) }}
{{Form::text( 'name', ((@$receiver->id) ? @$receiver->name : ""), [ "class" => "form-control", "placeholder" => "" ]) }}
{{--
{{ Form::select( 'city', @$centers_options, ((@$receiver->id) ? @$receiver->city : ""), [ "class" => "form-control select2", "id" => "city", 'onchange'=>'checkValue(this)'] ) }}
--}}
{{ Form::select( "city", ($centers_options), ((@$receiver->id) ? @$receiver->city : ''), ['onchange'=>'checkValue(this)','id'=>'city','class' => 'form-control select2','data-placeholder'=>'Select City', 'onchange'=>'checkValue(this)'] ) }}
{{Form::text( 'city', '', [ "class" => "form-control", "placeholder" => "Add new City" ]) }}
{{ Form::select( "state", @$state, ((@$centers->id) ? @$centers->state : ''), [ 'class' => 'form-control', ] ) }}
{{Form::text( 'zipcode', ((@$centers->id) ? @$centers->zipcode : ""), [ "class" => "form-control", "placeholder" => "e.g 360001, 360002" ]) }}
{{Form::text( 'address', ((@$receiver->id) ? @$receiver->address : ""), [ "class" => "form-control", "placeholder" => "" ]) }}
{{Form::text( 'email', ((@$receiver->id) ? @$receiver->email : ""), [ "class" => "form-control", "placeholder" => "" ]) }}
{{Form::text( 'mobile', ((@$receiver->id) ? @$receiver->mobile : ""), [ "class" => "form-control", "placeholder" => "" ]) }}
{{Form::text( 'area', ((@$receiver->id) ? @$receiver->area : ""), [ "class" => "form-control", "placeholder" => "" ]) }}
{{Form::text( 'ref_no', ((@$receiver->id) ? @$receiver->ref_no : ""), [ "class" => "form-control", "placeholder" => "" ]) }}
{{Form::file( 'image[]', [ "data-src" => @$receiver->image, "data-names" => @$receiver->image_token, "multiple"=>false ]) }}

@if($errors->has('image')) {{$errors->first('image') }} @endif
{{ Form::close() }}