

<div class="row">
    <div class="container">

        <ol class="breadcrumb">
            <li><a href="#">خصائص عامة</a></li>
            <li><a href="policyController.php?do=show">بوليصة الشحن</a></li>
            <li class="active">اضافة بوليصة</li>
        </ol>


        <div class="panel panel-default panel-m">
            <div class="panel-heading">
                <h3 class="panel-title">اضافة بوليصة</h3>
            </div>
            <div class="panel-body">

                <form class="form-horizontal" action="policyController.php?do=add" method="post" >
                    <div class="form-group">
                        <label for="invoicenumber" class="col-lg-2 control-label"> رقم الفاتوره </label>
                        <div class="col-lg-4">
                            <input type="text" name="invoicenumber" id="invoicenumber" class="form-control" placeholder="رقم الفاتوره " required="" />
                        </div>
                    </div>

                    <div class="form-group">
                        <label for="policyName" class="col-lg-2 control-label"> عدد الطرود</label>
                        <div class="col-lg-4"><span id="sprytextfield1">
                                <input type="text" name="policyName" id="policyName" class="form-control" placeholder="عدد الطرود" />
                                <span class="textfieldRequiredMsg">*</span><span class="textfieldInvalidFormatMsg">ادخل رقم مناسب.</span></span>


                        </div>
                    </div>

                    <!-- =================================================   -->


                    <div class="form-group">
                        <label for="policyNum" class="col-lg-2 control-label">رقم البوليصة</label>
                        <div class="col-lg-4">
                            <span id="sprytextfield2">
                                <input type="text" name="policyNum" id="policyNum"  class="form-control numberinput" placeholder="رقم البوليصة" />
                                <span class="textfieldRequiredMsg">*</span><span class="textfieldInvalidFormatMsg">ادخل الرقم صحيح</span></span>
                        </div>
                    </div>

                    <!-- =================================================   -->



                    <div class="form-group">
                        <label for="policyDate" class="col-lg-2 control-label">التاريخ</label>
                        <div class="col-lg-4">
                            <span id="sprytextfield3">
                                <input type="text" name="policyDate" id="policyDate"  class="form-control awdatepicker" autocomplete="off"  data-date-format="yyyy-mm-dd"  value="{$today}"  placeholder="التاريخ" />
                                <span class="textfieldRequiredMsg">*</span></span>
                        </div>
                    </div>

                    <!-- =================================================   -->


                    <div class="form-group">
                        <label for="policyCost" class="col-lg-2 control-label">سعر البوليصة</label>
                        <div class="col-lg-4">


                            <div class="input-group">
                                <span id="sprytextfield4">
                                    <input type="text" name="policyCost" id="policyCost"  class="form-control numberinput" placeholder="سعر البوليصة"/>
                                    <span class="textfieldRequiredMsg">*</span><span class="textfieldInvalidFormatMsg">ادخل السعر صحيح</span></span>

                                <span class="input-group-addon">{$currency}</span>
                            </div>


                        </div>
                    </div>
                    <!-- =================================================   -->
                    <div class="form-group">
                        <label for="type" class="col-lg-2 control-label">التاثير فى الخزنة الان</label>
                        <div class="col-lg-4">
                            <div class="radio-inline">
                                <label>
                                    <input type="radio" id="affectSave" name="affectSave"  value="0" checked>
                                    نعم
                                </label>
                            </div>
                            <div class="radio-inline">
                                <label>
                                    <input type="radio" id="affectSave" name="affectSave"  value="1">
                                    لا
                                </label>
                            </div>
                        </div>
                    </div>


                    <!-- =================================================   -->




                    <div class="form-group">
                        <label for="companyId" class="col-lg-2 control-label">شركة الشحن</label>
                        <div class="col-lg-4">

                            <span id="spryselect1">
                                <select class="select2 wdt100" name="companyId" id="companyId">
                                    <option value="-1">اختر شركة</option>

                                    {foreach $shippercompaniesData as $shippercompanies}

                                    <option value="{$shippercompanies->companyId}">{$shippercompanies->companyName}</option>
                                    {/foreach}

                                </select>
                                <span class="selectInvalidMsg"> *</span></span>

                        </div>
                    </div>

                    <!-- =================================================   -->


                    <div class="form-group">
                        <label for="policyType" class="col-lg-2 control-label">نوع البوليصة</label>
                        <div class="col-lg-4">
                            <span id="spryselect2">
                                <select name="policyType" id="policyType"  class="select2 wdt100">
                                    <option value="-1">اختر النوع</option>
                                    <option value="1">ذهاب</option>
                                    <option value="2">عودة</option>
                                </select>
                                <span class="selectInvalidMsg">*</span></span></div>
                    </div>
                    <!-- =================================================   -->

                    <div class="form-group">
                        <label for="type" class="col-lg-2 control-label">النوع</label>
                        <div class="col-lg-4">
                            <div class="radio-inline">
                                <label>
                                    <input type="radio" id="cusType" name="type"  value="1">
                                    عملاء
                                </label>
                            </div>
                            <div class="radio-inline">
                                <label>
                                    <input type="radio" id="supType" name="type"  value="2">
                                    موردين
                                </label>
                            </div>
                        </div>
                    </div>

                    <!-- =================================================   -->
                    <div class="form-group">
                        <label for="SenderName" class="col-lg-2 control-label">الاسم</label>
                        <div class="col-lg-4"><span id="spryselect3">
                                <select id="SenderName" name="SenderName" data-placeholder="اختر اسم" class="select2 wdt100"  tabindex="3">
                                    <option value="-1">اختر اسم</option>
                                </select>
                                <span class="selectInvalidMsg">*</span><span class="selectRequiredMsg">*</span></span>
                            <!--<span id="sprytextfield5">
                            <input type="text" name="SenderName" id="SenderName" class="form-control" placeholder="اسم الراسل" />
                          <span class="textfieldRequiredMsg">*</span></span>-->
                            <input type="hidden" name="SenderId" id="SenderId" value="">
                        </div>
                    </div>





                    <!-- =================================================   -->

                    <div class="form-group">
                        <div class="col-lg-offset-2 col-lg-4">
                            <button type="submit"  class="btn btn-primary pull-left">حفظ الامر</button>
                        </div>
                    </div>




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




    </div>
</div>



{literal}

<script type="text/javascript">
    var sprytextfield1 = new Spry.Widget.ValidationTextField("sprytextfield1", "real");
    var sprytextfield2 = new Spry.Widget.ValidationTextField("sprytextfield2", "integer");
    var sprytextfield3 = new Spry.Widget.ValidationTextField("sprytextfield3");
    var sprytextfield4 = new Spry.Widget.ValidationTextField("sprytextfield4", "real");
    var spryselect2 = new Spry.Widget.ValidationSelect("spryselect2", {isRequired: false, invalidValue: "-1"});
    var sprytextfield5 = new Spry.Widget.ValidationTextField("sprytextfield5");

    var spryselect1 = new Spry.Widget.ValidationSelect("spryselect1", {isRequired: false, invalidValue: "-1"});

    var spryselect3 = new Spry.Widget.ValidationSelect("spryselect3", {invalidValue: "-1"});

</script>

{/literal}

