Subversion Repositories SmartDukaan

<div class="row">

    <div class="col-md-12">

        <div class="form-group">

            <p style="font-size: 12px;"><b>$mobileInsurancePlan.getPlanName() - ($mobileInsurancePlan.getProviderName()

                )</b> $mobileInsurancePlan.getDuration() - ($mobileInsurancePlan.getPremium()) &nbsp;<button

                    class="btn btn-sm btn-success pull-right order-payment-status" data-orderid="$fofoOrder.getId()"

                    style="font-size: 11px;margin-top:-5px;">Payment Status

            </button>

            </p>

        </div>

    </div>

    <hr style="margin:8px 0;">

    <div class="col-md-4">

        <div class="form-group">

            <label>Ram</label>

            <input type="text" class="form-control ram" placeholder="ram">

        </div>

    </div>

    <div class="col-md-4">

        <div class="form-group">

            <label>Memory</label>

            <input type="text" class="form-control memory" placeholder="memory">

        </div>

    </div>

    <div class="col-md-4">

        <div class="form-group">

            <label>MFG Date</label>

            <input type="date" class="form-control wmfgDate" placeholder="MFG">

        </div>

    </div>

    <div class="col-md-3">

        <div class="form-group">

            <label>Serial Number</label>

            <input type="text" class="form-control serial-number serial-number-input" placeholder="Serial Number">

        </div>

    </div>

    <div class="col-md-3">

        <div class="form-group">

            <label>Customer Email</label>

            #if ($customer.getEmailId())

                <input type="text" class="form-control customerEmail" placeholder="Email"

                       value="$customer.getEmailId()">

            #else

                <input type="text" class="form-control customerEmail" placeholder="Email">

            #end

        </div>

    </div>

    <div class="col-md-3">

        <div class="form-group">

            <label>Customer Dob</label>

            #if ($customer.getDob())

                <input type="date" class="form-control dob" placeholder="DOB" value="$customer.getDob()">

            #else

                <input type="date" class="form-control dob" placeholder="DOB">

            #end

        </div>

    </div>

    <div class="col-md-3">

        <div class="form-group">

            <label>Gender</label>

            #if ($customer.getGender())

                <select class="form-control gender">

                    <option value="$customer.getGender()">$customer.getGender()</option>

                </select>

            #else

                <select class="form-control gender">

                    <option value="">Select Option</option>

                    <option value="Male">Male</option>

                    <option value="Female">Female</option>

                </select>

            #end

        </div>

    </div>

    <input type="hidden" class="order-item-id" value="$fofoOrderItem.getId()">

    <input type="hidden" class="order-id" value="$fofoOrder.getId()">

    <input type="hidden" class="insurance-id" value="$mobileInsurancePlan.getProductId()">

    <input type="hidden" class="insurance-dp" value="$mobileInsurancePlan.getDp()">

    <input type="hidden" class="insurance-premium" value="$mobileInsurancePlan.getPremium()">

    <input type="hidden" class="insurance-amount" value="$mobileInsurancePlan.getPremium()">

    <input type="hidden" class="insurance-description" value="$mobileInsurancePlan.getProductDescription()">

    <input type="hidden" class="insurance-plan-name" value="$mobileInsurancePlan.getPlanName()">

    <input type="hidden" class="customer-mobile-number" value="$customer.getMobileNumber()">

    <input type="hidden" class="customer-first-name" value="$customer.getFirstName()">

    <input type="hidden" class="customer-email-id" value="$customer.getEmailId()">

    <input type="hidden" class="customer-serial-number" value="$serialNumber">

    <div class="clearfix"></div>

    <hr style="margin:8px 0;">

    <div class="col-md-12 well" style="padding: 10px; max-height: 200px;overflow-y: auto;margin-bottom: 0;">

        <button type="button" class="btn btn-sm btn-primary add-new-address-btn pull-right"

                style="font-size: 10px;margin-bottom: 10px;" data-customerid="$customer.getId()"

                data-orderid="$fofoOrder.getId()">Add New Address

        </button>

        <table class="table table-striped table-bordered address-table" style="width: 100%">

            <thead>

            <tr>

                <th>Name</th>

                <th>Address Lines</th>

                <th>City</th>

                <th>State</th>

                <th>Pin</th>

                <th>Mobile</th>

                <th>Action</th>

            </tr>

            </thead>

            <tbody>

                #foreach($address in $customerAddress)

                <tr>

                    <td>$address.getName()</td>

                    <td>$address.getLine1() $address.getLine2()</td>

                    <td>$address.getCity()</td>

                    <td>$address.getState()</td>

                    <td>$address.getPinCode()</td>

                    <td>$address.getPhoneNumber()</td>

                    <td><a href="javascript:void(0)" class="select-customer-address" data-addressid="$address.getId()"

                           data-orderid="$fofoOrder.getId()">Select Address</a></td>

                </tr>

                #end

            </tbody>

        </table>

    </div>

    <div class="clearfix"></div>

    <hr style="margin:8px 0;">

    <div class="col-md-12">

        <div class="form-group">

            <button type="button" class="btn btn-info btn-sm create-insurance-mk pull-right mr-lr-5">Create Insurance

            </button>

            <button type="button" class="btn btn-success btn-sm payment-link-mk pull-right mr-lr-5">Send Payment Link

            </button>

        </div>

    </div>

</div>