{{ Form::open(["route"=>"backend.rental.reserve.output", "method"=>"post", 'id'=>'reserve_output_form']) }}

<input type="hidden" class="select-tab" name="selected_tab" value="">

<h3 class="subtitle bold">借受人情報</h3>
<table class="normal half_table single_line">
   <tr>
      <th>ステータス</th>
      <td>
         <div class="select-wrap">
            <label>
               <select id="reservation_kb_c" class="reservation_kb">
                  <option value="1" {{ old('reservation_kb')==1 ? 'selected' : 'disabled' }}>商談</option>
                  <option value="2" {{ old('reservation_kb')==2 ? 'selected' : 'disabled' }}>仮予約</option>
                  <option value="3" {{ old('reservation_kb')==3 ? 'selected' : 'disabled' }}>本契約</option>
                  <option value="4" {{ old('reservation_kb')==3 ? 'selected' : 'disabled' }}>貸出</option>
                  <option value="5" {{ old('reservation_kb')==3 ? 'selected' : 'disabled' }}>返却</option>
               </select>
            </label>
         </div>
      </td>

      <th>借受人名</th>
      <td>
         <div class="input_two_btn">
            <input type="text" id="partner_name1" value="{{ old('partner_name') }}" class="input-text partner_name" style="width:80%;" readonly>
            <input type="hidden" id="partner_id1" class="partner_name" value="{{ old('partner_id') }}">
         </div>
      </td>

      <th>都道府県</th>
      <td>
         @include('backend.share._parts._pref', ['prefecture'=>$prefecture, 'name'=>'', 'value'=> old('prefecture'), 'id'=>'contract_prefecture', 'is_readonly'=>true ])
      </td>

      <th>住所</th>
      <td>
         <input type="text" class="address1 input-text" value="{{ old('address1') }}" placeholder="自動で反映" readonly>
         <input type="text" class="address2 input-text" value="{{ old('address2') }}" placeholder="自動で反映" readonly>
         <input type="text" class="building_name input-text" value="{{ old('building_name') }}" placeholder="自動で反映" readonly>
      </td>

      <th>ご連絡先</th>
      <td>
         <input type="text" class="tel1 input-text w30per" value="{{ old('tel1') }}" readonly>
         -
         <input type="text" class="tel2 input-text w30per" value="{{ old('tel2') }}" readonly>
         -
         <input type="text" class="tel3 input-text w30per" value="{{ old('tel3') }}" readonly>
      </td>

      <th>運転者名</th>
      <td>
         <input type="text" id='driver_name' value="{{ old('driver_name') }}" class="input-text" readonly>
      </td>
   </tr>
</table>

<h3 class="subtitle bold">貸出期間情報</h3>
<table class="normal half_table single_line">
   <tr>
      <th>出発</th>
      <td>
         <div class="calendar-wrap4">
            <label for="">
               <input type="text" id="loan_day_c" class="loan_day" value="{{ old('loan_day') }}" readonly>
            </label>
            <span><img src="{{ asset('assets/backend/img/rental/calender.png') }}" alt=""></span>
            <input type="text" id="loan_hour_c" class="loan_hour" value="{{ old('loan_hour') }}" readonly>
            時
            <input type="text" id="loan_minutes_c" class="loan_minutes" value="{{ old('loan_minutes') }}" readonly>
            分
         </div>
      </td>

      <th>出発拠点</th>
      <td>
         <div class="select-wrap">
            <label>
               <select class="loan_shed_id" id="loan_shed_id_c">
                  @foreach(config('const.rental_shed') as $key=>$value)
                  <option value="{{ $key }}" {{ old('loan_shed_id')==$key ? 'selected' : 'disabled' }}>
                     {{ $value }}
                  </option>
                  @endforeach
               </select>
            </label>
         </div>
      </td>

      <th>帰着</th>
      <td>
         <div class="calendar-wrap4">
            <label for="">
               <input type="text" class="return_day" id="return_day_c" value="{{ old('return_day') }}" readonly>
            </label>
            <span><img src="{{ asset('assets/backend/img/rental/calender.png') }}" alt=""></span>
            <input type="text" class="return_hour" id="return_hour_c" value="{{ old('return_hour') }}" readonly>
            時
            <input type="text" class="return_minutes" id="return_minutes_c" value="{{ old('return_minutes') }}" readonly>
            分
         </div>
      </td>

      <th>帰着拠点</th>
      <td>
         <div class="select-wrap">
            <label>
               <select class="return_shed_id" id="return_shed_id_c">
                  @foreach(config('const.rental_shed') as $key=>$value)
                  <option value="{{ $key }}" {{ old('return_shed_id')==$key ? 'selected' : 'disabled' }}>{{ $value }}</option>
                  @endforeach
               </select>
            </label>
         </div>
      </td>

      <th>貸出期間（日数）</th>
      <td>
         <input type="text" value="{{ old('loan_period_day') }}" class="loan_period_day input-text" id="loan_period_day_c" readonly>
      </td>

      <th>貸出期間（月数）</th>
      <td>
         <input type="text" value="{{ old('loan_period_month') }}" class="loan_period_month input-text" id="loan_period_month_c" readonly>
      </td>
   </tr>
</table>
<h3 class="subtitle bold">車両情報</h3>
<table class="normal half_table single_line">
   <tr>
      <th>車種</th>
      <td>
         <div class="select-wrap">
            <label>
               <select class="body_category_id" id="body_category_id_c">
                  @foreach($body_categories_m as $body_category)
                  <option value="{{$body_category->id}}" {{ old('body_category_id')==$body_category->id ? 'selected' : 'disabled' }}>
                     {{ $body_category->name }}
                  </option>
                  @endforeach
               </select>
            </label>
         </div>
      </td>

      <th>登録番号</th>
      <td>
         <div class="select-wrap">
            <label>
               <select class="vehicle_id" id="vehicle_id_c">
                  @foreach($vehicles as $vehicle)
                  <option value="{{$vehicle->id}}" {{ old('vehicle_id')==$vehicle->id ? 'selected' : 'disabled' }}>{{ $vehicle->register_no }}</option>
                  @endforeach
               </select>
            </label>
         </div>
      </td>

      <th>車検終了日</th>
      <td>
         <div class="calendar-wrap4">
            <label for="">
               <input type="text" id="done_inspection_date" value="{{ old('done_inspection_date') }}" readonly>
            </label>
            <span><img src="{{ asset('assets/backend/img/rental/calender.png') }}" alt=""></span>
         </div>
      </td>

      <th>前回帰着km</th>
      <td>
         <input type="text" id="before_return_mileage" value="{{ old('before_return_mileage') }}" class="input-text" readonly>
      </td>

      <th>出発時走行km</th>
      <td>
         <input type="text" id="departure_mileage" value="{{ old('departure_mileage') }}" class="input-text" readonly>
      </td>

      <th>出発時担当者</th>
      <td>
         <input type="text" id="departure_responsible_name" value="{{ old('departure_responsible_name') }}" class="input-text" readonly>
      </td>

      <th>基本料金</th>
      <td>
         <input type="text" id="fee_subtotal_c" value="{{ old('fee_subtotal') }}" class="input-text w170 fee_subtotal" readonly>
      </td>

      <th>消費税</th>
      <td>
         <input type="text" id="fee_tax_c" value="{{ old('fee_tax') }}" class="input-text w170 fee_tax" readonly>
      </td>

      <th rowspan="2">ナンバー変更</th>
      <td>
         <div class="radiobtn-wrap" id="edit_no_kb">
            <input type="radio" id="edit_no_kb_1" name="contract_edit_no_kb_1" value="1" disabled>
            <label for="edit_no_kb_1" class="switch-on">あり</label>
            <input type="radio" id="edit_no_kb_0" name="contract_edit_no_kb_0" value="0" disabled>
            <label for="edit_no_kb_0" class="switch-off">なし</label>
         </div>
      </td>

      <th rowspan="2">ナンバー変更料</th>
      <td>
         <input type="text" id="edit_no_fee" value="{{ old('edit_no_fee') }}" class="input-text w170 mr10" readonly>
      </td>
   </tr>
</table>
<h3 class="subtitle bold">整備・点検情報</h3>
<table class="normal half_table single_line">
   <tr>
      <th>整備実施日</th>
      <td>
         <div class="calendar-wrap4">
            <label for="">
               <input type="text" id="maintenance_day" value="{{ old('maintenance_day') }}" readonly>
            </label>
            <span><img src="{{ asset('assets/backend/img/rental/calender.png') }}" alt=""></span>
            <input type="text" id="maintenance_hour" value="{{ old('maintenance_hour') }}" readonly>
            時
            <input type="text" id="maintenance_minutes" value="{{ old('maintenance_minutes') }}" readonly>
            分
         </div>
      </td>

      <th>整備担当者</th>
      <td>
         <input type="text" value="{{ old('maintenance_name') }}" class="input-text" id="maintenance_name" readonly>
      </td>

      <th>補助者</th>
      <td>
         <input type="text" value="{{ old('maintenance_support_name') }}" class="input-text" id="maintenance_support_name" readonly>
      </td>
   </tr>
</table>

<h3 class="subtitle bold">返却情報</h3>
<table class="normal half_table single_line">
   <tr>
      <th>点検年月日</th>
      <td>
         <div class="calendar-wrap4">
            <label for="">
               <input type="text" id="inspection_day" value="{{ old('inspection_day') }}" readonly>
            </label>
            <span><img src="{{ asset('assets/backend/img/rental/calender.png') }}" alt=""></span>
            <input type="text" id="inspection_hour" value="{{ old('inspection_hour') }}" readonly>
            時
            <input type="text" id="inspection_minutes" value="{{ old('inspection_minutes') }}" readonly>
            分
         </div>
      </td>

      <th>点検実施者</th>
      <td>
         <input type="text" id="inspection_name" value="{{ old('inspection_name') }}" class="input-text" readonly>
      </td>

      <th>帰着時走行km</th>
      <td>
         <input type="text" id="return_mileage" value="{{ old('return_mileage') }}" class="input-text" readonly>
      </td>

      <th>帰着時担当者</th>
      <td>
         <input type="text" id="return_name" value="{{ old('return_name') }}" class="input-text" readonly>
      </td>
   </tr>
</table>
<input type="hidden" name="contract_tab" value="1">
<input type="hidden" name="rental_contract_id" class="rental_contract_id"  value="{{ old('rental_contract_id') }}">
<div class="center-submit" style="text-align:center!important">
   <input type="submit" id="submit_edit_contract" name="submit_edit_contract" class="submit_button" formmethod="GET" formaction="{{ route('backend.rental.contract.edit') }}" value="修正">　
   <input type="submit" id="submit_export_contract" class="submit_button" value="契約書出力" formaction="{{ route('backend.rental.reserve.output') }}" onclick="addReserveOutputBlank();">　
</div>
{{ Form::close() }}


<script>
   function addReserveOutputBlank(){
      $('#reserve_output_form').attr('target', '_blank');
      setTimeout(function(){
         $('#reserve_output_form').attr('target' , '');
      },1000);
   }
</script>