{!! Form::label("card_number_$row_index", __('lang_v1.card_no')) !!} {!! Form::text("payment[$row_index][card_number]", $payment_line['card_number'], ['class' => 'form-control', 'placeholder' => __('lang_v1.card_no'), 'id' => "card_number_$row_index"]); !!}
{!! Form::label("card_holder_name_$row_index", __('lang_v1.card_holder_name')) !!} {!! Form::text("payment[$row_index][card_holder_name]", $payment_line['card_holder_name'], ['class' => 'form-control', 'placeholder' => __('lang_v1.card_holder_name'), 'id' => "card_holder_name_$row_index"]); !!}
{!! Form::label("card_transaction_number_$row_index",__('lang_v1.card_transaction_no')) !!} {!! Form::text("payment[$row_index][card_transaction_number]", $payment_line['card_transaction_number'], ['class' => 'form-control', 'placeholder' => __('lang_v1.card_transaction_no'), 'id' => "card_transaction_number_$row_index"]); !!}
{!! Form::label("card_type_$row_index", __('lang_v1.card_type')) !!} {!! Form::select("payment[$row_index][card_type]", ['credit' => 'Credit Card', 'debit' => 'Debit Card','visa' => 'Visa', 'master' => 'MasterCard'], $payment_line['card_type'],['class' => 'form-control', 'id' => "card_type_$row_index" ]); !!}
{!! Form::label("card_month_$row_index", __('lang_v1.month')) !!} {!! Form::text("payment[$row_index][card_month]", $payment_line['card_month'], ['class' => 'form-control', 'placeholder' => __('lang_v1.month'), 'id' => "card_month_$row_index" ]); !!}
{!! Form::label("card_year_$row_index", __('lang_v1.year')) !!} {!! Form::text("payment[$row_index][card_year]", $payment_line['card_year'], ['class' => 'form-control', 'placeholder' => __('lang_v1.year'), 'id' => "card_year_$row_index" ]); !!}
{!! Form::label("card_security_$row_index",__('lang_v1.security_code')) !!} {!! Form::text("payment[$row_index][card_security]", $payment_line['card_security'], ['class' => 'form-control', 'placeholder' => __('lang_v1.security_code'), 'id' => "card_security_$row_index"]); !!}
{!! Form::label("cheque_number_$row_index",__('lang_v1.cheque_no')) !!} {!! Form::text("payment[$row_index][cheque_number]", $payment_line['cheque_number'], ['class' => 'form-control', 'placeholder' => __('lang_v1.cheque_no'), 'id' => "cheque_number_$row_index"]); !!}
{!! Form::label("bank_account_number_$row_index",__('lang_v1.bank_account_number')) !!} {!! Form::text( "payment[$row_index][bank_account_number]", $payment_line['bank_account_number'], ['class' => 'form-control', 'placeholder' => __('lang_v1.bank_account_number'), 'id' => "bank_account_number_$row_index"]); !!}
{!! Form::label("transaction_no_1_$row_index", __('lang_v1.transaction_no')) !!} {!! Form::text("payment[$row_index][transaction_no_1]", $payment_line['transaction_no'], ['class' => 'form-control', 'placeholder' => __('lang_v1.transaction_no'), 'id' => "transaction_no_1_$row_index"]); !!}
{!! Form::label("transaction_no_2_$row_index", __('lang_v1.transaction_no')) !!} {!! Form::text("payment[$row_index][transaction_no_2]", $payment_line['transaction_no'], ['class' => 'form-control', 'placeholder' => __('lang_v1.transaction_no'), 'id' => "transaction_no_2_$row_index"]); !!}
{!! Form::label("transaction_no_3_$row_index", __('lang_v1.transaction_no')) !!} {!! Form::text("payment[$row_index][transaction_no_3]", $payment_line['transaction_no'], ['class' => 'form-control', 'placeholder' => __('lang_v1.transaction_no'), 'id' => "transaction_no_3_$row_index"]); !!}