| </div> | </div> | ||||
| </div> --> | </div> --> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 7 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_14" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | <input type="text" id="amount_14" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | ||||
| </div> | </div> | ||||
| </div> | </div> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 30 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_30" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> | <input type="text" id="amount_30" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> |
| </div> | </div> | ||||
| </div> --> | </div> --> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 7 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_14" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | <input type="text" id="amount_14" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | ||||
| </div> | </div> | ||||
| </div> | </div> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 30 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_30" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> | <input type="text" id="amount_30" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> | ||||
| </div> | </div> | ||||
| </div> --> | </div> --> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 7 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_141" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | <input type="text" id="amount_141" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | ||||
| </div> | </div> | ||||
| </div> | </div> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 30 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_301" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> | <input type="text" id="amount_301" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> |
| </div> | </div> | ||||
| </div> --> | </div> --> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 7 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_14" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | <input type="text" id="amount_14" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | ||||
| </div> | </div> | ||||
| </div> | </div> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 30 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_30" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> | <input type="text" id="amount_30" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> | ||||
| </div> | </div> | ||||
| </div> --> | </div> --> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 7 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_141" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | <input type="text" id="amount_141" name="amount_14" class="form-control" placeholder="100" value="{{ old('amount_14') }}" required> | ||||
| </div> | </div> | ||||
| </div> | </div> | ||||
| <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | <div class="col-lg-4 col-md-4 col-sm-12 col-xs-12"> | ||||
| <label for="subject"><b>Kadar Sebelum 30 Hari <code>*</code></b></label> | |||||
| <label for="subject"><b>Kadar Sebelum 14 Hari <code>*</code></b></label> | |||||
| <div class="form-group"> | <div class="form-group"> | ||||
| <div class="form-line"> | <div class="form-line"> | ||||
| <input type="text" id="amount_301" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> | <input type="text" id="amount_301" name="amount_30" class="form-control" placeholder="250" value="{{ old('amount_30') }}" required> |