{!! Form::label('purpose', 'Purpose', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::select('purpose', $data['purpose'], null, ['class' => 'form-control']) !!} @include('includes.form_fields_validation_message', ['name' => 'purpose'])

{!! Form::label('date', 'Date', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::text('date', null, ["class" => "form-control date-picker border-form input-mask-date","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'date'])

{!! Form::label('in_time', 'In Time', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::time('in_time', null, ["placeholder" => "", "class" => "form-control border-form", "required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'in_time'])

{!! Form::label('out_time', 'Out Time', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::time('out_time', null, ["placeholder" => "", "class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'out_time'])

{!! Form::label('name', 'Name', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::text('name', null, ["placeholder" => "", "class" => "form-control border-form", "required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'name'])

{!! Form::label('phone', 'Phone', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::text('phone', null, ["placeholder" => "", "class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'phone'])

{!! Form::label('email', 'Email', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::email('email', null, ["placeholder" => "", "class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'email'])

{!! Form::label('id_doc', 'ID Doc.', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::text('id_doc', null, ["placeholder" => "", "class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'id_doc'])

{!! Form::label('id_num', 'ID Number', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::text('id_num', null, ["placeholder" => "", "class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'id_num'])

{!! Form::label('token', 'Token/Pass', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::text('token', null, ["placeholder" => "", "class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'token'])

{!! Form::label('file', 'Attachment', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::file('file', ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'file'])

@if (isset($data['row']) && $data['row']->attachment) @endif

{!! Form::label('note', 'Note', ['class' => 'col-sm-1 control-label']) !!}

{!! Form::textarea('note', null, ["placeholder" => "", "class" => "form-control border-form", "rows"=>'1']) !!} @include('includes.form_fields_validation_message', ['name' => 'note'])

{{ $panel }}