@extends('adminlte::page')

@section('title', 'Dashboard')



@section('content')
<div class="card card-default">
    <div class="card-header">CPS statement #{{$statement->auth_code}}</div>

              <form role="form" action="/cps-statements/{{$statement->id}}" method="post">
                  @csrf
                  @method('PATCH')
                <div class="card-body">
                  <div class="form-group">
                    <label for="auth_no">Auth#</label>
                    <input type="text" class="form-control" name="auth_code" id="auth_no" value="{{$statement->auth_code}}" >
                  </div>

                  <div class="form-group">
                    <label for="invoice_no">Invoice#</label>
                    <input type="text" class="form-control" name="invoice" id="invoice_no" value="{{$statement->invoice}}" >
                  </div>
                  


                <div class="card-footer">
                  <button type="submit" class="btn btn-primary">Update</button>
                </div>
              </form>
            </div>

    
@stop