File: //var/www/html/punjabcabs/resources/views/admin/dispatch/create.blade.php
<div class="sidebar-chat animated fadeIn">
<form action="" id="create_trip">
<div class="sidebar-group">
<h6>ADD NEW TRIP</h6>
<div class="create-box text-black">
<input type="text" class="form-control" id="first_name" name="first_name" placeholder="First Name">
<p class="error-field first_name">First name is required</p>
</div>
<div class="create-box text-black">
<input type="text" class="form-control" id="last_name" name="last_name" placeholder="Last Name">
<p class="error-field last_name">Last name is required</p>
</div>
<div class="create-box text-black">
<input type="text" class="form-control" id="email" name="email" placeholder="Email">
<p class="error-field email">Email id is required</p>
</div>
<div class="create-box text-black">
<input type="text" class="form-control" id="mobile" name="mobile" placeholder="Phone Number">
<p class="error-field mobile">Phone Number is required</p>
</div>
<div class="create-box text-black">
<input type="text" class="form-control" onfocus="initrip()" id="s_address" name="s_address" placeholder="Pickup Location">
<input type="hidden" name="s_latitude" id="s_latitude">
<input type="hidden" name="s_longitude" id="s_longitude">
<p class="error-field s_address">Pickup location required</p>
</div>
<div class="create-box text-black">
<input type="text" class="form-control" onfocus="initrip()" id="d_address" name="d_address" placeholder="Drop Location">
<input type="hidden" name="d_latitude" id="d_latitude">
<input type="hidden" name="d_longitude" id="d_longitude">
<input type="hidden" name="distance" id="distance">
<p class="error-field d_address">Drop location required</p>
</div>
<div class="create-box text-black">
<select class="form-control" id="trip_types" name="trip_types">
<option value="1">Ride Now</option>
<option value="2">Scheduled Ride</option>
</select>
</div>
<div class="create-box text-black">
<input type="text" class="form-control" id="schedule_time" name="schedule_time" placeholder="Schedule Time">
</div>
<div class="create-box text-black">
<select name="service_type" id="service_type" class="form-control">
@foreach($services as $service)
<option value="{{ $service->id }}">{{ $service->name }}</option>
@endforeach
</select>
</div>
<div class="create-box text-black">
<input type="text" class="form-control" id="driver_message" name="driver_message" placeholder="Remarks">
</div>
<div class="create-box text-black">
<div class="text-truncate">Auto Assign Driver</div>
<div class="ss-checkbox"><input type="checkbox" id="provider_auto_assign" name="provider_auto_assign" class="js-switch" data-color="#f59345" checked /></div>
</div>
<div class="create-box text-black">
<button type="button" id="clear" class="btn btn-sm btn-info waves-effect waves-light" onclick=>CLEAR</button>
<button type="submit" id="submit" class="btn btn-sm pull-right btn-success waves-effect waves-light submitter" onclick=>SUBMIT</button>
<button type="button" id="cancel" class="btn btn-sm pull-right btn-danger waves-effect waves-light" onclick=>CANCEL</button>
</div>
</div>
</form>
</div>