sx-fc/app/views/crm/customers/_new_form.html.erb

    <%= simple_form_for @crm_customer,:url => crm_customers_path, :method => :post do |f| %>
    <span class="patch_method"></span>
    <%= f.hidden_field :id, :class => "form-control " %>   

    <div class="form-group">
      <label>Salutation :</label><br>
       <label>Mr</label>
        <%= f.radio_button :salutation,"Mr", :class => "salutation mr with-gap radio-col-indigo", :value=>"Mr", :style=>"width: 30px"%>
        <label>Miss</label>
        <%= f.radio_button :salutation,"Mrs", :class => "salutation mrs with-gap radio-col-indigo", :value=>"Mrs", :style=>"width: 30px"%>
        <label>Mrs</label>
        <%= f.radio_button :salutation,"Miss", :class => "salutation miss with-gap radio-col-indigo", :value=>"Miss", :style=>"width: 30px"%>
        <label>Mdm</label>
        <%= f.radio_button :salutation,"Mdm", :class => "salutation mdm with-gap radio-col-indigo", :value=>"Mdm", :style=>"width: 30px"%>    
   </div>
  
    <div class="form-group <%= (flash["errors"]) ? "has-error" : "" %>">
      <%= f.input :name, :class => "form-control col-md-6 name", :required => true %>
      <% flash.each do |test, msg| %>
         <% 
         str="[\"#{msg['name']}\"]"
         str.gsub!('["', '')
         str.gsub!('"]', '') %>
         <span class="help-block" style="margin-top:-6px"><%= str %></span>
      <% end -%>
    </div>

    <div class="form-group">
      <label>Gender :</label><br>
      <label>Male</label>
      <%= f.radio_button :gender,"Male", :class => "gender male", :value=>"Male", :style=>"width: 30px"%>
        <label>Female</label>
        <%= f.radio_button :gender,"Female", :class => "gender female", :value=>"Female", :style=>"width: 30px"%>
   </div>
    
    <div class="form-group">
      <%= f.input :nrc_no,:label => "NRC No", :class => "form-control nrc_no" %>
    </div>

    <div class="form-group">
      <%= f.input :company, :class => "form-control col-md-6 company"%>
      
      <%  flash.each do |name, msg| %>
        <% str="[\"#{msg['company']}\"]"
         str.gsub!('["', '')
         str.gsub!('"]', '') %>
        <span class="help-block" style="margin-top:-6px"><%= str %></span>
      <% end -%>
    </div>
    <div class="form-group <%= (flash["errors"]) ? "has-error" : "" %>">
      <%= f.input :contact_no, :class => "form-control col-md-6 contact_no" ,:required => true%>
      
      <%  flash.each do |name, msg| %>
        <% str="[\"#{msg['contact_no']}\"]"
         str.gsub!('["', '')
         str.gsub!('"]', '') %>
        <span class="help-block" style="margin-top:-6px"><%= str %></span>
      <% end %>
    </div>

    <div class="form-group <%= (flash["errors"]) ? "has-error" : "" %>">
      <%= f.input :email, :class => "form-control col-md-6 email" ,:required => true%>
   
      <% flash.each do |name, msg| %>
         <% str="[\"#{msg['email']}\"]"
            str.gsub!('["', '')
            str.gsub!('"]', '') %>
         <span class="help-block" style="margin-top:-6px"><%= str %></span>
      <% end %>
    </div>

    <div class="form-group">
      <%= f.input :address, :class => "form-control col-md-6 address" %>
    </div>

    <div class="form-group">
    <label>Sr.No</label>
    <div class="form-line disabled">
    <input type="text" name="" value="<%=@count_customer%>" class="form-control" disabled="" >
    </div>
     
   </div>

    <div class="form-group">
    <label>Date Of Birth</label>
     <%= f.text_field :date_of_birth,:value=>"01-01-1990",:class=>"form-control datepicker"%>
   </div>    

    <div class="form-group">
    <label>Select Customer Type</label>
      <select class="form-control col-md-12 selectpicker  show-tick" id="customer_type" name="customer[customer_type]" style="height: " >
        <%  Lookup.where("lookup_type = ?", "customer_type" ).each do |ct| %>
           <option value="<%= ct.value %>">
          <%= ct.name %></option>
        <%end %>
      </select>            
    </div>
    
    <div class="form-group">
      <%= f.input :tax_profiles, :collection => @taxes, :input_html => { :multiple => true },  :class => "form-control col-md-6 tax_profiles" %>
    </div>

    <div class="form-group <%= (flash["errors"]) ? "has-error" : "" %>">
      <%= f.input :card_no, :class => "form-control col-md-6 card_no"%>
      <% flash.each do |name, msg| %>
         <% str="[\"#{msg['card_no']}\"]"
         str.gsub!('["', '')
         str.gsub!('"]', '') %>
         <span class="help-block" style="margin-top:-6px"><%= str %></span>
      <% end %>
    </div>

    <div class="form-group">
      <label>Paypar Account No:</label>
      <div class="-group">            
        <input type="text" class="form-control" id="paypar_account_no" name="customer[paypar_account_no]" readonly/>
        <div class="input-group-addon"><span class="fa fa-credit-card"></span></div>
      </div>
    </div>

   <div class="form-group">
   <label>Select Member Group</label>
        <select class="form-control col-md-12 selectpicker  show-tick"  name="member_group_id"  style="height: " >
          <option value="">Select Membership Group</option>
            <%  Lookup.where("lookup_type = ?", "member_group_type" ).each do |member| %>
               <option value="<%= member.value %>">
              <%= member.name %></option>
            <%end %>
          </select>   

  </div>
  
  <div class="form-group">
        <%= f.submit "Submit",:class => 'btn btn-primary ', :id => 'submit_customer' %>
        <%= f.submit "Update",:class => 'btn btn-info ', :disabled =>'', :id => 'update_customer' %>
        <button type="button" class="btn btn-danger" id="reset">Reset</button>
  </div>
 <%end%>


<div id="sxModal">
    <div id="sxModal-Content"><h3>Card Tap</h3></div>
</div>
<!-- The modal -->
<div class="modal fade" id="myModal" tabindex="-1" role="dialog" aria-labelledby="modalLabelLarge" aria-hidden="true">
  <div class="modal-dialog modal-lg" style="margin-left:-380px">
    <div class="modal-content">
      <div class="modal-body">
        <div id="container">
            <video autoplay="true" id="videoElement">
             
            </video>
        </div>
      </div>

    </div>
  </div>
</div>
<script type="text/javascript">
  $(function() {
    // Read Card Reader
    $("#paypar_account_no").on('focus', function(e){               
      if($(this).val() == ''){
        $("#sxModal").show();
        setTimeout(function(){
          getCardNo();
          $("#sxModal").hide();
        },100); 
      }
    });

    // $("#customer_card_no").click(function(){
    //   var ab=$("#customer_tax_profiles").val();
    //   console.log(JSON.stringify(ab));
    // });
  });


  // Read NFC card no from java
  function getCardNo(){
    code2lab.readNFC();
  }

  // get CardNo from Java
  function setCardNo(cardNo){
    if(cardNo.length == 16){
      $("#paypar_account_no").val(cardNo);
      $("#search").val(cardNo);
      $("#type").val("card");
    }
  }
</script>