{{ Form::hidden('financialInstitutionsUrl', action('PaymentController@postFinancialinstitutionsoptions', array()), array('id'=>'financialInstitutionsUrl')) }}
{{ Form::label('guardian', 'Quien realiza el pago:', array('class' => 'col-md-6 control-label')) }}
{{ Form::select('guardian', $guardians, $paymentDetail->serial_grd, array('class' => 'form-control', 'id' => 'guardian_pay_parcials')) }}
{{ Form::label('kinship_pdt', 'Relación con el estudiante:', array('class' => 'col-md-6 control-label')) }}
{{ Form::select('kinship_pdt', $relationships, $paymentDetail->kinship_pdt, array('class' => 'form-control', 'id' => 'kinship_pdt_pay_parcials')) }}
{{ Form::label('id_owner_pdt', 'Cédula:', array('class' => 'col-md-6 control-label')) }}
{{ Form::text('id_owner_pdt', $paymentDetail->id_owner_pdt, array('class' => 'form-control', 'id' => 'id_owner_pdt_pay_parcials')) }}
{{ Form::label('cellphone_owner_pdt', 'Celular:', array('class' => 'col-md-6 control-label')) }}
{{ Form::text('cellphone_owner_pdt', $paymentDetail->cellphone_owner_pdt, array('class' => 'form-control', 'id' => 'cellphone_owner_pdt_pay_parcials')) }}
{{ Form::label('phone_owner_pdt', 'Teléfono casa:', array('class' => 'col-md-6 control-label')) }}
{{ Form::text('phone_owner_pdt', $paymentDetail->phone_owner_pdt, array('class' => 'form-control', 'id' => 'phone_owner_pdt_pay_parcials')) }}
{{ Form::label('proccess_date', 'Fecha de proceso:', array('class' => 'col-md-6 control-label')) }}
{{ Form::label('dues_number_rcp', 'Número de cuotas:', array('class' => 'col-md-6 control-label')) }}
{{ Form::text('dues_number_rcp','', array('class' => 'form-control', 'id' => 'dues_number_rcp','min'=>'0')) }}
{{ Form::label('serial_ccd', 'Tarjeta:', array('class' => 'col-md-6 control-label')) }}
{{ Form::select('serial_ccd', $cards, $paymentDetail->serial_ccd, array('class' => 'form-control', 'id' => 'serial_ccd_pay_parcials')) }}
{{ Form::label('serila_fin', 'Banco/Emisor:', array('class' => 'col-md-6 control-label')) }}
{{Form::hidden('hdnPymentDetailSerialFin',$paymentDetail->serial_fin,array('id'=>'hdnPymentDetailSerialFin'))}} {{ Form::select('serial_fin', array('' => 'Seleccione'), $paymentDetail->serial_fin, array('class' => 'form-control', 'id' => 'serial_fin_pay_parcials')) }}
{{ Form::label('document_number_pdt', 'Nº de tarjeta:', array('class' => 'col-md-6 control-label')) }}
{{ Form::text('document_number_pdt', $paymentDetail->document_number_pdt, array('class' => 'form-control', 'id' => 'document_number_pdt_pay_parcials')) }}
{{ Form::label('date_expire_year', 'Fecha de Exp. (mes/año):', array('class' => 'col-md-6 control-label')) }}
{{ Form::text('date_expire_month', $paymentDetail->date_month_expire_pdt, array('class' => 'form-control', 'id' => 'date_expire_month_pay_parcials','placeholder'=>'mm')) }}
{{ Form::text('date_expire_year', $paymentDetail->date_year_expire_pdt, array('class' => 'form-control', 'id' => 'date_expire_year_pay_parcials','placeholder'=>'aa')) }}
{{ Form::label('owner_pdt', 'Nombre dueño de la tarjeta habiente:', array('class' => 'col-md-6 control-label')) }}
{{ Form::text('owner_pdt', $paymentDetail->owner_pdt, array('class' => 'form-control', 'id' => 'owner_pdt_pay_parcials')) }}
{{ Form::label('send_date', 'Fecha de envío:', array('class' => 'col-md-6 control-label')) }}
{{ Form::label('payment_date', 'Fecha de pago:', array('class' => 'col-md-6 control-label')) }}
{{ HTML::script('js/payment/payParcials/card.js') }}