<form role="form" id="form-save-reserve">
    <div class="form-body">
        <div class="row">
            <div class="col-md-12">
                <!-- BEGIN Portlet PORTLET-->
                <div class="portlet box blue-hoki">
                    <div class="portlet-title">
                        <div class="caption">
                            Thông tin khách hàng
                        </div>
                    </div>
                    <input type="hidden" name="room_id" value="{{ $room->id }}">
                    <input type="hidden" name="bed_id" value="{{ $bedId }}">
                    <div class="portlet-body">
                        <div class="form-body">
                            <div class="form-group">
                                <label>SĐT <span class="required" aria-required="true"> (*) </span></label>
                                <input type="text" class="form-control" name="phone" id="phone-contract" required>
                            </div>
                            <div class="form-group">
                                <label>Họ tên <span class="required" aria-required="true"> (*) </span></label>
                                <input type="text" class="form-control" name="name" required>
                            </div>
                            <div class="form-group">
                                <label>CMTND</label>
                                <input type="text" class="form-control" name="id_number">
                            </div>

                            <div class="form-group">
                                <label>Email</label>
                                <input type="text" class="form-control" name="email">
                            </div>
                            <div class="form-group">
                                <label>Số tiền cọc</label>
                                <input type="text" class="form-control price-r" name="deposit">
                            </div>
                            <div class="form-group">
                                <label>Ngày vào <span class="required" aria-required="true"> (*) </span></label>
                                <input type="text" class="form-control datepicker" name="date_join"
                                       value="{{ \Carbon\Carbon::now()->format('d/m/Y') }}" required>
                            </div>
                            <div class="form-group">
                                <label>Ghi chú</label>
                                <textarea class="form-control" name="note"></textarea>
                            </div>
                        </div>
                    </div>
                </div>
                <!-- END Portlet PORTLET-->
            </div>
        </div>

    </div>
</form>