<form role="form" id="form-back-reserve"> <div class="form-body"> <div class="row"> <div class="col-md-12"> <div class="portlet box blue-hoki"> <div class="portlet-title"> <div class="caption"> Thông tin thanh toán tiền cọc </div> </div> <input type="hidden" name="room_id" value="<?php echo e($reserve->room_id); ?>"> <input type="hidden" name="reserve_id" value="<?php echo e($reserve->id); ?>"> <div class="portlet-body"> <div class="form-body"> <div class="form-group"> <label>Số tiền cọc</label> <input type="text" class="form-control price-r" name="deposit" value="<?php echo e(number_format($reserve->deposit, 0, '.', '.')); ?>" disabled=""> </div> <div class="form-group"> <label>Số tiền trả lại</label> <input type="text" class="form-control price-r" name="back_deposit" value="0" value="<?php echo e(number_format($reserve->deposit, 0, '.', '.')); ?>"> </div> </div> </div> </div> </div> </div> </div> </form>