General

{!! Form::model($general,array('url' => 'foo/bar')) !!}
{!! Form::label('poliza', 'Póliza') !!} {!! Form::text('poliza', null, ['id' => 'policyName','class' => 'form-control','readonly','placeholder' => 'Póliza']) !!}
{!! Form::label('status', 'Estatus') !!} {!! Form::text('status',$status -> cve_st .'. ' .$status -> st_desc, ['id' => 'policyStatus','class' => 'form-control','readonly','placeholder' => 'Estatus']) !!}
{!! Form::label('nombre', 'Nombre Completo') !!} {!! Form::text('nombre', null, ['id' => 'name','class' => 'form-control','readonly','placeholder' => 'Nombre']) !!}
{!! Form::label('rfc', 'RFC') !!} {!! Form::text('rfc', null, ['id' => 'rfc','class' => 'form-control','readonly','placeholder' => 'RFC']) !!}
{!! Form::label('telefono', 'Teléfono') !!} {!! Form::text('telefono', null, ['id' => 'telefono','class' => 'form-control','placeholder' => 'Teléfono']) !!} {!! Form::button('Guardar Teléfono', ['id' => 'btnGuardar','class' => 'btn btnGuardar']) !!}
{!! Form::label('fecha_nac', 'Fecha de Nacimiento') !!} {!! Form::date('fecha_nac', null, ['id' => 'fecha_nac','class' => 'form-control','readonly','placeholder' => 'Fecha de Nacimiento']) !!}
{!! Form::label('email', 'E-mail') !!} {!! Form::text('email', null, ['id' => 'email','class' => 'form-control','readonly','placeholder' => 'E-mail']) !!}

Domicilio

{!! Form::label('calle', 'Calle') !!} {!! Form::text('calle', null, ['id' => 'calle','class' => 'form-control','readonly','placeholder' => 'Calle']) !!}
{!! Form::label('no_ext', 'No. Ext.') !!} {!! Form::text('no_ext', null, ['id' => 'no_ext','class' => 'form-control','readonly','placeholder' => 'No. Ext.']) !!}
{!! Form::label('no_int', 'No. Int.') !!} {!! Form::text('no_int', null, ['id' => 'no_int','class' => 'form-control','readonly','placeholder' => 'No. Int.']) !!}
{!! Form::label('cp', 'C.P.') !!} {!! Form::text('cp', null, ['id' => 'cp','class' => 'form-control','readonly','placeholder' => 'C.P.']) !!}
{!! Form::label('poblacion', 'Población') !!} {!! Form::text('poblacion', null, ['id' => 'poblacion','class' => 'form-control','readonly','placeholder' => 'Población']) !!}
{!! Form::label('colonia', 'Colonia') !!} {!! Form::text('colonia', null, ['id' => 'colonia','class' => 'form-control','readonly','placeholder' => 'Colonia']) !!}

Empresa

{!! Form::label('empresa', 'Nombre') !!} {!! Form::text('empresa', null, ['id' => 'empresa','class' => 'form-control','readonly','placeholder' => 'Nombre']) !!}
{!! Form::label('ocupacion', 'Ocupación') !!} {!! Form::text('ocupacion', null, ['id' => 'ocupacion','class' => 'form-control','readonly','placeholder' => 'Ocupación']) !!}
{!! Form::label('sub_zona', 'Sub Zona') !!} {!! Form::text('sub_zona', null, ['id' => 'sub_zona','class' => 'form-control','readonly','placeholder' => 'Sub Zona']) !!}
{!! Form::label('lab_tel', 'Tel. Lab.') !!} {!! Form::text('lab_tel', null, ['id' => 'lab_tel','class' => 'form-control','readonly','placeholder' => 'Tel. Lab.']) !!}
{!! Form::label('zona_prom', 'Zona') !!} {!! Form::text('zona_prom', null, ['id' => 'zona_prom','class' => 'form-control','readonly','placeholder' => 'Zona']) !!}
{!! Form::close() !!} {{--
--}} {{--

Más polizas relacionadas

--}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{----}} {{--
PólizaRetenedorEstatusAcciones
111Activa
--}}