<div class="container" class="pt-3 pb-3">
    <div class="row m-b-lg animated fadeInDown delayp1 text-center">
        <h3> {{ $pageTitle }} <small> {{ $pageNote }} </small></h3>
        <hr />       
    </div>
</div>
<div class="m-t">
	<div class="table-container" > 	

		<table class="table table-striped table-bordered" >
			<tbody>	
		
			
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Id', (isset($fields['id']['language'])? $fields['id']['language'] : array())) }}</td>
						<td>{{ $row->id}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Compangnie', (isset($fields['cie']['language'])? $fields['cie']['language'] : array())) }}</td>
						<td>{{ $row->cie}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Police', (isset($fields['police']['language'])? $fields['police']['language'] : array())) }}</td>
						<td>{{ $row->police}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Assuré', (isset($fields['insured']['language'])? $fields['insured']['language'] : array())) }}</td>
						<td>{{ $row->insured}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Date sinsitre', (isset($fields['sinister_date']['language'])? $fields['sinister_date']['language'] : array())) }}</td>
						<td>{{ date('d/m/Y',strtotime($row->sinister_date)) }} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Date déclaration', (isset($fields['declaration_date']['language'])? $fields['declaration_date']['language'] : array())) }}</td>
						<td>{{ date('d/m/Y',strtotime($row->declaration_date)) }} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Victime', (isset($fields['vicitim']['language'])? $fields['vicitim']['language'] : array())) }}</td>
						<td>{{ $row->vicitim}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Date de naissance', (isset($fields['birthday']['language'])? $fields['birthday']['language'] : array())) }}</td>
						<td>{{ date('d/m/Y',strtotime($row->birthday)) }} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Age', (isset($fields['age']['language'])? $fields['age']['language'] : array())) }}</td>
						<td>{{ $row->age}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Lieu', (isset($fields['place']['language'])? $fields['place']['language'] : array())) }}</td>
						<td>{{ $row->place}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Circonstances', (isset($fields['circumstances']['language'])? $fields['circumstances']['language'] : array())) }}</td>
						<td>{{ $row->circumstances}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Nature lesion', (isset($fields['lesion_nature']['language'])? $fields['lesion_nature']['language'] : array())) }}</td>
						<td>{{ $row->lesion_nature}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Affectation', (isset($fields['affectation']['language'])? $fields['affectation']['language'] : array())) }}</td>
						<td>{{ $row->affectation}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Frais médicaux', (isset($fields['medical_fees']['language'])? $fields['medical_fees']['language'] : array())) }}</td>
						<td>{{ $row->medical_fees}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Nombre jours arrêt', (isset($fields['days']['language'])? $fields['days']['language'] : array())) }}</td>
						<td>{{ $row->days}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Montant Reg Client', (isset($fields['payment_customer_amont']['language'])? $fields['payment_customer_amont']['language'] : array())) }}</td>
						<td>{{ $row->payment_customer_amont}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Taux IPP', (isset($fields['IPPRate']['language'])? $fields['IPPRate']['language'] : array())) }}</td>
						<td>{{ $row->IPPRate}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Montant rachat', (isset($fields['purchase_amount']['language'])? $fields['purchase_amount']['language'] : array())) }}</td>
						<td>{{ $row->purchase_amount}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Décès', (isset($fields['death']['language'])? $fields['death']['language'] : array())) }}</td>
						<td>{{ $row->death}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Statut', (isset($fields['sinister_events']['language'])? $fields['sinister_events']['language'] : array())) }}</td>
						<td>{{ $row->sinister_events}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Observations', (isset($fields['observations']['language'])? $fields['observations']['language'] : array())) }}</td>
						<td>{{ $row->observations}} </td>
						
					</tr>
				
					<tr>
						<td width='30%' class='label-view text-right'>{{ SiteHelpers::activeLang('Date de reprise', (isset($fields['recovery_date']['language'])? $fields['recovery_date']['language'] : array())) }}</td>
						<td>{{ $row->recovery_date}} </td>
						
					</tr>
						
					<tr>
						<td width='30%' class='label-view text-right'></td>
						<td> <a href="javascript:history.go(-1)"> Back To Grid <a> </td>
						
					</tr>					
				
			</tbody>	
		</table>   

	 
	
	</div>
</div>	