
    <div class="form-group">
        <div class="col-md-4">
            {!! Form::label('benum', 'Bénéficiaire') !!}
            <div class="input-group">
                <div class="input-group-addon" id="ref_employeur">{!! $versement->benum !!}</div>
                {!! Form::text('benum',$versement->nom_beneficiaire, ['disabled' => 'true','class' => 'form-control']) !!}
            </div>
        </div>
    </div>


    <div class="form-group">
        <div class="col-md-4">
            {!! Form::label('sonum', 'Employeur') !!}
            <div class="input-group">
                <div class="input-group-addon" id="ref_employeur">{!! $versement->sonum !!}</div>
                {!! Form::text('sonum',$versement->nom_employeur, ['disabled' => 'true','class' => 'form-control']) !!}
            </div>
        </div>
    </div>


    <div class="form-group">
        <div class="col-xs-2">
            {!! Form::label('date', 'Date') !!}
            <div class='input-group date' id='datepicker_date_med'>
                    {!! Form::text('date', $versement->date, ['disabled' => 'true', 'class' => 'form-control']) !!}
            </div>
        </div>
    </div>

    <div class="form-group">
        <div class="col-md-4">
            {!! Form::label('bqcleunik', 'Banque') !!}
            {!! Form::text('bqcleunik',$versement->nom_banque, ['disabled' => 'true','class' => 'form-control']) !!}
        </div>

        <div class="col-md-3">
                {!! Form::label('compte', 'Compte') !!}
                {!! Form::text('compte', null, ['disabled' => 'true','class' => 'form-control']) !!}
        </div>
    </div>


    <div class="form-group">
        <div class="col-md-3">
                {!! Form::label('mode_pmt', 'Mode paiement') !!}
                {!! Form::text('mode_pmt', null, ['disabled' => 'true','class' => 'form-control']) !!}
        </div>
    </div>



    <div class='form-group'>
        <div class="col-md-8">
        {!! Form::label('obs', 'Observations') !!}
        {!! Form::textarea('obs', null, ['disabled' => 'true', 'class' => 'form-control', 'rows'=>'2']) !!}
        </div>
    </div>

    <hr/>

    <div class="form-group">
        <div class="col-md-3">
                {!! Form::label('montant_c', 'Montant calculé') !!}
                {!! Form::text('montant_c', null, ['disabled' => 'true','class' => 'form-control']) !!}
        </div>
    </div>

    <div class="form-group">
        <div class="col-md-3">
                {!! Form::label('montant_r', 'Montant rappel') !!}
                {!! Form::text('montant_r', null, ['disabled' => 'true','class' => 'form-control']) !!}
        </div>
    </div>

    <div class="form-group">
        <div class="col-md-3">
                {!! Form::label('montant_total', 'Montant total') !!}
                {!! Form::text('montant_total', ($versement->montant_c +$versement->montant_r ), ['disabled' => 'true','class' => 'form-control']) !!}
        </div>
    </div>
