{!! Form::label('order_id', 'Order Id:') !!} {!! Form::text('order_id', null, ['class' => 'form-control']) !!}

{!! Form::label('receipt', 'Receipt:') !!} {!! Form::text('receipt', null, ['class' => 'form-control']) !!}

{!! Form::label('application_id', 'Application Id:') !!} {!! Form::number('application_id', null, ['class' => 'form-control']) !!}

{!! Form::label('amount', 'Amount:') !!} {!! Form::number('amount', null, ['class' => 'form-control']) !!}

{!! Form::label('amount_paid', 'Amount Paid:') !!} {!! Form::number('amount_paid', null, ['class' => 'form-control']) !!}

{!! Form::label('status', 'Status:') !!} {!! Form::text('status', null, ['class' => 'form-control']) !!}

{!! Form::label('order_created', 'Order Created:') !!} {!! Form::text('order_created', null, ['class' => 'form-control']) !!}

{!! Form::label('payment_method', 'Payment Method:') !!} {!! Form::text('payment_method', null, ['class' => 'form-control']) !!}

{!! Form::label('payment_captured', 'Payment Captured:') !!} {!! Form::text('payment_captured', null, ['class' => 'form-control']) !!}

{!! Form::label('email', 'Email:') !!} {!! Form::text('email', null, ['class' => 'form-control']) !!}

{!! Form::label('contact', 'Contact:') !!} {!! Form::text('contact', null, ['class' => 'form-control']) !!}

{!! Form::label('fee', 'Fee:') !!} {!! Form::number('fee', null, ['class' => 'form-control']) !!}

{!! Form::label('tax', 'Tax:') !!} {!! Form::number('tax', null, ['class' => 'form-control']) !!}

{!! Form::label('error_code', 'Error Code:') !!} {!! Form::text('error_code', null, ['class' => 'form-control']) !!}

{!! Form::label('error_description', 'Error Description:') !!} {!! Form::text('error_description', null, ['class' => 'form-control']) !!}

{!! Form::label('error_step', 'Error Step:') !!} {!! Form::text('error_step', null, ['class' => 'form-control']) !!}

{!! Form::label('error_reason', 'Error Reason:') !!} {!! Form::text('error_reason', null, ['class' => 'form-control']) !!}

{!! Form::label('payment_created', 'Payment Created:') !!} {!! Form::text('payment_created', null, ['class' => 'form-control']) !!}

{!! Form::label('card_name', 'Card Name:') !!} {!! Form::text('card_name', null, ['class' => 'form-control']) !!}

{!! Form::label('card_last_4', 'Card Last 4:') !!} {!! Form::text('card_last_4', null, ['class' => 'form-control']) !!}

{!! Form::label('card_network', 'Card Network:') !!} {!! Form::text('card_network', null, ['class' => 'form-control']) !!}

{!! Form::label('card_type', 'Card Type:') !!} {!! Form::text('card_type', null, ['class' => 'form-control']) !!}

{!! Form::label('card_issuer', 'Card Issuer:') !!} {!! Form::text('card_issuer', null, ['class' => 'form-control']) !!}

{!! Form::label('card_sub_type', 'Card Sub Type:') !!} {!! Form::text('card_sub_type', null, ['class' => 'form-control']) !!}

{!! Form::label('acquirer_data', 'Acquirer Data:') !!} {!! Form::text('acquirer_data', null, ['class' => 'form-control']) !!}