{!! Form::open(array('id' => 'formAptika', 'route' => ['kelurahan.update', $kelurahan->id], 'class' => 'form account-form', 'method' => 'PUT')) !!}
<div class="row">
	<div class="col-md-6">
        <p>
            {!! Form::label('provinsi', 'Nama Provinsi', array('class' => 'col-md-6 control-label')) !!}
            {!! Form::text('provinsi', $kecamatan->provinsi, array('id' => 'provinsi', 'readonly', 'class' => 'form-control', 'placeholder' => 'Nama Provinsi')) !!}
        </p>
        <p>
            {!! Form::label('kecamatan', 'Nama Kecamatan', array('class' => 'col-md-6 control-label')) !!}
            {!! Form::text('kecamatan', $kecamatan->kecamatan, array('id' => 'kota', 'readonly', 'class' => 'form-control', 'placeholder' => 'Nama Kecamatan')) !!}
        </p>          
       
    </div>
	<div class="col-md-6">
         <p>
            {!! Form::label('kota', 'Nama Kota', array('class' => 'col-md-6 control-label')) !!}
            {!! Form::text('kota', $kecamatan->kota, array('id' => 'kota', 'readonly', 'class' => 'form-control', 'placeholder' => 'Nama Kota')) !!}
        </p>
        <p>
            {!! Form::label('nama', 'Nama Kelurahan', array('class' => 'col-md-6 control-label')) !!}
            {!! Form::text('nama', $kelurahan->nama, array('id' => 'nama', 'class' => 'form-control', 'placeholder' => 'Nama Kelurahan')) !!}
			<span id="nama-error" class="invalid-feedback"></span>
        </p>         
    </div>
    {!! Form::hidden('kecamatan_id', $kecamatan->id, array('id' => 'kecamatan_id')) !!}
</div>
{!! Form::close() !!}
@include('layouts.backend.ajax_form')