<?php
    $ci =& get_instance();
    $ci->load->library("encrypt");
?>
<form class="form-horizontal az-form" name="form" method="post">
	<div class="form-group">
        <label for="" class="col-sm-1 control-label lbl-jenis"><?php echo azlang('Date');?></label>
        <div class="col-sm-4">
            <div class="element-top-filter" data-id="<?= $ci->encrypt->encode("transaction_date");?>">
                <div class="row">
                    <div class="col-sm-5">
                        <?php echo $date1;?>
                    </div>
                    <div class="col-sm-2 div-between-col">
                    	s/d
                    </div>
                    <div class="col-sm-5">
                    	<?php echo $date2;?>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group">
        <label for="" class="col-sm-1 control-label lbl-jenis"><?php echo azlang('Payment Status');?></label>
        <div class="col-sm-4">
            <select class="form-control element-top-filter" data-w="true" data-id="<?php echo $this->encrypt->encode('payment_status');?>">
                <option value="">SEMUA</option>
                <option value="LUNAS">LUNAS</option>
                <option value="BELUM LUNAS">BELUM LUNAS</option>
               
                
                
                
                
            </select>
        </div>
    </div>
</form>