<%= form_for @payment_invoice, url: make_payment_payment_invoice_index_path, :html => {:id => "payment-form",class: "form-horizontal"}, method: 'post' do |f| %>
<%= f.hidden_field :amount, :value => @purchase_order_amount.amount %>
<%= f.hidden_field :purchase_order_id, :value => params[:id] %>
<% end %>
Sim Payment
<%= label_tag :card_number, "Credit Card Number", :class=>"col-sm-4 control-label"%>
<%= text_field_tag :card_number, nil, name: nil, class: ' card-number form-control', :required => true %>
<%= label_tag :card_code, "Security Code (cvc)",:class=>"col-sm-4 control-label" %>
<%= text_field_tag :card_code, nil, name: nil, class: 'card-cvc form-control', :required => true ,:type=>"password"%>
<%= label_tag :card_month, "Expiration",:class=>"col-sm-4 control-label" %>
<%= select_month nil, {add_month_numbers: true}, {name: nil, class: "card-expiry-month form-control"} %>
<%= select_year nil, {start_year: Date.today.year, end_year: Date.today.year+15}, {name: nil, class: "card-expiry-year form-control"}%>
<%= label_tag :Amount, "Amount(USD)",:class=>"col-sm-4 control-label" %>
<%= text_field_tag 'amount', @purchase_order_amount.amount, :class=>"form-control" ,:readonly => true,:id=>"amount_textbox" %>
<%= f.submit "Proceed to Pay USD #{@purchase_order_amount.amount}", :class=>"btn btn-success submit-btn sim_payment" %>
<%= link_to "Cancel", sim_managements_path, :class => "btn btn-primary" %>