Файловый менеджер

?? Файловый менеджер

Файловый менеджер - Редактировать - /home/dava/domains/medica.dava.digital/public_html/storage/framework/views/82d907b94b81697ee317fff4290940ce8466c419.php

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<?php $__env->startSection('title'); ?> <?php echo e(__('sentence.Edit Patient')); ?> <?php $__env->stopSection(); ?> <?php $__env->startSection('content'); ?> <div class="row justify-content-center"> <div class="col-md-8"> <div class="card shadow mb-4"> <div class="card-header py-3"> <h6 class="m-0 font-weight-bold text-primary"><?php echo e(__('sentence.Edit Patient')); ?></h6> </div> <div class="card-body"> <form method="post" action="<?php echo e(route('patient.store_edit')); ?>" enctype="multipart/form-data"> <div class="form-group row"> <label for="Name" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Full Name')); ?><font color="red"></font></label> <div class="col-sm-9"> <input type="text" class="form-control" id="Name" name="name" value="<?php echo e($patient->name); ?>"> <input type="hidden" class="form-control" name="user_id" value="<?php echo e($patient->id); ?>"> <?php echo e(csrf_field()); ?> </div> </div> <div class="form-group row"> <label for="Email" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Email Adress')); ?><font color="red"></font></label> <div class="col-sm-9"> <input type="email" class="form-control" id="Email" name="email" value="<?php echo e($patient->email); ?>"> </div> </div> <div class="form-group row"> <label for="Birthday" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Birthday')); ?><font color="red"></font></label> <div class="col-sm-9"> <input type="text" class="form-control" id="Birthday" name="birthday" value="<?php echo e($patient->Patient->birthday); ?>"> </div> </div> <div class="form-group row"> <label for="Phone" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Phone')); ?></label> <div class="col-sm-9"> <input type="text" class="form-control" id="Phone" name="phone" value="<?php echo e($patient->Patient->phone); ?>"> </div> </div> <div class="form-group row"> <label for="Gender" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Gender')); ?><font color="red"></font></label> <div class="col-sm-9"> <select class="form-control" name="gender" id="Gender"> <option value="<?php echo e($patient->Patient->gender); ?>" selected="selected"><?php echo e($patient->Patient->gender); ?></option> <option value="Male"><?php echo e(__('sentence.Male')); ?></option> <option value="Female"><?php echo e(__('sentence.Female')); ?></option> </select> </div> </div> <div class="form-group row"> <label for="Image" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Image')); ?></label> <div class="col-sm-9"> <input type="file" class="form-control" id="Image" name="image"> </div> </div> <div class="form-group row"> <label for="Blood" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Blood Group')); ?></label> <div class="col-sm-9"> <select class="form-control" name="blood" id="Blood"> <option value="<?php echo e($patient->Patient->blood); ?>" selected="selected"><?php echo e($patient->Patient->blood); ?></option> <option value="Unknown"><?php echo e(__('sentence.Unknown')); ?></option> <option value="A+">A+</option> <option value="A-">A-</option> <option value="B+">B+</option> <option value="B-">B-</option> <option value="O+">O+</option> <option value="O-">O-</option> <option value="AB+">AB+</option> <option value="AB-">AB-</option> </select> </div> </div> <div class="form-group row"> <label for="Address" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Address')); ?></label> <div class="col-sm-9"> <input type="text" class="form-control" id="Address" name="adress" value="<?php echo e($patient->Patient->adress); ?>"> </div> </div> <div class="form-group row"> <label for="Weight" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Patient Weight')); ?></label> <div class="col-sm-9"> <div class="input-group mb-2"> <input type="text" class="form-control" id="Weight" name="weight" value="<?php echo e($patient->Patient->weight); ?>"> <div class="input-group-prepend"> <div class="input-group-text">Kg</div> </div> </div> </div> </div> <div class="form-group row"> <label for="height" class="col-sm-3 col-form-label"><?php echo e(__('sentence.Patient Height')); ?></label> <div class="col-sm-9"> <div class="input-group mb-2"> <input type="text" class="form-control" id="height" name="height" value="<?php echo e($patient->Patient->height); ?>"> <div class="input-group-prepend"> <div class="input-group-text">Cm</div> </div> </div> </div> </div> <div class="form-group row"> <div class="col-sm-9"> <button type="submit" class="btn btn-primary"><?php echo e(__('sentence.Save')); ?></button> </div> </div> </form> </div> </div> </div> </div> <?php $__env->stopSection(); ?> <?php $__env->startSection('header'); ?> <?php $__env->stopSection(); ?> <?php $__env->startSection('footer'); ?> <?php $__env->stopSection(); ?> <?php echo $__env->make('layouts.master', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /PATH C:\xampp\htdocs\doctorino\v3.4\resources\views/patient/edit.blade.php ENDPATH/ ?>