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编辑当前文件:/home/rejoandoctor/www/resources/views/Prescribe/assistant/edit_appointment.blade.php

@extends('layouts.app')

@section('title', 'Doctor | Manage Appointment')
 
@section('content')
<div class="main-content">
  <div class="main-content-inner">
      <div class="breadcrumbs ace-save-state" id="breadcrumbs">
         @include('layouts.header_menu')
      </div>

<div class="page-content">
        <div class="row">
          <form action="{{route('update_appointment', $appointment->id)}}" method="post">
            @csrf
            @method('PUT')
            <div class="row">
              <div class="col-sm-2"></div>
              <div class="col-sm-8">
                <div class="widget-box">
                  <div class="widget-header">
                    <h4 class="widget-title">Doctor Appointment Number</h4>
                    <div class="widget-toolbar">
                      <a href="#" data-action="collapse">
                        <i class="ace-icon fa fa-chevron-up"></i>
                      </a>

<a href="#" data-action="close">
                        <i class="ace-icon fa fa-times"></i>
                      </a>
                    </div>
                  </div>
                  <div class="widget-body">
                    <div class="widget-main">
                      <div class="center">
                        <input type="number" class="form-control" placeholder="Patient Search By ID" value="{{$appointment->unique_patient_id}}" name="unique_patient_id" disabled>
                        <div class="space-2"></div>
                       
                        <label>
                          <input id="new" name="form-field-radio" type="radio" class="ace">
                          <span class="lbl"> New Patient</span>
                        </label>
                        
                        <label>
                          <input id="old" name="form-field-radio" type="radio" class="ace">
                          <span class="lbl"> Old Patient</span>
                        </label>
                       
                        <input type="text" class="form-group form-control" name="visit_fee" placeholder="Visit Fee" id="amount">
                      
                      </div>

<div class="col-sm-6">
                        <p class="label label-lg label-pink arrowed-right">Patient Information</p>
                        <input type="text" class="form-group form-control" name="patient_name" placeholder="Patient Name" value="{{$appointment->patient_name}}">

<input type="text" class="form-group form-control" name="patient_address" placeholder="Address" value="{{$appointment->patient_address}}">
                       
                        <input type="text" class="form-group form-control" name="patient_age" placeholder="Age" value="{{$appointment->patient_age}}">
                        
                        <select class="form-group form-control" name="patient_sex" required>
                          <option value="{{$appointment->patient_sex}}">{{$appointment->patient_sex}}</option>
                          <option value="Male">Male</option>
                          <option value="Female">Female</option>
                          <option value="Child">Child</option>
                        </select>

<input type="number" class="form-group form-control" name="patient_mobile" placeholder="Mobile" value="{{$appointment->patient_mobile}}">

<input type="text" class="form-group form-control" name="visit_date" id="c_date" placeholder="Date" value="{{$appointment->visit_date}}">
                      </div>
                      <div class="col-sm-6">
                        <p class="label label-lg label-pink arrowed-right">Pre Test Data</p>

<input type="text" class="form-group form-control" name="weight" placeholder="Weight" value="{{$appointment->weight}}">

<input type="text" class="form-group form-control" name="pulse" placeholder="Pulse" value="{{$appointment->pulse}}">

<input type="text" class="form-group form-control" name="heart" placeholder="Heart" value="{{$appointment->heart}}">

<input id="patient" name="patient_type" value="{{$appointment->patient_type}}" type="text" class="form-group form-control" readonly>
                        
                        <textarea type="text" class="form-group form-control" name="chief_complaints" placeholder="Write Patient Problem">{{$appointment->chief_complaints}}</textarea> 
                        
                      </div>
                       <input name="patient_type" type="text" class="form-group form-control" readonly>
                      <div class="form-actions center">
                        <button class="btn btn-sm btn-warning btn-round" type="submit">Update</button>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <div class="col-sm-2"></div>
            </div>
          </form>
          </div>
 @endsection