mirror of
https://gitlab.com/signalytic/client-external/streamline/streamline-emr.git
synced 2026-09-12 03:01:32 +00:00
58 lines
1.9 KiB
PHP
Executable File
58 lines
1.9 KiB
PHP
Executable File
@extends('layouts.main')
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@section('title', '| Edit Drug Route')
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@section('content')
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<div class="row bg-title">
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<div class="col-lg-3 col-md-4 col-sm-4 col-xs-12">
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<h4 class="page-title">Edit Company</h4>
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</div>
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<div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
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<ol class="breadcrumb">
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<li><a href="{{ route('home') }}">Dashboard</a></li>
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<li><a href="/companies/">Companies</a></li>
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<li class="active">Edit</li>
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</ol>
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</div>
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<!-- /.col-lg-12 -->
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</div>
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<div class="row">
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<div class="col-sm-12">
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@include('clinical_data::companies.menu')
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</div>
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</div>
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@include('flash::message')
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<div class="panel panel-default" style="border-radius: 5px;">
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<div class="panel-body">
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{{ Form::model($company, ['method' => 'PUT', 'route' => ['companies.update',$company]]) }}
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<div class="form-group">
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{{ Form::label('name', 'Company Name') }}
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{{ Form::text('name', $company->name, ['class' => 'form-control compulsory']) }}
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</div>
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<div class="form-group">
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{{ Form::label('contact', 'Contact') }}
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{{ Form::text('contact', $company->contact, ['class' => 'form-control compulsory', 'required']) }}
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<div class="help-block with-errors"></div>
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</div>
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<div class="form-group">
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{{ Form::label('identifier', 'Identifier') }}
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{{ Form::text('identifier', $company->slug, ['class' => 'form-control compulsory', 'required']) }}
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<div class="help-block with-errors"></div>
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</div>
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{{ Form::button('Submit',['type'=>'submit','class'=>'btn btn-success btn-rounded waves-effect waves-light m-r-10']) }}
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{{ Form::button('Cancel',['type'=>'reset','class'=>'btn btn-default btn-rounded waves-effect waves-light']) }}
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{{ Form::close() }}
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</div>
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</div>
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@endsection
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