streamline-emr/docker/streamline-src/Modules/ClinicalData/Resources/views/test_areas/edit.blade.php

@extends('layouts.main')

@section('content')
    <div class="row bg-title">
        <div class="col-lg-3 col-md-4 col-sm-4 col-xs-12">
            <h4 class="page-title">Edit Slit Lamp Test Area</h4>
        </div>
        <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
            <ol class="breadcrumb">
                <li><a href="{{ route('home') }}">Dashboard</a></li>
                <li><a href="/test_areas/index">Slit Lamp Test Areas</a></li>
                <li class="active">Edit</li>
            </ol>
        </div>
    </div>

    @include('clinical_data::test_areas.menu')
    @include('flash::message')

    <div class="row">
        <div class="col-sm-12">
            <div class="white-box">
                {{ Form::model($test_area, ['method' => 'PUT', 'route' => ['test_areas.update',$test_area], 'data-toggle' => 'validator']) }}

                <div class="form-group">
                    {{ Form::label('name', 'Test Area Name') }}
                    {{ Form::text('name', $test_area->name, ['class' => 'form-control compulsory', 'required']) }}
                    <div class="help-block with-errors"></div>
                </div>

                {{ Form::button('Submit',['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
                {{ Form::button('Cancel',['type'=>'reset','class'=>'btn btn-default waves-effect waves-light']) }}

                {{ Form::close() }}
            </div>
        </div>
    </div>
@endsection

@push('scripts')
    <script src="{{ asset('elite/js/validator.js') }}"></script>
@endpush