streamline-emr/docker/streamline-src/Modules/Investigations/Resources/views/radiologies/edit.blade.php

@extends('layouts.main')

@push('styles')
    <link href="{{ asset('elite/bower_components/bootstrap-datepicker/bootstrap-datepicker.min.css') }}" rel="stylesheet" type="text/css" />
    <link href="{{ asset('elite/bower_components/select2/select2.min.css') }}" rel="stylesheet" />
@endpush

@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">{{ __('clinical_data.edit_radiologies') }}</h4>
    </div>
    <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
        <ol class="breadcrumb">
            <li><a href="{{ route('home') }}">{{ __('clinical_data.dashboard') }}</a></li>
            <li><a href="/radiology/">{{ __('clinical_data.radiologies') }}</a></li>
            <li class="active">{{ __('clinical_data.edit') }}</li>
        </ol>
    </div>
</div>

<div class="row">
    <div class="col-sm-12">
        @include('investigations::radiologies.menu')
    </div>
</div>

<div class="row">
    <div class="col-sm-12">
        <!--Flash messages at the top -->
        @include('flash::message')
        <div class="white-box">
            {{ Form::model($radiology, ['method' => 'PUT', 'route' => ['radiology.update',$radiology], 'data-toggle' => 'validator']) }}

            <div class="row">
                <div class="col-md-6">
                    <div class="form-group">
                        {{ Form::label('name', __('clinical_data.name')) }}
                        {{ Form::text('name',$radiology->item_name,['class' => 'form-control compulsory', 'required']) }}
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group">
                        {{ Form::label('cost_price', __('clinical_data.item_cost_price')) }}
                        {{ Form::text('cost_price', $radiology->cost_price,['class' => 'form-control compulsory', 'required']) }}
                    </div>
                </div>
            </div>
            <div class="row">
                <div class="col-md-6">
                    <div class="form-group">
                        {{ Form::label('payables_account_id', __('clinical_data.payables_account')) }}
                        {{ Form::select('payables_account_id', $payables_accounts, $radiology->payables_account_id, ['class' => 'form-control drop']) }}                        
                        <div class="help-block with-errors"></div>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group">
                        {{ Form::label('expenses_account_id', __('clinical_data.expenses_account')) }}
                        {{ Form::select('expenses_account_id', $expenses_accounts, $radiology->expenses_account_id, ['class' => 'form-control drop']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                </div>
                <div class="col-md-6">
                <div class="form-group">
                    {{ Form::label('form_id', __('clinical_data.form')) }}
                    {{ Form::select('form_id', $forms, $radiology->form_id, ['class' => 'form-control  drop', 'required']) }}
                    <div class="help-block with-errors"></div>
                </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group">
                        {{ Form::label('re_order_level_id', __('labs.reorder_level') ) }}
                        {{ Form::number('re_order_level', $radiology->reorder_level, ['class' => 'form-control ']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                </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>
<script src="{{ asset('elite/bower_components/select2/select2.min.js') }}"></script>
<script type="text/javascript">
    $(document).ready(function () {
        $(".drop").select2({
            placeholder: "-- select --"
        });
    });
</script>
@endpush