streamline-emr/docker/streamline-src/Modules/Insurance/Resources/views/person_titles/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">{{ __('person_titles.edit_person_titles') }}</h4>
    </div>
    <div class="col-lg-9 col-sm-8 col-md-8 col-xs-12">
        <ol class="breadcrumb">
            <li><a href="{{ route('home') }}">{{ __('person_titles.dashboard') }}</a></li>
            <li><a href="/person_titles">{{ __('person_titles.countries') }}</a></li>
            <li class="active">{{ __('person_titles.edit') }}</li>
        </ol>
    </div>
</div>

@include('insurance::person_titles.menu')

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

            <div class="form-group">
                {{ Form::hidden('id', $person_title->id) }}
                {{ Form::label('name', __('person_titles.title')) }}
                {{ Form::text('name', $person_title->name, ['class' => 'form-control compulsory', 'required', 'placeholder'=>'e.g. Mrs']) }}
                <div class="help-block with-errors"></div>
            </div>

            {{ Form::button(__('person_titles.submit'),['type'=>'submit','class'=>'btn btn-success waves-effect waves-light m-r-10']) }}
            {{ Form::button(__('person_titles.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