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

@include('investigations::dentals.menu')

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

            <div class="row">
                <div class="col-sm-6">
                    <div class="form-group">
                        {{ Form::label('name', __('dentals.dental')) }}
                        {{ Form::text('name', $dental->name, ['class' => 'form-control compulsory', 'required']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                </div>
            </div>

            <div class="row">
                <div class="col-md-6">
                    <div class="form-group">
                        {{ Form::label('payables_account_id', 'Payables Accounts') }}
                        {{ Form::select('payables_account_id', $payables_accounts, $dental->payables_account_id, ['class' => 'form-control', 'required']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group">
                        {{ Form::label('expenses_account_id', 'Expenses Accounts') }}
                        {{ Form::select('expenses_account_id', $expense_accounts, $dental->expenses_account_id, ['class' => 'form-control', 'required']) }}
                        <div class="help-block with-errors"></div>
                    </div>
                </div>
            </div>

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

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

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