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<?php $__env->startSection("title", env("APP_NAME") . " :: Página de Acompanhamento - Paciente com Fibromialgia - Dados Pessais"); ?> <?php $__env->startSection('content'); ?> <div class="card shadow"> <?php $headLine = "<i class='fa-solid fa-user-injured'></i> Página de Acompanhamento - Paciente com Fibromialgia - Dados Pessais"; ?> <?php echo $__env->make('components.buttons._headLineButtonsBackAdd', [ 'headLine' => __($headLine), "permission" => "GERENCIADOR_DE_CONTA_ANGRA", ], array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?> <div class="card-body"> <form action="<?php echo e(route("admin.saude.fibromialgia.perfil.dadosPessoaisUpdate", [$paciente->id, $pessoa->id])); ?>" method="post" enctype="multipart/form-data"> <?php echo $__env->make("errors.messageFlash", array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?> <?php echo csrf_field(); ?> <?php echo method_field('post'); ?> <?php echo $__env->make('components.modal._modelProfile', array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?> <div class="tab-content"> <div class="row"> <div class="col-sm-12 col-md-6"> <!-- Campo Nome da mãe --> <?php echo $__env->make('components.inputs._inputType',[ "for" => null, "label" => "Nome da mãe completo", "name" => "nomeMae", "id" => null, "required" => true, "type" => null, "old" => old('nomeMae', $pessoa?->nomeMae), "oninput" => "javascript:this.value = this.value.toLocaleUpperCase('pt-BR').replace(/[^\p{L}\s]+/gu, '').replace(/\s{2,}/g,' ').trimStart()", "readonly" => false, "small" => null, ], array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?> </div> <div class="col-sm-12 col-md-6"> <!-- Campo Nome do Pai --> <?php echo $__env->make('components.inputs._inputType',[ "for" => null, "label" => "Nome do pai completo", "name" => "nomePai", "id" => null, "required" => false, "type" => null, "old" => old('nomePai', $pessoa?->nomePai), "oninput" => "javascript:this.value = this.value.toLocaleUpperCase('pt-BR').replace(/[^\p{L}\s]+/gu, '').replace(/\s{2,}/g,' ').trimStart()", "readonly" => false, "small" => null, ], array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?> </div> </div> <div class="row"> <div class="col-sm-12 col-md-6"> <!-- Campo Data de Nascimento --> <?php echo $__env->make('components.inputs._inputType',[ "for" => null, "label" => "Data de Nascimento", "name" => "dtaNascimento", "id" => null, "required" => true, "type" => "date", "old" => old('dtaNascimento', $pessoa?->dtaNascimento), "oninput" => "", "readonly" => false, "small" => null, ], array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?> </div> <div class="col-sm-12 col-md-6"> <!-- Campo Sexo --> <?php echo $__env->make('components.inputs._selectType', [ "for" => "sexo", "label" => "Sexo", "name" => "sexo", "required" => true, "readonly" => false, "options" => collect(App\Enums\StatusSexo::cases()) ->mapWithKeys(fn($status) => [$status->name => $status->value]) ->toArray(), "selected" => old('sexo', $pessoa?->sexo ?? 'NAO_INFORMADO'), "placeholder" => "Selecione uma opção...", "small" => "Informe o sexo.", "onchange" => null ], array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?> </div> </div> <div class="row"> <div class="d-flex justify-content-between mt-4"> <a class="btn btn-outline-secondary" href="<?php echo e(route("admin.saude.fibromialgia.perfil.show", $paciente->id)); ?>"> <i class="fa-solid fa-arrow-left-long"></i> <?php echo e(__("Voltar")); ?> </a> <button class="btn btn-primary d-inline" type="submit"> <i class="fa-solid fa-user-plus"></i> <?php echo e(__("Salvar")); ?> </button> </div> </div> </div> </form> </div> </div> <?php $__env->stopSection(); ?> <?php echo $__env->make('layouts.admin.theme', array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?><?php /PATH /var/www/html/portal/resources/views/admin/saude/fibromialgia/perfil/dadosPessoais.blade.php ENDPATH/ ?>

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