File manager

File manager - Edit - /var/www/html/portal/resources/views/admin/saude/fibromialgia/perfil/endereco.blade.php

Back
@extends('layouts.admin.theme') @section("title", env("APP_NAME") . " :: Página de Acompanhamento - Paciente com Fibromialgia - Endereço") @section('content') <div class="card shadow"> @php $headLine = "<i class='fa-solid fa-user-injured'></i> Página de Acompanhamento - Paciente com Fibromialgia - Endereço"; @endphp @include('components.buttons._headLineButtonsBackAdd', [ 'headLine' => __($headLine), "permission" => "GERENCIADOR_DE_CONTA_ANGRA", ]) <div class="card-body"> <form action="{{ route("admin.saude.fibromialgia.perfil.enderecoUpdate", [$paciente->id, $endereco->id]) }}" method="post" enctype="multipart/form-data"> @include("errors.messageFlash") @csrf @method('post') @include('components.modal._modelProfile') <hr> <div class="tab-content"> <div class="mb-3"> <div class="row"> <div class="col-sm-12 col-md-3"> <!-- Campo CEP --> @include('components.inputs._inputType',[ "for" => null, "label" => "CEP", "name" => "cep", "id" => "zipCode", "required" => true, "type" => null, "old" => old('cep', $endereco?->cep), "oninput" => "javascript:aplicarMascaraCEP(this)", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-6"> <!-- Campo Logradouro --> @include('components.inputs._inputType',[ "for" => null, "label" => "Logradouro", "name" => "logradouro", "id" => "street", "required" => true, "type" => null, "old" => old('logradouro', $endereco?->logradouro), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Número --> @include('components.inputs._inputType',[ "for" => null, "label" => "Número", "name" => "numero", "id" => "numero", "required" => false, "type" => null, "old" => old('numero', $endereco?->numero), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> </div> <div class="row"> <div class="col-sm-12 col-md-3"> <!-- Campo Complemento --> @include('components.inputs._inputType',[ "for" => null, "label" => "Complemento", "name" => "complemento", "id" => "complemento", "required" => false, "type" => null, "old" => old('complemento', $endereco?->complemento), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Cidade --> @include('components.inputs._inputType',[ "for" => null, "label" => "Cidade", "name" => "cidade", "id" => "city", "required" => true, "type" => null, "old" => old('cidade', $endereco?->cidade), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo Bairro --> @include('components.inputs._inputType',[ "for" => null, "label" => "Bairro", "name" => "bairro", "id" => "neighborhood", "required" => true, "type" => null, "old" => old('bairro', $endereco?->bairro), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, ]) </div> <div class="col-sm-12 col-md-3"> <!-- Campo UF --> @include('components.inputs._inputType',[ "for" => null, "label" => "UF", "name" => "uf", "id" => "state", "required" => true, "type" => null, "old" => old('uf', $endereco?->uf), "oninput" => "javascript:this.value = this.value.toUpperCase()", "readonly" => false, "small" => null, "listName" => "estadosBrasileiros", "arrayList" => [ 'AC', 'AL', 'AM', 'AP', 'BA', 'CE', 'DF', 'ES', 'GO', 'MA', 'MG', 'MS', 'MT', 'PA', 'PB', 'PE', 'PI', 'PR', 'RJ', 'RN', 'RO', 'RR', 'RS', 'SC', 'SE', 'SP', 'TO' ], ]) </div> </div> <div class="row"> <div class="col-12"> <!-- Campo Comprovante --> @include('components.inputs._inputType',[ "for" => null, "label" => "Comprovante de endereço", "name" => "comprovante", "id" => null, "required" => false, "type" => 'file', "old" => null, "oninput" => null, "readonly" => true, "small" => null, "accept" => 'image/jpeg,image/jpg,image/png,image/gif,.pdf', ]) </div> </div> <div class="row"> <div class="col-12 text-center"> @if($endereco?->comprovante != null && $endereco?->comprovante != "pmar\assets\img\comprovante-residencia-default.jpg") <hr/> <a href="{{ asset($endereco?->comprovante) }}" class="text-primary" download> {{ __("Comprovante de endereço") }} - <small>{{ __("baixar") }}</small> <i class="fa-solid fa-download"></i> </a> @endif </div> </div> <div class="row"> <div class="d-flex justify-content-between mt-4"> <a class="btn btn-outline-secondary" href="{{ route("admin.saude.fibromialgia.perfil.show", $paciente->id) }}"> <i class="fa-solid fa-arrow-left-long"></i> {{ __("Voltar") }} </a> <button class="btn btn-primary d-inline" type="submit"> <i class="fa-solid fa-user-plus"></i> {{ __("Salvar") }} </button> </div> </div> </div> </form> </div> </div> @endsection

| ver. 1.4 | Github | . | PHP 8.3.28 | Generation time: 0.02 | proxy | phpinfo | Settings