@section('after-styles') {{ Html::style("css/backend/plugin/datatables/dataTables.bootstrap.min.css") }} @endsection

{{ trans('labels.backend.patients.details') }}

{{ Form::label('name', trans('validation.attributes.backend.access.roles.name'), ['class' => 'col-lg-2 control-label']) }}
{{ Form::text('name', null, ['class' => 'form-control', 'placeholder' => trans('validation.attributes.backend.access.roles.name')]) }}
{{ Form::label('email', trans('labels.backend.patients.email'), ['class' => 'col-lg-2 control-label']) }}
{{ Form::email('email', null, ['class' => 'form-control', 'placeholder' => trans('labels.backend.patients.email')]) }}
{{ Form::label('phone', trans('labels.backend.patients.phone'), ['class' => 'col-lg-2 control-label']) }}
{{ Form::text('phone', null, ['class' => 'form-control', 'placeholder' => trans('labels.backend.patients.phone')]) }}
{{ Form::label('region', 'Județ', ['class' => 'col-lg-2 control-label']) }}
{{ Form::text('region', null, ['class' => 'form-control', 'placeholder' =>'Județ']) }}
{{ Form::label('city', 'Oraş', ['class' => 'col-lg-2 control-label']) }}
{{ Form::text('city', null, ['class' => 'form-control', 'placeholder' =>'Oraş']) }}
{{ Form::label('street', 'Strada', ['class' => 'col-lg-2 control-label']) }}
{{ Form::text('street', null, ['class' => 'form-control', 'placeholder' =>'Strada']) }}
{{ Form::label('number', 'Numărul / Apartamentul', ['class' => 'col-lg-2 control-label']) }}
{{ Form::text('number', null, ['class' => 'form-control', 'placeholder' =>'Numărul / Apartamentul']) }}
{{ Form::label('cnp', 'CNP', ['class' => 'col-lg-2 control-label']) }}
{{ Form::text('cnp', null, ['class' => 'form-control', 'placehold§er' =>'CNP']) }}
{{ Form::label('sex', 'Sex', ['class' => 'col-lg-2 control-label']) }}
{{ Form::select('sex',config('constants.genders'), $sex, ['class' => 'form-control m-bot15'])}}
{{ Form::label('birth', 'Data nasterii', ['class' => 'col-lg-2 control-label']) }}
{{--@if(empty($birth))--}} {{--{!! Form::text('birth', null, array('id' => 'datepicker')) !!}--}} {{--@else--}} {!! Form::text('birth', $birth, array('id' => 'datepicker')) !!} {{--@endif--}}
{{ Form::label('nationality', 'Naționalitate', ['class' => 'col-lg-2 control-label']) }}
{{ Form::select('nationality',config('constants.nationality'), $nationalitate, ['class' => 'form-control m-bot15'])}}
{{ Form::label('card', 'Card fidelitate', ['class' => 'col-lg-2 control-label']) }}
{{ Form::select('card',config('constants.da-nu'), $card, ['class' => 'form-control m-bot15'])}}
{{ Form::label('details', 'Detalii', ['class' => 'col-lg-2 control-label']) }}
{{ Form::textarea('details', null, ['class' => 'field']) }}
@if(!empty($patient))

Programari

{{ trans('labels.backend.appointment.doctor-name') }} {{ trans('labels.backend.appointment.date') }} {{ trans('labels.backend.appointment.status') }} {{ trans('labels.general.actions') }}

Analize

{{--
--}} {{--
--}} {{--

Plati

--}} {{--
--}} {{----}} {{--
--}} {{----}} {{--
--}} {{----}} {{--
--}} @endif
@section('after-scripts') {{ Html::script("js/backend/plugin/datatables/jquery.dataTables.min.js") }} {{ Html::script("js/backend/plugin/datatables/dataTables.bootstrap.min.js") }} @endsection