@extends('layouts.app') @section('title', 'EndoCapture') @section('style') @endsection @section('content')
@method('put') @csrf
@if(@$patient->pic=="") @else pic")}}?a={{date("Y-m-dH:i:s")}}" width="183px"/> @endif
@if (count($errors) > 0)
    @foreach($errors->all() as $error)
  • {{ $error }}
  • @endforeach
@endif
{{-- @if(isset($patient->an)) {{ Form::text('an',$patient->an,['class'=>'form-control','readonly','autocomplete'=>"off"]) }} @else {{ Form::text('an','',['class'=>'form-control','autocomplete'=>"off"]) }} @endif --}}
{{select_users($nationality,1,'id',['namethai'],'nationality','เลือกสัญชาติ','form-control')}}
@if(isset($patient->phone)) {{ Form::text('phone',$patient->phone,['class'=>'form-control']) }} @else {{ Form::text('phone','',['class'=>'form-control']) }} @endif
@if(isset($json->allergic)) {{ Form::text('allergic',$json->allergic,['class'=>'form-control']) }} @else {{ Form::text('allergic','',['class'=>'form-control']) }} @endif
@if(isset($json->emer_name)) {{ Form::text('emer_name',$json->emer_name,['class'=>'form-control']) }} @else {{ Form::text('emer_name','',['class'=>'form-control']) }} @endif
@if(isset($patient->email)) {{ Form::text('email',$patient->email,['class'=>'form-control']) }} @else {{ Form::text('email','',['class'=>'form-control']) }} @endif
@if(isset($json->congenital_disease)) {{ Form::text('congenital_disease',$json->congenital_disease,['class'=>'form-control']) }} @else {{ Form::text('congenital_disease','',['class'=>'form-control']) }} @endif
@if(isset($json->emer_tel)) {{ Form::text('emer_tel',$json->emer_tel,['class'=>'form-control','']) }} @else {{ Form::text('emer_tel','',['class'=>'form-control']) }} @endif

@endsection @section('script') @endsection