@extends('layouts.app') @section('navigation') Apertura de expediente Nuevo registro @endsection @section('content')
@if(session('success'))
Mensaje : {{session('success')}}
@Endif @if(session('errors'))
Cuidado:!{{session('errors')}}
@Endif
Apertura de expedientes

{!! Form::model($oemr ?? '', ['route' => ['oemr.store'], 'method' => 'POST', 'files' => true, 'id' => 'form-data']) !!} @csrf
{!! Form::select('patientId', \App\Models\Patient::select(\DB::raw('name AS name'), "id")->pluck('name', 'id'), null , ['class' => "form-control select-search", 'id' => 'patientId']) !!}
{!! Form::date('age', null, ['class' => 'form-control', 'required' => true, 'id' => 'age']) !!}
{!! Form::number('weight', null, ['class' => 'form-control', 'required' => true, 'id' => 'weight']) !!}
{{ Form::select('sterilized', array('0' => 'No', '1' => 'Si' ), null , array('class' => "form-control select", 'id' => 'sterilized')) }}
{{ Form::text('city' , null, ['id' => 'city', 'class' => "form-control"] ) }}
{{ Form::text('homeTime' , null, ['id' => 'homeTime', 'class' => "form-control"] ) }}
{{ Form::select('croquettes', array('0' => 'No', '1' => 'Si' ), null , array('class' => "form-control select", 'id' => 'croquettes')) }}
{{ Form::text('croquettesBrand' , null, ['id' => 'weight', 'class' => "form-control"] ) }}
{{ Form::select('homemadeFood', array('0' => 'No', '1' => 'Si' ), null , array('class' => "form-control select", 'id' => 'homemadeFood')) }}
{{ Form::text('mealFrequency' , null, ['id' => 'mealFrequency', 'class' => "form-control"] ) }}
{{ Form::select('whereLive', array('Inside' => 'Adentro', 'Outside' => 'Afuera' , 'Mix' => 'Mixto' ), null , array('class' => "form-control select", 'id' => 'whereLive')) }}
{{ Form::select('takeStreet', array('0' => 'No', '1' => 'Si' ), null , array('class' => "form-control select", 'id' => 'takeStreet')) }}
{{ Form::select('liveWithMoreAnimals', array('0' => 'No', '1' => 'Si' ), null , array('class' => "form-control select", 'id' => 'liveWithMoreAnimals')) }}
{{ Form::number('howManyAnimals' , null , ['id' => 'howManyAnimals' , 'class' => "form-control"]) }}
{{ Form::select('vaccine', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'vaccine')) }}
{{ Form::select('deworming', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'deworming')) }}
{{ Form::select('ticks', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'ticks')) }}
{{ Form::select('fleas', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'fleas')) }}
{{ Form::select('antiTickProducts', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'antiTickProducts')) }}
{{ Form::text('whichAntiTickProducts', null, ['id' => 'whichAntiTickProducts' , 'class' => "form-control"] ) }}
{{ Form::select('allergy', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'allergy')) }}
{{ Form::text('whatAllergy', null, ['id' => 'whatAllergy', 'class' => "form-control"]) }}
{{ Form::select('badBreath', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'badBreath')) }}
{{ Form::select('itchyEar', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'itchyEar')) }}
{{ Form::select('shakeHead', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'shakeHead')) }}
{{ Form::select('badEarOdor', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'badEarOdor')) }}
{{ Form::select('badBodyOdor', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'badBodyOdor')) }}
{{ Form::select('dentalCleaning', array('0' => 'No', '1' => 'Si' ),null, array('class' => "form-control select", 'id' => 'dentalCleaning')) }}
{{ Form::text('howManydentalCleaning', null, ['id' => 'howManydentalCleaning', 'class' => "form-control"]) }}
{{ Form::textarea('diseasesFound', null, ['class' => 'form-control','id' => 'diseasesFound', 'rows' => 2, 'cols' => 54, 'style' => 'resize:none'])}}
{{ Form::textarea('surgeries', null, ['class' => 'form-control','id' => 'surgeries', 'rows' => 2, 'cols' => 54, 'style' => 'resize:none'])}}
{{ Form::textarea('currentMedication', null, ['class' => 'form-control','id' => 'currentMedication', 'rows' => 2, 'cols' => 54, 'style' => 'resize:none'])}}
{{ Form::textarea('history', null, ['class' => 'form-control','id' => 'history', 'rows' => 2, 'cols' => 54, 'style' => 'resize:none'])}}
{!! Form::close() !!}
@endsection @section('scripts') @endsection