36 lines
1.6 KiB
PHP
Executable file
36 lines
1.6 KiB
PHP
Executable file
<div class="modal-content">
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{!! Form::open(['url' => $data['url'], 'class' => '', 'enctype' => 'multipart/form-data']) !!}
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{{ Form::hidden('service_provider_service_id', $data['id']) }}
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{{ Form::hidden('back', $data['back']) }}
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<div class="modal-header">
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<h5 class="modal-title">
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Leistungsträger Leistungen
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<span class="font-weight-light">hinzufügen</span>
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</h5>
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<button type="button" class="close" data-dismiss="modal" aria-label="Close">×</button>
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</div>
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<div class="modal-body">
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<div class="form-group">
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<label for="name" class="form-label">{{ __('Name') }}</label>
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{{ Form::text('name', $value->name, array('placeholder'=>__('Name'), 'class'=>'form-control', 'required')) }}
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</div>
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<div class="form-group ">
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<label for="full_text" class="form-label">{{ __('Beschreibung') }}</label>
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{{ Form::textarea('description', $value->description, array('placeholder'=>__('Beschreibung'), 'class'=>'form-control', 'rows'=>2)) }}
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</div>
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<div class="form-group">
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<label for="pos" class="form-label">{{ __('Position') }}</label>
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{{ Form::text('pos', $value->pos, array('class'=>'form-control')) }}
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</div>
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-default" data-dismiss="modal">schließen</button>
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<button type="submit" class="btn btn-primary" name="update-action" value="save-service-provider-service">speichern</button>
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</div>
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{!! Form::close() !!}
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</div>
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<script type="text/javascript">
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</script>
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