56 lines
2.3 KiB
Twig
56 lines
2.3 KiB
Twig
|
{% extends 'base.html.twig' %}
|
||
|
|
|
||
|
|
{% block body %}
|
||
|
|
{{ block('nav', 'internal/libs/nav.html.twig') }}
|
||
|
|
|
||
|
|
<main class="main-content position-relative max-height-vh-100 h-100 border-radius-lg ">
|
||
|
|
{{ block('topnav', 'internal/libs/top-nav.html.twig') }}
|
||
|
|
|
||
|
|
<section>
|
||
|
|
|
||
|
|
<div class="card card-plain">
|
||
|
|
<div class="card-header">
|
||
|
|
<h4 class="font-weight-bolder">Case Info</h4>
|
||
|
|
<p class="mb-0"></p>
|
||
|
|
</div>
|
||
|
|
<div class="card-body">
|
||
|
|
<div class="container">
|
||
|
|
{{ form_errors(form) }}
|
||
|
|
|
||
|
|
{{ form_start(form) }}
|
||
|
|
<div class="row">
|
||
|
|
<div class='col'>
|
||
|
|
<div class='input-group input-group-outline mb-3'>
|
||
|
|
<label for='note_form_date'></label>
|
||
|
|
<input type='date' name='{{ field_name(form.date) }}' id='note_form_date' class='form-control'/>
|
||
|
|
</div>
|
||
|
|
|
||
|
|
<div class='input-group input-group-outline mb-3'>
|
||
|
|
{{ form_row(form.servicesProvided) }}
|
||
|
|
</div>
|
||
|
|
|
||
|
|
<div class='input-group input-group-outline mb-3'>
|
||
|
|
<label for='note_form_recommendation' class='form-label'>Recommendation</label>
|
||
|
|
<input type='text' name='{{ field_name(form.recommendations) }}' id='note_form_recommendation' class='form-control'/>
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
|
||
|
|
<div class='col'>
|
||
|
|
<div class='input-group input-group-outline mb-3'>
|
||
|
|
<textarea name='{{ field_name(form.note) }}' id='note_form_note' class='form-control' placeholder='Note' style='width:100%;height:200px;'></textarea>
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
|
||
|
|
<div class='row'>
|
||
|
|
<div class="text-center">
|
||
|
|
<button type="submit" class="btn btn-lg bg-gradient-dark btn-lg w-100 mt-4 mb-0">Save Staff Note</button>
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
{{ form_end(form) }}
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
</section>
|
||
|
|
</main>
|
||
|
|
{% endblock %}
|