email-attachment.blade.php 1.6 KB

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  1. <div moe wide>
  2. <a start show href="#" class="text-primary">{{ $title }}</a>
  3. <form url="{{ route('admin.email-attachment') }}" class="p-3" right>
  4. <h4>Email lab request to the patient</h4>
  5. @csrf
  6. <input type="hidden" name="attachmentPath" value="{{ $attachmentPath }}" />
  7. <div class="mb-2">
  8. <label class="fw-bold mb-1">Email Address:</label>
  9. <input name="toEmail" class="form-control form-control-sm" value="{{ $toEmail }}" required />
  10. </div>
  11. <div class="mb-2">
  12. <label class="fw-bold mb-1">Name:</label>
  13. <input name="toName" class="form-control form-control-sm" value="{{ $toName }}" required />
  14. </div>
  15. <div class="mb-2">
  16. <label class="fw-bold mb-1">Subject:</label>
  17. <input name="subject" class="form-control form-control-sm" value="{{ $subject }}" required />
  18. </div>
  19. <div class="mb-2">
  20. <label class="fw-bold mb-1">Message</label>
  21. <textarea name="message" style="height:50px" class="form-control">We’re pleased to let you know that your lab request form is ready. You’ll find the form attached to this email.</textarea>
  22. </div>
  23. <div class="mb-2">
  24. <span class="me-1">Attachment: <i class="fas fa-paperclip fa-fw"></i> <a href="{{ $attachmentUrl }}" target="_blank">{{ $attachmentName }}</a></span>
  25. </div>
  26. <div>
  27. <button submit class="btn btn-sm btn-primary me-2">Email</button>
  28. <button cancel class="btn btn-sm btn-default border">Cancel</button>
  29. </div>
  30. </form>
  31. </div>