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@@ -0,0 +1,61 @@
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+@extends('admin.client_documents.view')
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+@section('content-inner')
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+
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+ <div class="form-contents"><div class="failed-form-contents">
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+
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+ <h4 class="d-flex m-0 p-3 stag-heading stag-heading-modal">
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+ <div>Update Basic</div>
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+ <div class="ml-auto">
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+ <a class="text-secondary" href="#" up-close>
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+ <i class="fa fa-times"></i>
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+ </a>
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+ </div>
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+ </h4>
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+
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+ <form action="/post-to-api"
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+ up-target="#main-content" up-history="false" up-fail-target=".failed-form-contents" up-reveal="false"
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+ method="post" enctype="multipart/form-data"
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+ class="border-top px-3 pt-3 pb-1 custom-submit">
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+ @csrf
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+
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+ @if (session('message'))
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+ <div class="alert alert-danger">{{ session('message') }}</div>
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+ @endif
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+
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+ <input type="hidden" name="_uid" value="{{ $record->uid }}">
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+ <input type="hidden" name="_api" value="/api/clientDocument/updateBasic">
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+ <input type="hidden" name="_success" value="{{route('client_documents-view', ['uid' => $record->uid])}}">
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+ <input type="hidden" name="_return" value="{{route('client_documents_SINGLE-ACTION_updateBasic', ['uid' => $record->uid])}}">
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+ <div class='form-group mb-3'>
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+<label class='control-label'>Title </label>
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+<input class='form-control' type='text' name='title' value='{{ old('title') ? old('title') : '' }}' >
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+</div>
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+<div class='form-group mb-3'>
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+<label class='control-label'>Category </label>
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+<input class='form-control' type='text' name='category' value='{{ old('category') ? old('category') : '' }}' >
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+</div>
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+<div class='form-group mb-3'>
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+<label class='control-label'>Status </label>
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+<input class='form-control' type='text' name='status' value='{{ old('status') ? old('status') : '' }}' >
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+</div>
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+<div class='form-group mb-3'>
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+<label class='control-label'>Effective Date </label>
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+<input class='form-control' type='date' name='effectiveDate' value='{{ old('effectiveDate') ? old('effectiveDate') : '' }}' >
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+</div>
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+<div class='form-group mb-3'>
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+<label class='control-label'>Provider </label>
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+<input class='form-control' type='text' name='provider' value='{{ old('provider') ? old('provider') : '' }}' >
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+</div>
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+<div class='form-group mb-3'>
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+<label class='control-label'>Notes </label>
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+<input class='form-control' type='text' name='notes' value='{{ old('notes') ? old('notes') : '' }}' >
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+</div>
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+ <div class="form-group mb-3 d-flex justify-content-center">
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+ <button class="btn btn-sm btn-primary mr-3 px-5">Submit</button>
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+ <a href="{{route('client_documents-view', ['uid' => $record->uid])}}" class="btn btn-sm btn-default px-5" up-close>Cancel</a>
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+ </div>
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+ </form>
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+
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+ </div></div>
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+
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+@endsection
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