調整疾病類別項目

This commit is contained in:
ericli1018
2025-07-03 10:20:38 +08:00
parent ce4c781d02
commit 3a0bee4d58
13 changed files with 101 additions and 4 deletions

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@ -34,6 +34,23 @@
@endif
<div class="card">
<div class="card-body">
<div class="mb-3">
<label class="form-label">疾病類別</label>
<div class="form-control" >
<div class="form-check">
<input class="form-check-input" type="radio" name="disease_type" id="diseaseType1" value="1" {{ old('disease_type') == "1" ? 'checked' : '' }} required>
<label class="form-check-label" for="diseaseType1">
代謝症候群(代謝症候群者)
</label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="disease_type" id="diseaseType5" value="5" {{ old('disease_type') == "5" ? 'checked' : '' }} required>
<label class="form-check-label" for="diseaseType5">
代謝症候群(糖尿病前期者)
</label>
</div>
</div>
</div>
<div class="mb-3">
<label for="regHospitalName" class="form-label">就醫院所</label>
<input type="text" class="form-control" id="regHospitalName" name="hospital_name" required value="{{ old('hospital_name') }}" placeholder="範例XX醫院">

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@ -14,6 +14,12 @@
<div class="row justify-content-center">
<div class="col-md-8 main-area">
<h3 style="color: brown">【健康知識學起來 輕鬆領取桃園幣活動額滿公告】</h3>
<p>
感謝各位的熱情參與,本項活動反應熱烈,目前兌換名額已全數額滿!敬請持續關注後續活動資訊,謝謝您的支持與配合!
</p>
<p>&nbsp;</p>
<h3>健康識能有獎徵答活動</h3>
<p>
為提升市民慢性病防治識能,

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@ -40,7 +40,13 @@
<div class="form-check">
<input class="form-check-input" type="radio" name="disease_type" id="diseaseType1" value="1" {{ old('disease_type') == "1" ? 'checked' : '' }} required>
<label class="form-check-label" for="diseaseType1">
代謝症候群
代謝症候群(代謝症候群者)
</label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="disease_type" id="diseaseType5" value="5" {{ old('disease_type') == "5" ? 'checked' : '' }} required>
<label class="form-check-label" for="diseaseType5">
代謝症候群(糖尿病前期者)
</label>
</div>
<div class="form-check">

View File

@ -36,6 +36,23 @@
@endif
<div class="card">
<div class="card-body">
<div class="mb-3">
<label class="form-label">疾病類別</label>
<div class="form-control" >
<div class="form-check">
<input class="form-check-input" type="radio" name="disease_type" id="diseaseType1" value="1" {{ old('disease_type') == "1" ? 'checked' : '' }} required>
<label class="form-check-label" for="diseaseType1">
代謝症候群(代謝症候群者)
</label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="disease_type" id="diseaseType5" value="5" {{ old('disease_type') == "5" ? 'checked' : '' }} required>
<label class="form-check-label" for="diseaseType5">
代謝症候群(糖尿病前期者)
</label>
</div>
</div>
</div>
<div class="mb-3">
<label for="regHospitalName" class="form-label">就醫院所</label>
<input type="text" class="form-control" id="regHospitalName" name="hospital_name" required value="{{ old('hospital_name') }}" placeholder="範例XX醫院">