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

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">