40 lines
2.1 KiB
HTML
40 lines
2.1 KiB
HTML
<div class="modal-header">
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<h4 class="modal-title pull-left" translate>medical_examination_modal.title</h4>
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<button
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type="button"
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class="btn-close close pull-right"
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[attr.aria-label]="'close' | translate | ftitlecase"
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(click)="bsModalRef.hide()"
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>
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<span aria-hidden="true" class="visually-hidden">×</span>
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</button>
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</div>
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<div class="modal-body">
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<form [formGroup]="form" (submit)="formSubmit()" class="row g-3">
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<div class="col-md-6">
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<label for="me_date" class="form-label">{{ 'date'|translate|ftitlecase }}</label>
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<input formControlName="date" type="text" class="form-control" [placeholder]="'press_to_select_a_date'|translate|ftitlecase" id="me_date" bsDatepicker [bsConfig]="{ adaptivePosition: true, dateInputFormat: 'DD/MM/YYYY' }" [maxDate]="dateMaxDate">
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</div>
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<div class="col-md-6">
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<label for="me_expiration_date" class="form-label">{{ 'expiration_date'|translate|ftitlecase }}</label>
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<input formControlName="expiration_date" type="text" class="form-control" [placeholder]="'press_to_select_a_date'|translate|ftitlecase" id="me_expiration_date" bsDatepicker [bsConfig]="{ adaptivePosition: true, dateInputFormat: 'DD/MM/YYYY' }" [minDate]="expirationDateMinDate">
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</div>
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<div class="col-12">
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<label for="me_certifier">{{ 'certifier'|translate|ftitlecase }}</label>
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<input formControlName="certifier" type="text" class="form-control" id="me_certifier">
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</div>
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<div class="col-12">
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<label for="dl_scan" class="form-label">{{ 'upload_medical_examination_certificate'|translate|ftitlecase }} (<u>{{ 'optional'|translate|uppercase }}</u>, <i>.pdf</i>)</label>
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<input class="form-control" type="file" id="dl_scan" (change)="onMedicalExaminationCertificateSelected($event)">
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</div>
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</form>
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-primary" (click)="formSubmit()">
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{{ "add" | translate | ftitlecase }}
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</button>
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<button type="button" class="btn btn-secondary" (click)="bsModalRef.hide()">
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{{ "close" | translate }}
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</button>
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</div>
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