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- <!-- Modal Prontuário -->
- <div class="modal fade" id="myModalEdit" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
- <div class="modal-dialog" role="document">
- <div class="modal-content">
- <div class="modal-header">
- <h4 class="modal-title" id="myModalLabel">Inserir Prontuário</h4>
- </div>
- <div class="modal-body">
- <form role="form" action="./updateProntuarios.php" method='post' enctype="multipart/form-data">
- <input type="hidden" name="id2" id="id2" value="<?php print $id ?>" />
- <input type="hidden" name="idprontuarioo" id="idprontuarioo" />
- <div class="form-group">
- <label for="nome">Nome</label>
- <input class="form-control" id="nome2" name="nome2" value="<?=$form["nome"]?>">
- </div>
- <div class="form-group">
- <label for="nome">Atendimento</label>
- <input type="hidden" name="idprontuarioo" id="idprontuarioo" value="" />
- <textarea class="form-control" value ="" id="atendimento2" name="atendimento2" rows="6" >
- </textarea>
- </div>
- <div class="form-group">
- <label for="nome">Data</label>
- <input type="date" name="data2" id="data2" placeholder="" class="form-control" value="<?php echo $form2['data']; ?>">
- </div>
- <div class="form-group">
- <label>Anexo</label>
- <input type="file" name="userfile2" id="anexo2" value="">
- </div>
- <div class="modal-footer">
- <button type="submit" class="btn btn-success">Editar</button>
- </div>
- </form>
- <div class="modal-footer">
- <button type="button" class="btn btn-danger" id="lock2" onclick="readonly()">Trancar</button>
- </div>
- </div>
- </div>
- </div>
- </div>
- </div>
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