66 lines
No EOL
2.5 KiB
HTML
66 lines
No EOL
2.5 KiB
HTML
{% extends "base.html" %}
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{% load static %}
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{% load crispy_forms_tags %}
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{% block content %}
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<h3>Patient anlegen</h3>
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<div class="row">
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<div class="col-lg-8 mb-3">
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<form method="post" enctype="multipart/form-data">
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{% csrf_token %}
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{{ form|crispy }}
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<button type="button" class="btn btn-danger" data-bs-toggle="modal" data-bs-target="#exampleModal">Abbruch</button>
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<button class="btn btn-primary" type="submit">Patient anlegen</button>
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<div class="mt-3"><small>* Pflichtfeld</small></div>
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{% comment %} Modal {% endcomment %}
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<div class="modal fade" id="exampleModal" tabindex="-1" data-bs-backdrop="static" aria-labelledby="exampleModalLabel" aria-hidden="true">
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<div class="modal-dialog">
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<div class="modal-content">
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<div class="modal-header bg-danger">
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<h5 class="modal-title text-white" id="exampleModalLabel">Achtung unvollständiger Vertrag!</h5>
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</div>
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<div class="modal-body">
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Der Versicherungsnehmer wird bei Abbruch gelöscht, da ihm
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bisher kein Vertrag zugeordnet wurde.
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-primary" data-bs-dismiss="modal">Schließen</button>
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{% comment %} <a href="{% url 'rescuer_abbort' %}" class="btn btn-danger">Abbruch und Löschen</a> {% endcomment %}
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</div>
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</div>
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</div>
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</div>
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</fieldset>
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</form>
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</div>
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<div class="col-lg-4">
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<h4>eins</h4>
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<p>
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Lorem ipsum, dolor sit amet consectetur adipisicing elit. Facilis illum
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quos eveniet obcaecati, adipisci voluptate alias iste ipsa blanditiis
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earum veritatis provident modi repellendus ut maxime iusto enim distinctio
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voluptatum.
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</p>
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<h4>zwei</h4>
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<p>
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Lorem ipsum, dolor sit amet consectetur adipisicing elit. Facilis illum
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quos eveniet obcaecati, adipisci voluptate alias iste ipsa blanditiis
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earum veritatis provident modi repellendus ut maxime iusto enim distinctio
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voluptatum.
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</p>
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<h4>drei</h4>
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<p>
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Lorem ipsum, dolor sit amet consectetur adipisicing elit. Facilis illum
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quos eveniet obcaecati, adipisci voluptate alias iste ipsa blanditiis
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earum veritatis provident modi repellendus ut maxime iusto enim distinctio
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voluptatum.
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</p>
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</div>
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</div>
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<script src="{% static 'js/contract.js' %}"></script>
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{% endblock content %} |