{% block scripts %}
    <script type="text/javascript" src="{{ asset('bundles/shedule/js/schedule_Appointment_SendData.js') }}"></script>
    <script type="text/javascript">
        var UrlIndications = '{{ path("schedule_appointment_studyIndications") }}';
        var UrlPreparations = '{{ path("schedule_appointment_studyPreparations") }}';
        var UrlContraIndications = '{{ path("schedule_appointment_studyContraIndications") }}';
        var study = '{{ 'utilities.studyName'|trans([], 'LocalizationBundle') }}';
        var UrlNew = '{{ path("schedule_appointment") }}';
        var UrlSaveData = '{{ path("schedule_save_schedule_appointment") }}';
    </script>
{% endblock %}
{% block content %}
    <h4>{{ 'schedule.personal_data'|trans([], 'LocalizationBundle') }}</h4>

    <input id="duration" type="hidden">
    <div class="col-md-12">
        <label class="col-md-3">{{ 'receive.document'|trans([], 'LocalizationBundle') }}:</label>
        <label id="label_document" class="col-md-6"></label>
    </div>
    <div class="col-md-12">
        <label class="col-md-3">{{ 'schedule.namePatient'|trans([], 'LocalizationBundle') }}:</label>
        <label id="label_name" class="col-md-6"></label>
    </div>
    <div class="col-md-12">
        <label class="col-md-3">{{ 'schedule.lastNamePatient'|trans([], 'LocalizationBundle') }}:</label>
        <label id="label_lastName" class="col-md-6"></label>
    </div>

    <div class="col-md-12">
        <hr>
    </div>

    <h4>{{ 'receive.study'|trans([], 'LocalizationBundle') }}</h4>
    <div class="col-md-12">
        <label class="col-md-3">{{ 'receive.room'|trans([], 'LocalizationBundle') }}:</label>
        <label id="label_room" class="col-md-6"></label>
    </div>
    <div class="col-md-12">
        <label class="col-md-3">{{ 'receive.modality'|trans([], 'LocalizationBundle') }}:</label>
        <label id="label_modality" class="col-md-6"></label>
    </div>
    <div class="col-md-12">
        <label class="col-md-3">{{ 'receive.study'|trans([], 'LocalizationBundle') }}:</label>
        <label id="label_study" class="col-md-6"></label>
    </div>

    <div class="col-md-12">
        <hr>
    </div>

    <div class="col-md-4">
        <div class="form-group">
            <h4>{{ 'Menu.r.indication'|trans([], 'LocalizationBundle') }}</h4>
            <div class="col-md-12">
                <label id="label_indicaciones" class="col-md-6"></label>
            </div>
        </div>
    </div>

    <div class="col-md-4">
        <div class="form-group">
            <h4>{{ 'Menu.r.preparation'|trans([], 'LocalizationBundle') }}</h4>
            <div class="col-md-12">
                <label id="label_preparaciones" class="col-md-6"></label>
            </div>
        </div>
    </div>

    <div class="col-md-4">
        <div class="form-group">
            <h4>{{ 'Menu.r.contra_indication'|trans([], 'LocalizationBundle') }}</h4>
            <div class="col-md-12">
                <label id="label_contraIndicaciones" class="col-md-6"></label>
            </div>
        </div>
    </div>

    <div class="col-md-12">
        <hr>
    </div>

    <div class="col-md-12">
        <div class="form-group">
            <h4>{{ 'schedule.date_datting'|trans([], 'LocalizationBundle') }}</h4>
            <div class="col-md-12">
                <label class="col-md-6" id="appointment_date"></label>
            </div>
        </div>
    </div>

    <div class="col-md-12" style="display:none">
        <label class="col-md-3">Valor Copagos</label>
        <label class="col-md-6"> I Nivel - 11.5% $42,094 - II Nivel - 17.3% $63,324 - III Nivel - 23% $84,188</label>
    </div>
    <div class="clearfix"></div>
    <div class="col-md-12">
        <hr>
    </div>
    <div class="form-group">
        <div class="col-sm-6" id="container_btn_save">
            <button type="button" id="new" class="btn btn-primary">{{ 'receive.new'|trans([], 'LocalizationBundle') }}</button>
            <button type="button" id="save" class="btn btn-primary">{{ 'receive.save'|trans([], 'LocalizationBundle') }}</button>
        </div>
    </div>


    <div class="clearfix"></div>
    <div>
        <div id="spinner3" style="display: none;">
            <img style="width: 40px; border: none;" src="{{ asset('bundles/utilities/images/spinner.gif') }}" />
        </div>
    </div>
    <!-- </div> table data-->
    <!--Muestra un mensaje cuando se debe mostrar al usuario algún mensaje que no sea de error-->
    <div>
        <div id="confirm3" class="ui-widget">
            <div class="ui-state-highlight ui-corner-all" style="margin-top: 20px; padding: 0 .7em;">
                <p>
                    <span class="ui-icon ui-icon-info" style="float: left; margin-right: .3em;"></span>
                <div id="mensajeConfirm3"></div>
                </p>
            </div>
        </div>
        <!--Muestra un mensaje cuando se presenta algún error-->
        <div id="error3" class="ui-widget" style="margin-top: 10px;">
            <div class="ui-state-error ui-corner-all" style="padding: 0 .7em;">
                <p>
                    <span class="ui-icon ui-icon-alert" style="float: left; margin-right: .3em;"></span>

                <div id="mensajeError3"></div>
                </p>
            </div>
        </div>
    </div>

{% endblock %}