{# Se importa el template base #}
{% extends 'MainBundle:Master:template.html.twig' %}
{% block scripts %}
    <script type="text/javascript" src="{{ asset('bundles/utilities/js/ajax/CrudDirectory.js') }}"></script>
{% endblock %}
{% block scripts2 %}
    <script type="text/javascript" src="{{ asset('https://ajax.googleapis.com/ajax/libs/jquery/1.10.2/jquery.min.js')  }}"></script>
{% endblock %}
{% block content %}

    <section>
        <article>        
            <fieldset>
                <legend>{{ 'utilities.directory.register'|trans([], 'LocalizationBundle') }}</legend>
                <div id="accordion">
                    <h3>{{ 'utilities.directory.register'|trans([], 'LocalizationBundle') }}</h3>
                    <div>
                        <div id="caja3"> 
                            <p style='float: left;'>
                                <label for="style">{{ 'utilities.directory.document'|trans([], 'LocalizationBundle') }}</label>
                                <input id="document"   name="document" onchange="" required="required">
                            </p> 
                            <p style='float: left; padding: 2px;'>
                                <a href="#"  id="button1">{{ 'utilities.headquartercrud.button1'|trans([], 'LocalizationBundle') }}</a>
                            </p>
                            <p style='float: left; padding: 2px;'>
                                <a href="#"  id="button">{{ 'utilities.headquartercrud.button'|trans([], 'LocalizationBundle') }}</a>
                            </p>
                        </div>  
                        <div id="caja1" >  
                            <p><label for="style">{{ 'utilities.directory.name1'|trans([], 'LocalizationBundle') }}</label>
                                <input id="name1" name="name1" type="text" list="stylelist" ></p> 
                            <p><label for="style">{{ 'utilities.directory.name2'|trans([], 'LocalizationBundle') }}</label>
                                <input id="address" name="address" type="text" list="stylelist" ></p>
                            <p><label for="style">{{ 'utilities.directory.lastname1'|trans([], 'LocalizationBundle') }}</label>
                                <input id="lastname1" name="lastname1" type="text" list="stylelist" ></p>
                            <p><label for="style">{{ 'utilities.directory.lastname2'|trans([], 'LocalizationBundle') }}</label>
                                <input id="lastname2" name="lastname2" type="text" list="stylelist" ></p>
                            <p><label for="style">{{ 'utilities.directory.lastname2'|trans([], 'LocalizationBundle') }}</label>
                                <input id="lastname2" name="lastname2" type="text" list="stylelist" ></p>
                            <p><label for="style">{{ 'utilities.directory.post'|trans([], 'LocalizationBundle') }}</label>
                                <select id="post" name="post">
                                    <option value="" selected="selected"></option>
                                    <option value=""></option>
                                </select>
                            </p> 
                        </div>
                        <div id="caja2">
                            <p><label for="style">{{ 'utilities.directory.registro'|trans([], 'LocalizationBundle') }}</label>
                                <input id="registro" name="registro" type="text" list="stylelist"></p>                  
                            <p><label for="style">{{ 'utilities.headquartercrud.email'|trans([], 'LocalizationBundle') }}</label>
                                <input id="email" name="email" type="text" list="stylelist" ></p>
                            <p><label>{{ 'utilities.directory.phone'|trans([], 'LocalizationBundle') }}</label>
                                <input id="phone" name="phone" type="text"></p> 
                            <p><label for="style">{{ 'utilities.directory.center'|trans([], 'LocalizationBundle') }}</label>
                                <input id="center" name="center" type="text" list="stylelist"></p>
                            <p><label for="style">{{ 'utilities.directory.comentarios'|trans([], 'LocalizationBundle') }}</label>
                                <input id="matmer" name="style" type="text" list="stylelist" title="Agendar Paciente"></p>
                            <p>
                                <a href="#"  id="button2">{{ 'headquartercrud.button2'|trans([], 'LocalizationBundle') }}</a>
                                <a href="#"  id="button3">{{ 'headquartercrud.button3'|trans([], 'LocalizationBundle') }}</a>
                                <a href="#"  id="button5">{{ 'headquartercrud.button5'|trans([], 'LocalizationBundle') }}</a>
                            </p>
                        </div>
                    </div>
                </div>
            </fieldset>
        </article>
    </section>    

{% endblock %}