فهرست منبع

Death Certificate Form - added to when died

Andrew Grant 4 ماه پیش
والد
کامیت
99da08a4b1

+ 1 - 0
src/main/resources/templates/certificates/birthCertificate/form.html

@@ -176,6 +176,7 @@
                         </div>
                     </div>
                 </td>
+            </tr>
             <tr>
                 <td style="text-align: right; background-color: #C39BD3;">
                     <label for="whereBorn">Where Born :&nbsp;</label>

+ 65 - 1
src/main/resources/templates/certificates/deathCertificate/form.html

@@ -192,7 +192,7 @@
                 </td>
             </tr>
             <tr>
-                <td style="text-align: right;">
+                <td style="text-align: right">
                     <label for="occupation">Occupation :&nbsp;</label>
                 </td>
                 <td style="text-align: left;">
@@ -207,6 +207,70 @@
                     </div>
                 </td>
             </tr>
+            <tr>
+                <td style="text-align: right;">
+                    <label for="whenBorn">When Born (dd/mm/yyyy hh:mm) :&nbsp;</label>
+                </td>
+                <td style="text-align: left;">
+                    <div>
+                        <input class="whenBorn" id="whenBorn"
+                               th:field="*{whenBorn}" type="text">
+                        <div th:if="${#fields.hasErrors('whenBorn')}">
+                            <ul class="text-danger">
+                                <li th:each="err : ${#fields.errors('whenBorn')}" th:text="${err}"/>
+                            </ul>
+                        </div>
+                    </div>
+                </td>
+            </tr>
+            <tr>
+                <td style="text-align: right;">
+                    <label for="age">Age :&nbsp;</label>
+                </td>
+                <td style="text-align: left;">
+                    <div>
+                        <input class="age" id="age"
+                               th:field="*{age}" type="text">
+                        <div th:if="${#fields.hasErrors('age')}">
+                            <ul class="text-danger">
+                                <li th:each="err : ${#fields.errors('age')}" th:text="${err}"/>
+                            </ul>
+                        </div>
+                    </div>
+                </td>
+            </tr>
+            <tr>
+                <td style="text-align: right;">
+                    <label for="maritalStatus">Marital Status :&nbsp;</label>
+                </td>
+                <td style="text-align: left;">
+                    <div>
+                        <input class="maritalStatus" id="maritalStatus"
+                               th:field="*{maritalStatus}" type="text">
+                        <div th:if="${#fields.hasErrors('maritalStatus')}">
+                            <ul class="text-danger">
+                                <li th:each="err : ${#fields.errors('matitalStatus')}" th:text="${err}"/>
+                            </ul>
+                        </div>
+                    </div>
+                </td>
+            </tr>
+            <tr>
+                <td style="text-align: right;">
+                    <label for="whenDied">When Died (dd/mm/yyyy hh:mm) :&nbsp;</label>
+                </td>
+                <td style="text-align: left;">
+                    <div>
+                        <input class="whenDied" id="whenDied"
+                               th:field="*{whenBorn}" type="text">
+                        <div th:if="${#fields.hasErrors('whenDied')}">
+                            <ul class="text-danger">
+                                <li th:each="err : ${#fields.errors('whenDied')}" th:text="${err}"/>
+                            </ul>
+                        </div>
+                    </div>
+                </td>
+            </tr>
         </table>
             <button type="submit" class="btn btn-primary">Commit</button>
             <a class="btn btn-secondary" th:href="@{/deathCertificates}" th:text="${'List all'}">List all</a>