220 lines
10 KiB
PHP
Executable File
220 lines
10 KiB
PHP
Executable File
<?php $__env->startSection('title', 'Nuovo Individuo'); ?>
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<?php $__env->startSection('page_title', 'Nuovo Individuo'); ?>
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<?php $__env->startSection('content'); ?>
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<form action="/individui" method="POST">
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<?php echo csrf_field(); ?>
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<div class="row">
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<div class="col-md-6">
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<div class="card card-primary">
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<div class="card-header">
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<h3 class="card-title"><i class="fas fa-user mr-2"></i>Dati Anagrafici</h3>
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</div>
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<div class="card-body">
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<div class="form-group">
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<label>Codice ID</label>
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<input type="text" class="form-control" value="sarà generato automaticamente" disabled>
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</div>
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<div class="form-group">
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<label>Cognome *</label>
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<input type="text" name="cognome" class="form-control <?php $__errorArgs = ['cognome'];
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$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
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if ($__bag->has($__errorArgs[0])) :
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if (isset($message)) { $__messageOriginal = $message; }
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$message = $__bag->first($__errorArgs[0]); ?> is-invalid <?php unset($message);
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if (isset($__messageOriginal)) { $message = $__messageOriginal; }
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endif;
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unset($__errorArgs, $__bag); ?>" value="<?php echo e(old('cognome')); ?>" required>
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<?php $__errorArgs = ['cognome'];
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$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
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if ($__bag->has($__errorArgs[0])) :
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if (isset($message)) { $__messageOriginal = $message; }
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$message = $__bag->first($__errorArgs[0]); ?>
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<span class="invalid-feedback"><?php echo e($message); ?></span>
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<?php unset($message);
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if (isset($__messageOriginal)) { $message = $__messageOriginal; }
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endif;
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unset($__errorArgs, $__bag); ?>
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</div>
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<div class="form-group">
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<label>Nome *</label>
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<input type="text" name="nome" class="form-control <?php $__errorArgs = ['nome'];
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$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
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if ($__bag->has($__errorArgs[0])) :
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if (isset($message)) { $__messageOriginal = $message; }
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$message = $__bag->first($__errorArgs[0]); ?> is-invalid <?php unset($message);
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if (isset($__messageOriginal)) { $message = $__messageOriginal; }
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endif;
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unset($__errorArgs, $__bag); ?>" value="<?php echo e(old('nome')); ?>" required>
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<?php $__errorArgs = ['nome'];
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$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
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if ($__bag->has($__errorArgs[0])) :
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if (isset($message)) { $__messageOriginal = $message; }
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$message = $__bag->first($__errorArgs[0]); ?>
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<span class="invalid-feedback"><?php echo e($message); ?></span>
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<?php unset($message);
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if (isset($__messageOriginal)) { $message = $__messageOriginal; }
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endif;
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unset($__errorArgs, $__bag); ?>
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</div>
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<div class="form-group">
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<label>Data di nascita</label>
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<input type="date" name="data_nascita" class="form-control" value="<?php echo e(old('data_nascita')); ?>">
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</div>
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<div class="form-group">
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<label>Genere</label>
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<select name="genere" class="form-control">
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<option value="">Seleziona...</option>
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<option value="M" <?php echo e(old('genere') === 'M' ? 'selected' : ''); ?>>Maschio</option>
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<option value="F" <?php echo e(old('genere') === 'F' ? 'selected' : ''); ?>>Femmina</option>
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</select>
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</div>
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</div>
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</div>
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</div>
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<div class="col-md-6">
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<div class="card">
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<div class="card-header"><h3 class="card-title"><i class="fas fa-map-marker-alt mr-2"></i>Residenza</h3></div>
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<div class="card-body">
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<div class="form-group">
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<label>Indirizzo</label>
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<input type="text" name="indirizzo" class="form-control" value="<?php echo e(old('indirizzo')); ?>">
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</div>
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<div class="form-row">
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<div class="form-group col-md-4">
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<label>CAP</label>
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<input type="text" name="cap" class="form-control" value="<?php echo e(old('cap')); ?>">
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</div>
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<div class="form-group col-md-5">
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<label>Città</label>
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<input type="text" name="città" class="form-control" value="<?php echo e(old('città')); ?>">
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</div>
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<div class="form-group col-md-3">
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<label>Provincia</label>
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<input type="text" name="sigla_provincia" class="form-control" maxlength="2" value="<?php echo e(old('sigla_provincia')); ?>">
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="row mt-3">
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<div class="col-md-6">
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<div class="card">
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<div class="card-header"><h3 class="card-title"><i class="fas fa-id-card mr-2"></i>Documento di identità</h3></div>
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<div class="card-body">
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<div class="form-group">
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<label>Tipo documento</label>
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<select name="tipo_documento" class="form-control">
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<option value="">Seleziona...</option>
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<option value="carta_identita" <?php echo e(old('tipo_documento') === 'carta_identita' ? 'selected' : ''); ?>>Carta d'Identità</option>
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<option value="patente" <?php echo e(old('tipo_documento') === 'patente' ? 'selected' : ''); ?>>Patente</option>
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</select>
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</div>
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<div class="form-group">
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<label>Numero documento</label>
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<input type="text" name="numero_documento" class="form-control" value="<?php echo e(old('numero_documento')); ?>">
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</div>
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<div class="form-group">
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<label>Scadenza documento</label>
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<input type="date" name="scadenza_documento" class="form-control" value="<?php echo e(old('scadenza_documento')); ?>">
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</div>
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</div>
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</div>
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</div>
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<div class="col-md-6">
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<div class="card">
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<div class="card-header"><h3 class="card-title"><i class="fas fa-sticky-note mr-2"></i>Note</h3></div>
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<div class="card-body">
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<div class="form-group mb-0">
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<textarea name="note" class="form-control" rows="4"><?php echo e(old('note')); ?></textarea>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="card mt-3">
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<div class="card-header">
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<h3 class="card-title"><i class="fas fa-address-book mr-2"></i>Contatti</h3>
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<button type="button" class="btn btn-xs btn-success float-right" onclick="aggiungiRigaContatto()">
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<i class="fas fa-plus mr-1"></i> Aggiungi
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</button>
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</div>
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<div class="card-body p-0">
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<table class="table table-bordered mb-0" id="contatti-table">
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<thead class="thead-light">
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<tr>
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<th style="width: 20%;">Tipo</th>
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<th style="width: 30%;">Valore</th>
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<th style="width: 20%;">Etichetta</th>
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<th style="width: 10%;">Primario</th>
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<th style="width: 50px;"></th>
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</tr>
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</thead>
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<tbody id="contatti-tbody">
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</tbody>
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</table>
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<div id="no-contatti-msg" class="text-center text-muted py-4">
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<p class="mb-0">Nessun contatto. Clicca su "Aggiungi" per aggiungerne uno.</p>
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</div>
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</div>
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</div>
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<div class="mt-3">
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<button type="submit" class="btn btn-success">
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<i class="fas fa-save mr-1"></i> Salva
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</button>
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<a href="/individui" class="btn btn-secondary">
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<i class="fas fa-times mr-1"></i> Annulla
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</a>
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</div>
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</form>
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<?php $__env->stopSection(); ?>
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<?php $__env->startSection('scripts'); ?>
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<script>
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let contattoIndex = 0;
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function aggiungiRigaContatto() {
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const tbody = document.getElementById('contatti-tbody');
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const noMsg = document.getElementById('no-contatti-msg');
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if (noMsg) noMsg.style.display = 'none';
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const row = document.createElement('tr');
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row.innerHTML = `
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<td>
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<select name="contatti[${contattoIndex}][tipo]" class="form-control">
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<option value="">Seleziona...</option>
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<option value="telefono">Telefono</option>
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<option value="cellulare">Cellulare</option>
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<option value="email">Email</option>
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<option value="fax">Fax</option>
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<option value="web">Web</option>
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<option value="telegram">Telegram</option>
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<option value="whatsapp">WhatsApp</option>
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<option value="altro">Altro</option>
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</select>
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</td>
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<td><input type="text" name="contatti[${contattoIndex}][valore]" class="form-control" placeholder="Valore"></td>
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<td><input type="text" name="contatti[${contattoIndex}][etichetta]" class="form-control" placeholder="Etichetta"></td>
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<td class="text-center"><input type="checkbox" name="contatti[${contattoIndex}][is_primary]" value="1"></td>
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<td><button type="button" class="btn btn-danger btn-xs" onclick="rimuoviRiga(this)"><i class="fas fa-trash"></i></button></td>
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`;
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tbody.appendChild(row);
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contattoIndex++;
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}
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function rimuoviRiga(btn) {
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const row = btn.closest('tr');
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row.remove();
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if (document.getElementById('contatti-tbody').children.length === 0) {
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const noMsg = document.getElementById('no-contatti-msg');
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if (noMsg) noMsg.style.display = 'block';
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}
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}
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</script>
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<?php $__env->stopSection(); ?>
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<?php echo $__env->make('layouts.adminlte', array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?><?php /**PATH /var/www/html/glastree/resources/views/individui/create.blade.php ENDPATH**/ ?>
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