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File: /var/www/vhost/disk-apps/dev-telemedicina.teky.com.co/resources/views/agenda/modal_cancel.blade.php
<div class="modal fade" id="modal-cancel" style="display: none;">
  <div class="modal-dialog" style="width: 40%; ">
    <div class="modal-content" style="height: 100%;">
      <div class="modal-header">
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">
          <span aria-hidden="true">×</span>
        </button>
        <h4 class="modal-title">Administrar Consulta</h4>
      </div>
      <div class="modal-body">
        <div class="row">
          <div class="col-xs-12">
            <label for="exampleFormControlInput1">{{ __('messages.agenda_modal.tag_2') }}</label>
            <select class="form-control" name="template_response_id" id="template_response_id">
              <option value="">{{ __('messages.select') }}</option>
              @foreach($responses_cancel as $c)
              <option value="{{$c->name}}">{{$c->name}}</option>
              @endforeach
            </select>
          </div>
        </div>
        <div class="row" style="margin-top:10px;">
          <div class="col-xs-12">
            <textarea class="form-control" name="text_cancel" id="text_cancel" cols="30" rows="4" width="100%"
              maxlength="191"></textarea>
          </div>
        </div>
        <div class="row">
          <div class="col-xs-3">
          <label for="exampleFormControlInput1">{{ __('messages.agenda.consent_received') }}</label>
          <div class="checkbox checbox-switch switch-success">
            <label>
              {{ __('messages.no') }}
              <input type="checkbox" class="chkInsurances" id="consent_received" name="consent_received" disabled>
              <span></span>
              {{ __('messages.yes') }}
            </label>
          </div>
        </div>

        <div class="col-xs-3">
          <label for="exampleFormControlInput1">{{ __('messages.agenda.payment_received') }}</label>
          <div class="checkbox checbox-switch switch-success">
            <label>
              {{ __('messages.no') }}
              <input type="checkbox" class="chkInsurances" id="payment_received" name="payment_received" disabled>
              <span></span>
              {{ __('messages.yes') }}
            </label>
          </div>
        </div>
        <div class="col-xs-3">
          <a href="#" id="consent_file_download" target="_blank"></a>
        </div>
        </div>
      </div>
      <div class="modal-footer">
      <button id="btn-create-invoice" type="button" class="btn btn-default pull-left" onclick="invoiceConfirmed()" data-dismiss="modal" data-event_id="">
          Facturado
        </button>

        <button type="button" class="btn btn-default pull-right" data-dismiss="modal">
          {{ __('messages.agenda_modal.tag_3') }}
        </button>
        <button type="button" class="btn btn-success pull-right" style="margin-right:15px;" onclick="commitCancelDate()"
          id="btn-modal-cancel" data-id="">
          {{ __('messages.agenda_modal.tag_1') }}
        </button>
      </div>
    </div>
    <!-- /.modal-content -->
  </div>
  <!-- /.modal-dialog -->
</div>
<script type="text/javascript">

</script>