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{% extends "layout.html" %}
{% block content %}
<h1 class="page-header">
{{ alm['nombres'] if alm else 'Nuevo Registro' }}
</h1>
<nav aria-label="breadcrumb">
<ol class="breadcrumb" style="background: var(--bg-light); padding: 10px 15px;">
<li><a href="{{ url_for('persona.index') }}" style="color: var(--primary);">Gesti贸n</a></li>
<li class="active" style="margin-left: 10px;">{{ alm['nombres'] if alm else 'Nueva Persona' }}</li>
</ol>
</nav>
<form action="{{ url_for('persona.guardar') }}" method="post" id="frm-persona"
style="max-width: 800px; margin: 30px 0;">
<input type="hidden" name="idpersona" value="{{ alm['idpersona'] if alm else '' }}" />
<div class="row">
<div class="col-md-12">
<div class="form-group" style="margin-bottom: 20px;">
<label style="font-weight: 600; color: var(--text-dark);">Nombre Completo</label>
<input type="text" name="Nombres" value="{{ alm['nombres'] if alm else '' }}" class="form-control"
placeholder="Ingrese nombre y apellido" required />
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="form-group" style="margin-bottom: 20px;">
<label style="font-weight: 600; color: var(--text-dark);">C茅dula de Identidad</label>
<input type="text" name="Cedula" value="{{ alm['cedula'] if alm else '' }}" class="form-control"
placeholder="V-0000000" required />
</div>
</div>
<div class="col-md-6">
<div class="form-group" style="margin-bottom: 20px;">
<label style="font-weight: 600; color: var(--text-dark);">Fecha de Nacimiento</label>
<input type="date" name="FechaNacimiento" value="{{ alm['fecha_nmto'] if alm else '' }}"
class="form-control" required />
</div>
</div>
</div>
<div class="form-group" style="margin-bottom: 20px;">
<label style="font-weight: 600; color: var(--text-dark);">Direcci贸n de Habitaci贸n</label>
<textarea name="direccion" class="form-control" rows="2" placeholder="Direcci贸n completa"
required>{{ alm['direccion'] if alm else '' }}</textarea>
</div>
<div class="form-group" style="margin-bottom: 20px;">
<label style="font-weight: 600; color: var(--text-dark);">Correo Electr贸nico</label>
<input type="email" name="correo" value="{{ alm['email'] if alm else '' }}" class="form-control"
placeholder="ejemplo@correo.com" required />
</div>
<hr style="border-top: 1px solid #d9e1ec; margin-top: 30px;" />
<div class="text-right" style="display: flex; justify-content: flex-end; gap: 10px;">
<a href="{{ url_for('persona.index') }}" class="btn btn-default"
style="border-radius: 50px; padding: 10px 30px;">Cancelar</a>
<button type="submit" class="btn-clinic">Guardar Registro</button>
</div>
</form>
<script>
$(document).ready(function () {
$("#frm-persona").submit(function () {
return $(this).validate();
});
})
</script>
{% endblock %}