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| 1 | +{% extends 'layout.html' %} |
| 2 | + |
| 3 | +{% set pageName = "Appointments" %} |
| 4 | + |
| 5 | +{% set currentSection = "appointments" %} |
| 6 | + |
| 7 | +{% block beforeContent %} |
| 8 | + {{ backLink({ |
| 9 | + href: "/appointments/index2", |
| 10 | + text: "Back" |
| 11 | + }) }} |
| 12 | +{% endblock %} |
| 13 | + |
| 14 | +{% block content %} |
| 15 | + <div class="nhsuk-grid-row"> |
| 16 | + <div class="nhsuk-grid-column-two-thirds"> |
| 17 | + |
| 18 | + |
| 19 | + <div class="nhsuk-form-group"> |
| 20 | + |
| 21 | + |
| 22 | +</div> |
| 23 | + |
| 24 | + |
| 25 | +<div class="nhsuk-form-group"> |
| 26 | + |
| 27 | + <fieldset class="nhsuk-fieldset" aria-describedby="contact-hint"> |
| 28 | + <legend class="nhsuk-fieldset__legend nhsuk-fieldset__legend--l"> |
| 29 | + <h1 class="nhsuk-fieldset__heading"> |
| 30 | + Select the date for your booked appointments |
| 31 | + </h1> |
| 32 | + </legend> |
| 33 | + |
| 34 | + |
| 35 | + <div class="nhsuk-radios nhsuk-radios--conditional"> |
| 36 | + <div class="nhsuk-radios__item"> |
| 37 | + <input class="nhsuk-radios__input" id="contact-1" name="contact" type="radio" value="email" aria-controls="conditional-contact-1" aria-expanded="false"> |
| 38 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-1"> |
| 39 | + Today (Monday 2 June 2025) |
| 40 | + </label> |
| 41 | + </div> |
| 42 | + |
| 43 | + <div class="nhsuk-radios__item"> |
| 44 | + <input class="nhsuk-radios__input" id="contact-2" name="contact" type="radio" value="phone" aria-controls="conditional-contact-2" aria-expanded="false"> |
| 45 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-2"> |
| 46 | + Tuesday 3 June 2025 |
| 47 | + </label> |
| 48 | + </div> |
| 49 | + |
| 50 | + <div class="nhsuk-radios__item"> |
| 51 | + <input class="nhsuk-radios__input" id="contact-2" name="contact" type="radio" value="phone" aria-controls="conditional-contact-2" aria-expanded="false"> |
| 52 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-2"> |
| 53 | + Wednesday 4 June 2025 |
| 54 | + </label> |
| 55 | + </div> |
| 56 | + |
| 57 | + <div class="nhsuk-radios__item"> |
| 58 | + <input class="nhsuk-radios__input" id="contact-2" name="contact" type="radio" value="phone" aria-controls="conditional-contact-2" aria-expanded="false"> |
| 59 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-2"> |
| 60 | + Thursday 5 June 2025 |
| 61 | + </label> |
| 62 | + </div> |
| 63 | + |
| 64 | + <div class="nhsuk-radios__item"> |
| 65 | + <input class="nhsuk-radios__input" id="contact-2" name="contact" type="radio" value="phone" aria-controls="conditional-contact-2" aria-expanded="false"> |
| 66 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-2"> |
| 67 | + Friday 6 June 2025 |
| 68 | + </label> |
| 69 | + </div> |
| 70 | + |
| 71 | + <div class="nhsuk-radios__item"> |
| 72 | + <input class="nhsuk-radios__input" id="contact-2" name="contact" type="radio" value="phone" aria-controls="conditional-contact-2" aria-expanded="false"> |
| 73 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-2"> |
| 74 | + Saturday 7 June 2025 |
| 75 | + </label> |
| 76 | + </div> |
| 77 | + |
| 78 | + <div class="nhsuk-radios__item"> |
| 79 | + <input class="nhsuk-radios__input" id="contact-2" name="contact" type="radio" value="phone" aria-controls="conditional-contact-2" aria-expanded="false"> |
| 80 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-2"> |
| 81 | + Sunday 8 June 2025 |
| 82 | + </label> |
| 83 | + </div> |
| 84 | + |
| 85 | + <div class="nhsuk-radios__divider">or</div> |
| 86 | + |
| 87 | + <div class="nhsuk-radios__item"> |
| 88 | + <input class="nhsuk-radios__input" id="contact-3" name="contact" type="radio" value="" aria-controls="conditional-contact-3" aria-expanded="false"> |
| 89 | + <label class="nhsuk-label nhsuk-radios__label" for="contact-3"> |
| 90 | + Other |
| 91 | + </label> |
| 92 | + </div> |
| 93 | + <div class="nhsuk-radios__conditional nhsuk-radios__conditional--hidden" id="conditional-contact-3"> |
| 94 | + |
| 95 | + |
| 96 | + |
| 97 | + <fieldset class="nhsuk-fieldset" aria-describedby="example-hint" role="group"> |
| 98 | + <legend class="nhsuk-fieldset__legend nhsuk-label--s"> |
| 99 | + Date |
| 100 | + </legend> |
| 101 | + <div class="nhsuk-hint" id="example-hint"> |
| 102 | + For example, 15 3 2025 |
| 103 | + </div> |
| 104 | + <div class="nhsuk-date-input" id="example"> |
| 105 | + <div class="nhsuk-date-input__item"> |
| 106 | + <div class="nhsuk-form-group"> |
| 107 | + <label class="nhsuk-label nhsuk-date-input__label" for="example-day"> |
| 108 | + Day |
| 109 | + </label> <input class="nhsuk-input nhsuk-date-input__input nhsuk-input--width-2" id="example-day" name="example[day]" type="text" inputmode="numeric"> |
| 110 | + </div> |
| 111 | + </div> |
| 112 | + <div class="nhsuk-date-input__item"> |
| 113 | + <div class="nhsuk-form-group"> |
| 114 | + <label class="nhsuk-label nhsuk-date-input__label" for="example-month"> |
| 115 | + Month |
| 116 | + </label> <input class="nhsuk-input nhsuk-date-input__input nhsuk-input--width-2" id="example-month" name="example[month]" type="text" inputmode="numeric"> |
| 117 | + </div> |
| 118 | + </div> |
| 119 | + <div class="nhsuk-date-input__item"> |
| 120 | + <div class="nhsuk-form-group"> |
| 121 | + <label class="nhsuk-label nhsuk-date-input__label" for="example-year"> |
| 122 | + Year |
| 123 | + </label> <input class="nhsuk-input nhsuk-date-input__input nhsuk-input--width-4" id="example-year" name="example[year]" type="text" inputmode="numeric"> |
| 124 | + </div> |
| 125 | + </div> |
| 126 | + </div> |
| 127 | + </fieldset> |
| 128 | + |
| 129 | + </div> |
| 130 | + </div> |
| 131 | + </fieldset> |
| 132 | +</div> |
| 133 | + |
| 134 | + {{ button({ |
| 135 | + text: "Continue", |
| 136 | + href: "/appointments/team" |
| 137 | + }) }} |
| 138 | + |
| 139 | + </div> |
| 140 | + </div> |
| 141 | + |
| 142 | +{% endblock %} |
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