<p class="text-blue" id="nomAudio">{% if audio_name is defined %} {{audio_name}} {% endif %}</p>
<p class="text-blue" id="nomCentre">dans le centre :<br><div class="labelCentre text-blue">{% if centre_name is defined %} {{centre_name}} {% endif %}</div></p>
<p class="date" id="dateComplete" style="margin-top:20px">
le {% if date is defined %} {{ date | format_datetime(pattern="EEEE d MMMM Y", locale='fr') }}{% endif %}
</p><p class="date">à</p>
<p class="date" id="heure" value="{% if heure is defined %} {{heure}} {% endif %}">{% if heure is defined %} {{heure}} {% endif %}</p>
<p class="motifModal" id="motif">Motif du rendez-vous: <br> {% if motif is defined %} {{motif}} {% endif %}</p>
{% if audio_name is defined %}
<input type="hidden" id="audioId" name="audioId" value="{{id_audio}}">
<input type="hidden" id="centreId" name="centreId" value="{{id_centre}}">
<input type="hidden" id="dateRDV" name="dateRDV" value="{{dateRDV}}">
<input type="hidden" id="audioName" name="audioName" value="{{audio_name}}">
<input type="hidden" id="motifRdv" name="motif" value="{{motif}}">
<input type="hidden" id="date" name="date" value="{{date}}">
<input type="hidden" id="centreName" name="centreName" value="{{centre_name}}">
<input type="hidden" id="heure" name="heure" value="{{heure}}">
{% endif %}
<p class="text-choix">Je prend rendez-vous pour:</p>
{% if client is defined %}
<div class="checkbox-form" id="procheForm">
<div>
<input type="radio" value="{{client.id}}" id="moi{{client.id}}" name="proche" style="display:none;"/>
<label class="fakeLabel" for="moi{{client.id}}"></label>
<label for="moi{{client.id}}" style="font-weight:600; font-size:16px;">Moi</label>
</div>
{% for proche in client.proches %}
<div>
<input type="radio" value="{{proche.id}}" id="proche{{proche.id}}" name="proche" style="display:none;"/>
<label class="fakeLabel" for="proche{{proche.id}}"></label>
<label for="proche{{proche.id}}" class="labelProche">{{proche.name}} {{proche.lastname}}</label>
</div>
{% endfor %}
<p class="ajoutProche underlined" onclick="addProche();">+ Ajouter un proche</p>
</div>
{% endif %}
<textarea name="message" id="message" rows="5" placeholder="Vous pouvez laisser ici un message pour votre audioprothésiste…" style="margin-top:20px;"></textarea>
<button class="btn btn-vert-inverse btnConfimrRDVMap" data-bs-dismiss="modal">Prendre RDV</button>