{!! Form::label('data', trans('arboviroses.data'), ['class' => 'control-label']) !!}

{!! Form::text('data', null, ['class' => 'form-control date-picker', 'required' => 'required','placeholder'=>'00/00/0000', "maxlength"=>"10", "onkeypress"=>"formatar('##/##/####', this);return SomenteNumero(event)"]) !!} {!! $errors->first('data', '

:message

') !!}

{!! Form::label('tipo', trans('arboviroses.tipo'), ['class' => 'control-label']) !!}

{!! Form::select('tipo', $tipos = array('Dengue'=>'Dengue','Chikungunya'=>'Chikungunya','Zika Vírus'=>'Zika Vírus'), null, ['class' => 'form-control select2', 'required' => 'required','placeholder'=>'Escolha']) !!} {!! $errors->first('tipo', '

:message

') !!}

{!! Form::label('notificados', trans('arboviroses.notificados'), ['class' => 'control-label']) !!}

{!! Form::number('notificados', null, ['class' => 'form-control', 'required' => 'required','placeholder'=>'Nº']) !!} {!! $errors->first('notificados', '

:message

') !!}

{!! Form::label('confirmados', trans('arboviroses.confirmados'), ['class' => 'control-label']) !!}

{!! Form::number('confirmados', null, ['class' => 'form-control', 'required' => 'required','placeholder'=>'Nº']) !!} {!! $errors->first('confirmados', '

:message

') !!}

{!! Form::label('descartados', trans('arboviroses.descartados'), ['class' => 'control-label']) !!}

{!! Form::number('descartados', null, ['class' => 'form-control', 'required' => 'required','placeholder'=>'Nº']) !!} {!! $errors->first('descartados', '

:message

') !!}

{!! Form::label('obitos', trans('arboviroses.obitos'), ['class' => 'control-label']) !!}

{!! Form::number('obitos', null, ['class' => 'form-control', 'required' => 'required','placeholder'=>'Nº']) !!} {!! $errors->first('obitos', '

:message

') !!}