Edit Disease


<div class="container my-5">
    <div class="col-md-8 mx-auto">
        <div class="card shadow-lg">
            <div class="card-body bg-light p-4">
                <h2 class="text-center text-primary fw-bold mb-4">Edit Disease</h2>

                <form method="POST">
                    <input type="hidden" name="csrfmiddlewaretoken" value="73xwkpPcTZJKfE2wRvRS7gO7IAbDMTkX6c4WqJinW5YJSw5Nheagk8h5qLaFqdsC">

                    <!-- Disease Name (English) -->
                    <div class="mb-3">
                        <label for="id_name_eng" class="form-label fw-bold">Disease Name (English)</label>
                        <input type="text" name="name_eng" value="Swine-Erysipelas" class="form-control" maxlength="255" required id="id_name_eng">
                    </div>

                    <!-- Disease Name (Bangla) -->
                    <div class="mb-3">
                        <label for="id_name_bng" class="form-label fw-bold">Disease Name (Bangla)</label>
                        <input type="text" name="name_bng" value="সোয়াইন ইরিসিপেলাস" class="form-control" maxlength="255" required id="id_name_bng">
                    </div>

                    <!-- Category -->
                    <div class="mb-3">
                        <label for="id_disease_category" class="form-label fw-bold">Category</label>
                        <input type="text" name="disease_category" value="B - খ শ্রেণী" class="form-control" maxlength="255" required id="id_disease_category">
                    </div>

                    <!-- Details -->
                    <div class="mb-3">
                        <label for="id_details" class="form-label fw-bold">Details</label>
                        <textarea name="details" cols="40" rows="4" class="form-control" id="id_details">
</textarea>
                    </div>

                    <!-- Notifiable Checkbox -->
                    <div class="form-check mb-3">
                        <input type="checkbox" name="notifiable" class="form-check-input" id="id_notifiable">
                        <label for="id_notifiable" class="form-check-label fw-bold">
                            Notifiable (Needs to be reported)
                        </label>
                    </div>

                    <!-- ✅ Status Checkbox (Now Visible) -->
                    <div class="form-check mb-4">
                        
                        <label for="" class="form-check-label fw-bold">
                            Active Status
                        </label>
                    </div>

                    <!-- Save & Back Buttons -->
                    <div class="d-flex justify-content-between">
                        <a href="/disease/list/" class="btn btn-secondary px-4">⬅️ Back</a>
                        <button type="submit" class="btn btn-success px-4">💾 Save Changes</button>
                    </div>

                </form>
            </div>
        </div>
    </div>
</div>

<!-- Bootstrap 5 -->
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.0/dist/css/bootstrap.min.css">