<div class="modal fade" id="box_regitra_entrega" style="z-index: 8888;" data-backdrop="static">
   <div class="modal-dialog" style='margin-left:40% !important'>
      <div class="modal-content" id="modal-comunicacao">
         <div class="modal-header modal-header-sca">
            <div class="titulo_box_informa">
						<b>&nbsp;&nbsp;Entrega de Marcação</b>
            </div>
         </div>
         <div class="modal-body" style="font-weight: bold; padding:0px !important">
            <div id="box_alterasenha_body">
							<div class="card-content collapse show">
								<div class="card-body">
									<form class="form">
										<div class="form-body">
											<div class="row">																																	
												<div class="col-lg-12" style="margin-top:-10px">
													<div class="form-group">
														<label for="nomeProcedimentoEntrega">Nome do Procedimento:</label>
														<input type="text" id="nomeProcedimentoEntrega"  class="form-control" readonly>
														<input type="hidden" id="idAgendamentoEntrega" readonly>
													</div>
												</div>
											</div>
											<div class="row">
												<div class="col-md-12" style="margin-top:-15px">
													<div class="form-group">
														<label for="dataEntrega">Data da Entrega:</label>
														<input type="date" id="dataEntrega" class="form-control text-center" value="<?php echo date('Y-m-d');?>">
													</div>
												</div>												
											</div>
											<div class="row">
												<div class="col-md-12" style="margin-top:-15px">
													<div class="form-group">
														<label for="nomePortador">Nome do Portador:</label>
														<input type="text" id="nomePortador"  class="form-control">
													</div>
												</div>
											</div>
											<div class="row">
												<div class="col-md-12" style="margin-top:-15px">
													<div class="form-group">
														<label for="rgPortador">RG do Portador:</label>
														<input type="text" id="rgPortador"  class="form-control">
													</div>
												</div>
											</div>
											<div class="row">
												<div class="col-md-12" style="margin-top:-15px">
													<div class="form-group">
														<label for="telefonePortador">Telefone:</label>
														<input type="text" id="telefonePortador"  class="form-control fonecelular-inputmask">
													</div>
												</div>
											</div>
										</div>
									</form>
								</div>
							</div>
						</div>
         </div>
         <div class="modal-footer" style="border-top: 1px dotted #5e5e5e; height:55px; margin-top:-30px">
            <table align="center">
               <tr>
                  <td width="75px">
                     <button type="button" class="btn btn-info" id="btnConfirmaEntrega" onclick="confirmarEntregaMarcacao()"><i class="fa fa-check-square-o botaoOk"></i><b>&nbsp;Confirmar</b></button>
                  </td>
                  <td width="75px">
                     <button type="button" class="btn btn-danger" id="botao_modal_info" data-dismiss="modal"><i class="ft-log-out botaoOk"></i><b>&nbsp;Cancelar</b></button>
                  </td>									
               </tr>
            </table>
         </div>
      </div>
   </div>
</div>