<div class="modal fade" id="box_altera_prazoretirada" style="z-index: 8888;" data-backdrop="static">
  <div class="modal-dialog" style='margin-left:36.5% !important'>
    <div class="modal-content" id="modal-comunicacao">
      <div class="modal-header modal-header-sca">
        <div class="titulo_box_informa">
          <i class='icofont icofont-calendar'></i><b>&nbsp;&nbsp;Prazo de Retirada</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-md-12">
                      <div class="form-group" style="margin-top:-10px">
                        <input type="hidden" id="opcaoEdicao">
                        <input type="hidden" id="idReferenciaPrazo">
                        <label>Nome do Paciente:</label>
                        <input type="text" id="nomePacientePrazo" class='form-control' disabled style='margin-top:-5px'>
                      </div>
                    </div>
                  </div>
                  <div class="row">
                    <div class="col-md-12">
                      <div class="form-group" style="margin-top:-10px">
                        <label>Nome do Procedimento:</label>
                        <input type="text" id="nomeProcedimentoPrazo" class='form-control' disabled style='margin-top:-5px'>
                      </div>
                    </div>
                  </div>
                  <div class="row">
                    <div class="col-md-6">
                      <div class="form-group" style="margin-top:-10px">
                        <label>Prazo Atual:</label>
                        <input type="date" id="dataAtualPrazo" class='form-control text-center' disabled style='margin-top:-5px'>
                      </div>
                    </div>
                    <div class="col-md-6">
                      <div class="form-group" style="margin-top:-10px">
                        <label>Novo Prazo:</label>
                        <input type="date" id="dataNovaPrazo" class='form-control text-center' style='margin-top:-5px'>
                      </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-success" id="btnConfirmaEntrega" onclick="confirmaEdicaoPrazoRetirada()"><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;Fechar</b></button>
            </td>
          </tr>
        </table>
      </div>
    </div>
  </div>
</div>