ruby: back_path = patient_transplants_donor_dashboard_path(patient) .row.top .medium-6.columns = f.submit t("btn.save"), class: "button" ' or = link_to t("btn.cancel"), back_path .form-content = render layout: "renalware/shared/fieldset", locals: { legend: "Admin", name: "admin" } do = f.input :followed_up, as: :inline_radio_buttons, readonly: nil = f.input :last_seen_on, as: :date_picker = f.input :ukt_center_code = f.input :lost_to_followup, as: :inline_radio_buttons, readonly: nil = f.input :transferred_for_followup, as: :inline_radio_buttons = f.input :dead_on, as: :date_picker = f.input :notes, as: :text, input_html: { rows: 5 } .row .large-12.columns = f.submit t("btn.save"), class: "button" ' or = link_to t("btn.cancel"), back_path