<div style="color: #000000;">

    <div class="row " >
       <div class="col-3 align-self-center">
           Component Name :
        </div>
        <div class="col-9">
            <input type="text" class="form-control">
        </div>
    </div>
    <div class="row mt-2">
        <div class="col-3 align-self-center">
         Group Path :
        </div>
        <div class="col-6">
             <input type="text" class="form-control" placeholder="Add Path">
        </div>
        <div class="col-2">
            <button class="btn btn-soft-secondary">+ Add</button>
        </div>
    </div>
    <div class="row mt-2">
        <div class="col-3 align-self-center">
            Diagnosis :
        </div>
        <div class="col-6">
             <input type="text" class="form-control" placeholder="Add Diagnosis">
        </div>
        <div class="col-2">
            <button class="btn btn-soft-secondary">+ Add</button>
        </div>
    </div>
    <div class="row mt-2">
        <div class="col-auto">
            Select
        </div>
        <div class="col-3">
            Diagnosis
        </div>
        <div class="col-3">
            Group Path
        </div>
        <div class="col-5">
            ICD Connect
        </div>
    </div>
    <div class="row mt-3">
        <div class="col-auto align-self-center">
            <div class="form-check mb-2">
                <input class="form-check-input" type="checkbox" id="formCheck1">
                <label class="form-check-label" for="formCheck1"></label>
            </div>
        </div>
        <div class="col-3">
            <select class="form-select mb-3" aria-label="Default select example">
                <option selected>Gastritis</option>
                <option value="1">One</option>
                <option value="2">Two</option>
                <option value="3">Three</option>
            </select>
        </div>
        <div class="col-3">
            <select class="form-select mb-3" aria-label="Default select example">
                <option selected>Stomach</option>
                <option value="1">One</option>
                <option value="2">Two</option>
                <option value="3">Three</option>
            </select>
        </div>
        <div class="col-5">
            <input type="text" class="form-control" value="">
        </div>
    </div>
</div>
<?php /**PATH D:\laragon\htdocs\screening\resources\views/componantsetting/post-diagnosis.blade.php ENDPATH**/ ?>