@include('common.modalHead')
            <div class="row">
                <div class="col-sm-12">
                    <div class="mb-3 m-form__group">
                        <div class="input-group">
                            <span class="input-group-text"><i class="fa fa-edit"></i></span>
                            <input class="form-control"
                            type="text"
                            wire:model.lazy="name"
                            placeholder="ej: Salud Total" maxlength="99"/>
                        </div>
                    </div>
                    @error('name')
                    <span class="text-danger er">{{ $message }}</span>
                    @enderror
                </div>
            </div>
@include('common.modalFooter')
