<input value="<?php
echo $propiedades["origen"];
?>
" class="form-control" name="origen" id="origen">
<span class="help-block hidden"></span>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-5">
<div class="form-group clearfix">
<label for="telefono" class="control-label">Región (*):</label>
<?php
echo formElementSelectRegionUsuario("region", array($propiedades["region"]), array("class" => "form-control"));
?>
<span class="help-block hidden"></span>
</div>
</div>
<div class="col-xs-4">
<div class="form-group clearfix">
<label for="fecha_de_nacimiento" class="control-label">Comuna:</label>
<?php
echo formElementSelectComuna("comuna", $propiedades["comuna"], $propiedades["region"]);
?>
<span class="help-block hidden"></span>
</div>
<input type="hidden" name="region" id="region"
value="<?php
echo $region;
?>
"/>
<?php
if ($disabled) {
?>
<?php
echo formElementSelectRegionUsuario("", $region, array("class" => "form-control region", "data-rel" => "comuna", "disabled" => "disabled"));
?>
<?php
} else {
?>
<?php
echo formElementSelectRegionUsuario("region", $region, array("class" => "form-control region", "data-rel" => "comuna"));
?>
<span class="help-block hidden"></span>
<?php
}
?>
</div>
</div>
<div class="col-xs-12 col-md-6">
<div class="form-group">
<label for="comuna" class="control-label">Comuna (*):</label>
<?php
if (!$comuna) {
$comuna = 653;
}
?>
}
?>
value="Mariscada"> Mariscada </option>
</select>
<span class="help-block hidden"></span>
</div>
</div>
<div class="col-xs-3">
<div class="form-group clearfix">
<label for="region" class="control-label">Región (*):</label>
<?php
echo formElementSelectRegionUsuario("region", array($id_region), array("class" => "form-control region", "data-rel" => "comuna_marea_roja"));
?>
<span class="help-block hidden"></span>
</div>
</div>
<div class="col-xs-3">
<div class="form-group clearfix">
<label for="comuna_marea_roja" class="control-label">Comuna:</label>
<?php
echo formElementSelectComuna("comuna_marea_roja", $id_comuna, $id_region);
?>
<span class="help-block hidden"></span>
</div>
