{{ Form::label('first_name', __('messages.user.first_name') . ':', ['class' => 'form-label']) }} {{ Form::text('first_name', null, ['class' => 'form-control', 'required', 'placeholder' => __('messages.user.first_name')]) }}
{{ Form::label('last_name', __('messages.user.last_name') . ':', ['class' => 'form-label']) }} {{ Form::text('last_name', null, ['class' => 'form-control', 'required','placeholder' => __('messages.user.last_name')]) }}
{{ Form::label('department_name', __('messages.doctor_department.doctor_department') . ':', ['class' => 'form-label ']) }} {{ Form::select('doctor_department_id', $doctorsDepartments, $doctor->doctor_department_id, ['class' => 'form-select', 'id' => 'editDoctorsDepartmentId', 'placeholder' => __('messages.web_appointment.select_department'), 'data-control' => 'select2', 'required']) }}
{{ Form::label('email', __('messages.user.email') . ':', ['class' => 'form-label']) }} {{ Form::email('email', null, ['class' => 'form-control', 'required', 'id' => 'editDoctorEmail','placeholder' => __('messages.user.email')]) }}
{{ Form::label('designation', __('messages.user.designation') . ':', ['class' => 'form-label']) }} {{ Form::text('designation', null, ['class' => 'form-control', 'required', 'placeholder' => __('messages.user.designation')]) }}
{{ Form::label('phone', __('messages.user.phone') . ':', ['class' => 'form-label']) }}
{{ Form::tel('phone', $user->phone ?? getCountryCode(), ['class' => 'form-control phoneNumber', 'id' => 'editDoctorPhoneNumber', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")','placeholder'=>__('messages.user.phone')]) }} {{ Form::hidden('prefix_code', null, ['class' => 'prefix_code']) }} {{ Form::hidden('country_iso', null, ['class' => 'country_iso']) }} ✓   {{ __('messages.valid') }}
{{ Form::label('qualification', __('messages.user.qualification') . ':', ['class' => 'form-label']) }} {{ Form::text('qualification', null, ['class' => 'form-control', 'required', 'placeholder' => __('messages.user.qualification')]) }}
{{ Form::label('dob', __('messages.user.dob') . ':', ['class' => 'form-label']) }} {{ Form::text('dob', null, ['placeholder' => __('messages.user.dob'),'class' => getLoggedInUser()->thememode ? 'bg-light birthDate form-control' : 'bg-white birthDate form-control', 'id' => 'editDoctorBirthDate', 'autocomplete' => 'off']) }}
{{ Form::label('blood_group', __('messages.user.blood_group') . ':', ['class' => 'form-label']) }} {{ Form::select('blood_group', $bloodGroup, null, ['class' => 'form-select', 'id' => 'editDoctorBloodGroup', 'placeholder' => __('messages.user.select_blood_group'), 'data-control' => 'select2']) }}
{{ Form::label('gender', __('messages.user.gender') . ':', ['class' => 'form-label']) }}  
   {{ Form::radio('gender', '0', true, ['class' => 'form-check-input', 'id' => 'editDoctorMale']) }}   {{ Form::radio('gender', '1', false, ['class' => 'form-check-input', 'id' => 'editDoctorFemale']) }}
{{ Form::label('status', __('messages.common.status') . ':', ['class' => 'form-label']) }}
status ? 'checked' : '' }}>
{{ Form::label('specialist', __('messages.doctor.specialist') . ':', ['class' => 'form-label']) }} {{ Form::text('specialist', isset($doctor) ? $doctor->specialist : '', ['class' => 'form-control', 'required', 'placeholder' => __('messages.doctor.specialist') ]) }}
{{ Form::label('appointment_charge', __('messages.doctor.appointment_charge') . ':', ['class' => 'form-label']) }} {{ Form::number('appointment_charge', isset($doctor) ? $doctor->appointment_charge : '', ['class' => 'form-control','placeholder'=>__('messages.doctor.appointment_charge')]) }}
{{ Form::label('description', __('messages.doctor_department.description') . ':', ['class' => 'form-label']) }} {{ Form::textarea('description', isset($doctor) ? $doctor->description : '', ['class' => 'form-control', 'rows' => 4, 'id' => 'editDoctrodescription','placeholder' => __('messages.doctor_department.description')]) }}
{{ Form::label('image', __('messages.common.profile') . ':', ['class' => 'form-label']) }}
media[0]) ? $user->image_url : asset('assets/img/avatar.png') }}">

{{ __('messages.user.address_details') }}
{{ Form::label('address1', __('messages.user.address1') . ':', ['class' => 'form-label']) }} {{ Form::text('address1', isset($doctor->address->address1) ? $doctor->address->address1 : null, ['class' => 'form-control','placeholder' => __('messages.user.address1')]) }}
{{ Form::label('address2', __('messages.user.address2') . ':', ['class' => 'form-label']) }} {{ Form::text('address2', isset($doctor->address->address2) ? $doctor->address->address2 : null, ['class' => 'form-control','placeholder' => __('messages.user.address2')]) }}
{{ Form::label('city', __('messages.user.city') . ':', ['class' => 'form-label']) }} {{ Form::text('city', isset($doctor->address->city) ? $doctor->address->city : null, ['class' => 'form-control','placeholder' => __('messages.user.city')]) }}
{{ Form::label('zip', __('messages.user.zip') . ':', ['class' => 'form-label']) }} {{ Form::text('zip', isset($doctor->address->zip) ? $doctor->address->zip : null, ['class' => 'form-control', 'maxlength' => '6', 'minlength' => '6','placeholder' => __('messages.user.zip')]) }}

{{ __('messages.setting.social_details') }}
{{ Form::label('facebook_url', __('messages.facebook_url') . ':', ['class' => 'form-label']) }} {{ Form::text('facebook_url', null, ['class' => 'form-control facebookUrl', 'id' => 'editDoctorFacebookUrl', 'onkeypress' => 'return avoidSpace(event);', 'placeholder' => __('messages.facebook_url')]) }}
{{ Form::label('twitter_url', __('messages.twitter_url') . ':', ['class' => 'form-label']) }} {{ Form::text('twitter_url', null, ['placeholder' => __('messages.twitter_url'),'class' => 'form-control twitterUrl', 'id' => 'editDoctorTwitterUrl', 'onkeypress' => 'return avoidSpace(event);']) }}
{{ Form::label('instagram_url', __('messages.instagram_url') . ':', ['class' => 'form-label']) }} {{ Form::text('instagram_url', null, ['placeholder' => __('messages.instagram_url'),'class' => 'form-control instagramUrl', 'id' => 'editDoctorInstagramUrl', 'onkeypress' => 'return avoidSpace(event);']) }}
{{ Form::label('linkedIn_url', __('messages.linkedIn_url') . ':', ['class' => 'form-label']) }} {{ Form::text('linkedIn_url', null, ['placeholder' => __('messages.linkedIn_url'),'class' => 'form-control linkedInUrl', 'id' => 'editDoctorLinkedInUrl', 'onkeypress' => 'return avoidSpace(event);']) }}
{{ Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary me-2']) }} {{ __('messages.common.cancel') }}