{{ 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, null, ['class' => 'form-select', 'id' => 'doctorsDepartmentId', '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'=>'createAccountantEmail','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', getCountryCode(), ['class' => 'form-control phoneNumber', 'id' => 'phoneNumber', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")']) }}
{{ Form::hidden('prefix_code', null, ['class' => 'prefix_code']) }}
✓ {{ __('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, ['class' => (getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control'),'id' => 'doctorBirthDate','autocomplete' => 'off','placeholder'=>__('messages.user.dob')]) }}
{{ Form::label('blood_group', __('messages.user.blood_group') . ':', ['class' => 'form-label']) }}
{{ Form::select('blood_group', $bloodGroup, null, ['class' => 'form-select', 'id' => 'doctorBloodGroup', 'placeholder' => __('messages.user.select_blood_group')]) }}
{{ Form::label('specialist', __('messages.doctor.specialist') . ':', ['class' => 'form-label']) }}
{{ Form::text('specialist', (isset($doctor) ? $doctor->specialist : ''), ['class' => 'form-control','required','placeholder'=>__('messages.doctor.specialist')]) }}
{{ Form::label('password', __('messages.user.password') . ':', ['class' => 'form-label']) }}
{{ Form::password('password', ['class' => 'form-control','required','min' => '6','max' => '10','placeholder'=>__('messages.user.password')]) }}
{{ Form::label('password_confirmation', __('messages.user.password_confirmation') . ':', ['class' => 'form-label']) }}
{{ Form::password('password_confirmation', ['class' => 'form-control','required','min' => '6','max' => '10','placeholder'=>__('messages.user.password_confirmation')]) }}
{{ Form::label('appointment_charge', __('messages.doctor.appointment_charge') . ':', ['class' => 'form-label']) }}
{{ Form::number('appointment_charge', null, ['class' => 'form-control','placeholder'=>__('messages.doctor.appointment_charge')]) }}
{{ Form::label('description', __('messages.doctor_department.description') . ':', ['class' => 'form-label']) }}
{{ Form::textarea('description', null, ['class' => 'form-control', 'rows' => 4, 'id' => 'description','placeholder' => __('messages.doctor_department.description')]) }}
{{__('messages.user.address_details')}}
{{ Form::label('address1',__('messages.user.address1').(':'), ['class' => 'form-label']) }}
{{ Form::text('address1', null, ['class' => 'form-control','placeholder'=>__('messages.user.address1')]) }}
{{ Form::label('address2',__('messages.user.address2').(':'), ['class' => 'form-label']) }}
{{ Form::text('address2', null, ['class' => 'form-control','placeholder'=>__('messages.user.address2')]) }}
{{ Form::label('city',__('messages.user.city').(':'), ['class' => 'form-label']) }}
{{ Form::text('city', null, ['class' => 'form-control','placeholder'=>__('messages.user.city')]) }}
{{ Form::label('zip',__('messages.user.zip').(':'), ['class' => 'form-label']) }}
{{ Form::text('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'=>'doctorFacebookUrl', 'onkeypress' => 'return avoidSpace(event);','placeholder'=>__('messages.facebook_url')]) }}
{{ Form::label('twitter_url', __('messages.twitter_url').':', ['class' => 'form-label']) }}
{{ Form::text('twitter_url', null, ['class' => 'form-control twitterUrl','id'=>'doctorTwitterUrl', 'onkeypress' => 'return avoidSpace(event);','placeholder'=>__('messages.twitter_url')]) }}
{{ Form::label('instagram_url', __('messages.instagram_url').':', ['class' => 'form-label']) }}
{{ Form::text('instagram_url', null, ['class' => 'form-control instagramUrl', 'id'=>'doctorInstagramUrl', 'onkeypress' => 'return avoidSpace(event);','placeholder'=>__('messages.instagram_url')]) }}
{{ Form::label('linkedIn_url', __('messages.linkedIn_url').':', ['class' => 'form-label']) }}
{{ Form::text('linkedIn_url', null, ['class' => 'form-control linkedInUrl','id'=>'doctorLinkedInUrl', 'onkeypress' => 'return avoidSpace(event);','placeholder'=>__('messages.linkedIn_url')]) }}
{{ Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary me-2']) }}
{{__('messages.common.cancel')}}