{{ Form::label('first_name', __('messages.user.first_name') . ':', ['class' => 'form-label']) }} {{ Form::text('first_name', null, ['class' => 'form-control', 'required', 'tabindex' => '1', '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', 'tabindex' => '2','placeholder' => __('messages.user.last_name')]) }}

{{ Form::label('email', __('messages.user.email') . ':', ['class' => 'form-label']) }} {{ Form::email('email', null, ['class' => 'form-control', 'required', 'tabindex' => '3', 'id' => 'editTechnicianEmail','placeholder' => __('messages.user.email')]) }}

{{ Form::label('designation', __('messages.user.designation') . ':', ['class' => 'form-label']) }} {{ Form::text('designation', null, ['class' => 'form-control', 'tabindex' => '4','placeholder' => __('messages.user.designation')]) }}

{{ Form::label('phone', __('messages.user.phone') . ':', ['class' => 'form-label']) }}
{{ Form::tel('phone', $labTechnician->user->phone ?? getCountryCode(), ['class' => 'form-control phoneNumber', 'id' => 'editTechnicianPhoneNumber', 'required', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")', 'tabindex' => '5','placeholder'=>__('messages.user.phone')]) }} {{ Form::hidden('prefix_code', null, ['class' => 'prefix_code']) }} {{ Form::hidden('country_iso', null, ['class' => 'country_iso']) }}

{{ Form::label('qualification', __('messages.user.qualification') . ':', ['class' => 'form-label']) }} {{ Form::text('qualification', null, ['class' => 'form-control', 'tabindex' => '8','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 technicianBirthDate form-control' : 'bg-white technicianBirthDate form-control', 'id' => 'editTechnicianBirthDate', 'autocomplete' => 'off', 'tabindex' => '9']) }}

{{ Form::label('blood_group', __('messages.user.blood_group') . ':', ['class' => 'form-label']) }} {{ Form::select('blood_group', $bloodGroup, null, ['class' => 'form-select', 'id' => 'editTechnicianBloodGroup', 'placeholder' => __('messages.user.select_blood_group'), 'data-control' => 'select2', 'tabindex' => '10']) }}

{{ Form::label('gender', __('messages.user.gender') . ':', ['class' => 'form-label']) }}

{{ __('messages.user.male') }} {{ Form::radio('gender', '0', true, ['class' => 'form-check-input', 'id' => 'editTechnicianMale']) }}

{{ __('messages.user.female') }} {{ Form::radio('gender', '1', false, ['class' => 'form-check-input', 'id' => 'editTechnicianFemale']) }}

{{ Form::label('status', __('messages.common.status') . ':', ['class' => 'form-label']) }}

status ? 'checked' : '' }}>

{{ Form::label('image', __('messages.common.profile') . ':', ['class' => 'form-label']) }}

{{ Form::label('address1', __('messages.user.address1') . ':', ['class' => 'form-label']) }} {{ Form::text('address1', $labTechnician->address->address1 ?? null, ['class' => 'form-control','placeholder' => __('messages.user.address1')]) }}

{{ Form::label('address2', __('messages.user.address2') . ':', ['class' => 'form-label']) }} {{ Form::text('address2', $labTechnician->address->address2 ?? null, ['class' => 'form-control','placeholder' => __('messages.user.address2')]) }}

{{ Form::label('city', __('messages.user.city') . ':', ['class' => 'form-label']) }} {{ Form::text('city', $labTechnician->address->city ?? null, ['class' => 'form-control','placeholder' => __('messages.user.city')]) }}

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

{{ Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary me-2', 'id' => 'editTechnicianSave']) }} {!! __('messages.common.cancel') !!}

{{ __('messages.user.address_details') }}