@extends('backend.layouts.master')
@section('backendcontent')
    <div class="page-wrapper">
        <div class="content">
            <div class="page-header">
                <div class="row">
                    <div class="col-sm-12">
                        <ul class="breadcrumb">
                            <li class="breadcrumb-item"><a href="doctors.html">Doctors </a></li>
                            <li class="breadcrumb-item"><i class="feather-chevron-right"></i></li>
                            <li class="breadcrumb-item active">Add Doctor</li>
                        </ul>
                    </div>
                </div>
            </div>

            <div class="row"> 
                <div class="col-sm-12">
                    <div class="card">
                        <div class="card-body">
                            <form action="{{route('doctor.store')}}" method="POST" enctype="multipart/form-data">
                                @csrf
                                <div class="row">
                                    <div class="col-12">
                                        <div class="form-heading">
                                            <h4>Add Doctor Details &nbsp;&nbsp; <a href="{{route('doctor.all')}}">View All Doctors</a> </h4>
                                        </div>
                                        @if (session()->has('success'))
                                            <div class="alert alert-info">
                                                {{session('success')}}
                                            </div>
                                        @endif

                                        @if ($errors->any())
                                            <div class="alert alert-danger">
                                                <ul>
                                                    @foreach ($errors->all() as $error)
                                                        <li>{{ $error }}</li>
                                                    @endforeach
                                                </ul>
                                            </div>
                                        @endif
                                    </div>
                                    <div class="col-12 col-md-6 col-xl-4">
                                        <div class="form-group local-forms">
                                            <label>Dr. First Name <span class="login-danger">*</span></label>
                                            <input class="form-control" value="{{old('doctorfname')}}" type="text" name="doctorfname" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-12 col-md-6 col-xl-4">
                                        <div class="form-group local-forms">
                                            <label>Dr. Last Name <span class="login-danger">*</span></label>
                                            <input class="form-control" type="text" value="{{old('doctorlname')}}" name="doctorlname" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-12 col-md-4 col-xl-4">
                                        <div class="form-group local-forms">
                                            <label>Mobile <span class="login-danger">*</span></label>
                                            <input class="form-control" type="text" value="{{old('phone')}}" name="phone" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-12 col-md-4 col-xl-4">
                                        <div class="form-group local-forms">
                                            <label>Email <span class="login-danger">*</span></label>
                                            <input class="form-control" type="email" value="{{old('email')}}" name="email" placeholder="">
                                        </div>
                                    </div>
                                  
                                   
                                    <div class="col-12 col-md-6 col-xl-6">
                                        <div class="form-group local-forms">
                                            <label>Specialty <span class="login-danger">*</span></label>
                                            <input class="form-control" type="text" value="{{old('specialty')}}" name="specialty" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-12 col-md-6 col-xl-4">
                                        <div class="form-group local-forms">
                                            <label>Department <span class="login-danger">*</span></label>
                                            <select class="form-control select" name="department_id">
                                                <option>--Select Depatment--</option>
                                              @foreach ($departments as $department )
                                                <option value="{{$department->id}} ">{{$department->name}}</option>
                                                @endforeach
                                                
                                            </select>
                                        </div>
                                    </div>
                                     
                                    <div class="col-12 col-md-4 col-xl-4">
                                        <div class="form-group local-forms">
                                            <label>Gender <span class="login-danger">*</span></label>
                                            <select class="form-control select" name="gender">
                                                <option>--Select Gender--</option>
                                                <option value="Male" {{old('gender') == 'Male' ? 'selected' : ''}}>Male</option>
                                                <option value="Female" {{old('gender') == 'Female' ? 'selected' : ''}}>Female</option>
                                            </select>
                                            
                                        </div>
                                    </div>
                                     
                                    
                                    <div class="col-12 col-sm-12">
                                        <div class="form-group local-forms">
                                            <label>Start Biography <span class="login-danger">*</span></label>
                                            <textarea class="form-control" rows="3" cols="30" name="bio">{{old('bio')}}</textarea>
                                        </div>
                                    </div>
                                    <div class="col-12 col-md-6 col-xl-6">
                                        <div class="form-group local-top-form">
                                            <label class="local-top">Dr. Image <span class="login-danger">*</span></label>
                                            <div class="settings-btn upload-files-avator">
                                                <label for="image-upload">Upload an Image:</label>
                                                <input type="file" accept="image/*" id="image-upload" value="{{old('image')}}" name="image">
                                                
                                            </div>
                                        </div>
                                    </div>
                                    
                                    <div class="col-12">
                                        <div class="doctor-submit text-end">
                                            <button type="submit"
                                                class="btn btn-primary submit-form me-2">Submit</button>
                                            <button type="submit" class="btn btn-primary cancel-form">Cancel</button>
                                        </div>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <div class="notification-box">
            <div class="msg-sidebar notifications msg-noti">
                <div class="topnav-dropdown-header">
                    <span>Messages</span>
                </div>
                <div class="drop-scroll msg-list-scroll" id="msg_list">
                    <ul class="list-box">
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">R</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author">Richard Miles </span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item new-message">
                                    <div class="list-left">
                                        <span class="avatar">J</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author">John Doe</span>
                                        <span class="message-time">1 Aug</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">T</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author"> Tarah Shropshire </span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">M</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author">Mike Litorus</span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">C</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author"> Catherine Manseau </span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">D</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author"> Domenic Houston </span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">B</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author"> Buster Wigton </span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">R</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author"> Rolland Webber </span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">C</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author"> Claire Mapes </span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">M</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author">Melita Faucher</span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">J</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author">Jeffery Lalor</span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">L</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author">Loren Gatlin</span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                        <li>
                            <a href="chat.html">
                                <div class="list-item">
                                    <div class="list-left">
                                        <span class="avatar">T</span>
                                    </div>
                                    <div class="list-body">
                                        <span class="message-author">Tarah Shropshire</span>
                                        <span class="message-time">12:28 AM</span>
                                        <div class="clearfix"></div>
                                        <span class="message-content">Lorem ipsum dolor sit amet, consectetur
                                            adipiscing</span>
                                    </div>
                                </div>
                            </a>
                        </li>
                    </ul>
                </div>
                <div class="topnav-dropdown-footer">
                    <a href="chat.html">See all messages</a>
                </div>
            </div>
        </div>
    </div>
    <div id="delete_patient" class="modal fade delete-modal" role="dialog">
        <div class="modal-dialog modal-dialog-centered">
            <div class="modal-content">
                <div class="modal-body text-center">
                    <img src="assets/img/sent.png" alt="" width="50" height="46">
                    <h3>Are you sure want to delete this ?</h3>
                    <div class="m-t-20"> <a href="#" class="btn btn-white" data-bs-dismiss="modal">Close</a>
                        <button type="submit" class="btn btn-danger">Delete</button>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection