{{ 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('description', __('messages.doctor_department.description') . ':', ['class' => 'form-label']) }}
{{ Form::textarea('description', null, ['class' => 'form-control', 'rows' => 4, 'id' => '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') }}