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Filename : c846cdc6bb162e12c986c2c4ecc905c0.php
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<div id="add_consulatation_modal" class="modal fade" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-xl">
        <!-- Modal content-->
        <div class="modal-content">
            <div class="modal-header">
                <h2><?php echo e(__('messages.live_consultation.new_live_consultation')); ?></h2>
                <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
            </div>
            <?php echo e(Form::open(['id' => 'addConsultationForm'])); ?>

            <div class="modal-body">
                <div class="alert alert-danger d-none hide" id="consultationErrorsBox"></div>
                <div class="row">
                    <div class="form-group col-sm-6 mb-5">
                        <?php echo e(Form::label('consultation_title', __('messages.live_consultation.consultation_title') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <?php echo e(Form::text('consultation_title', '', ['class' => 'form-control consultation-title', 'id' => 'liveConsultationTitle', 'required'])); ?>

                    </div>
                    <div class="form-group col-sm-6 mb-5">
                        <?php echo e(Form::label('consultation_date', __('messages.live_consultation.consultation_date') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <?php echo e(Form::text('consultation_date', '', ['class' => getLoggedInUser()->thememode ? 'bg-light consultation-date form-control' : 'bg-white consultation-date form-control', 'required', 'id' => 'liveConsultationDate', 'autocomplete' => 'off'])); ?>

                    </div>
                    <div class="form-group col-sm-6 mb-5">
                        <?php echo e(Form::label('consultation_duration_minutes', __('messages.live_consultation.consultation_duration_minutes') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <?php echo e(Form::number('consultation_duration_minutes', '', ['class' => 'form-control consultation-duration-minutes', 'id' => 'liveConsultationDurationMinutes', 'required', 'min' => '0', 'max' => '720'])); ?>

                    </div>
                    <div class="form-group col-sm-6 mb-5">
                        <?php echo e(Form::label('patient_id', __('messages.blood_issue.patient_name') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <?php echo e(Form::select('patient_id', $patients, null, ['class' => 'form-select patient-name', 'placeholder' => __('messages.document.select_patient'), 'id' => 'consultationPatientName', 'required', 'data-control' => 'select2'])); ?>

                    </div>
                    <div class="form-group col-sm-4 mb-5">
                        <?php echo e(Form::label('doctor_id', __('messages.blood_issue.doctor_name') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <?php echo e(Form::select('doctor_id', $doctors, null, ['class' => 'form-select doctor-name', 'placeholder' => __('messages.schedule.select_doctor_name'), 'required', 'data-control' => 'select2'])); ?>

                    </div>
                    <div class="form-group col-sm-4 mb-5">
                        <?php echo e(Form::label('type', __('messages.live_consultation.type') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <?php echo e(Form::select('type', $type, null, ['class' => 'form-select select2Selector consultation-type', 'placeholder' => __('messages.common.choose') . ' ' . __('messages.live_consultation.type'), 'disabled', 'required', 'data-control' => 'select2'])); ?>

                    </div>
                    <div class="form-group col-sm-4 mb-5">
                        <?php echo e(Form::label('type_number', __('messages.live_consultation.type_number') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <?php echo e(Form::select('type_number', [null], null, ['class' => 'form-select select2Selector consultation-type-number', 'id' => 'consultationTypeNumber', 'placeholder' => __('messages.common.choose') . ' ' . __('messages.live_consultation.type_number'), 'disabled', 'required', 'data-control' => 'select2'])); ?>

                    </div>
                    <div class="form-group col-sm-6 mb-5">
                        <?php echo e(Form::label('host_video', __('messages.live_consultation.host_video') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <br>
                        <div class="d-flex align-items-center">
                            <div class="form-check me-10">
                                <label class="form-label"
                                    for="meetingHostEnable"><?php echo e(__('messages.live_consultation.enable')); ?></label>
                                <?php echo e(Form::radio('host_video', \App\Models\LiveConsultation::HOST_ENABLE, false, ['class' => 'form-check-input', 'id' => 'meetingHostEnable'])); ?>

                            </div>
                            <div class="form-check me-10">
                                <label class="form-label"
                                    for="meetingHostDisable"><?php echo e(__('messages.live_consultation.disabled')); ?></label>&nbsp;
                                <?php echo e(Form::radio('host_video', \App\Models\LiveConsultation::HOST_DISABLED, true, ['class' => 'form-check-input', 'id' => 'meetingHostDisable'])); ?>

                            </div>
                        </div>
                    </div>
                    <div class="form-group col-sm-6 mb-5">
                        <?php echo e(Form::label('participant_video', __('messages.live_consultation.client_video') . ':', ['class' => 'form-label'])); ?>

                        <span class="required"></span>
                        <br>
                        <div class="d-flex align-items-center">
                            <div class="form-check me-10">
                                <label class="form-label"
                                    for="meetingParticipantEnable"><?php echo e(__('messages.live_consultation.enable')); ?></label>
                                <?php echo e(Form::radio('participant_video', \App\Models\LiveConsultation::CLIENT_ENABLE, false, ['class' => 'form-check-input', 'id' => 'meetingParticipantEnable'])); ?>

                                &nbsp;
                            </div>
                            <div class="form-check me-10">
                                <label class="form-label"
                                    for="meetingParticipantDisable"><?php echo e(__('messages.live_consultation.disabled')); ?></label>&nbsp;
                                <?php echo e(Form::radio('participant_video', \App\Models\LiveConsultation::CLIENT_DISABLED, true, ['class' => 'form-check-input', 'id' => 'meetingParticipantDisable'])); ?>

                            </div>
                        </div>
                    </div>
                    <div class="form-group col-sm-12 mb-5">
                        <?php echo e(Form::label('description', __('messages.testimonial.description') . ':', ['class' => 'form-label'])); ?>

                        <?php echo e(Form::textarea('description', '', ['class' => 'form-control description', 'id' => 'consultationDescription', 'rows' => 3])); ?>

                    </div>
                </div>
            </div>
            <div class="modal-footer pt-0">
                <?php echo e(Form::button(__('messages.common.save'), ['type' => 'submit', 'class' => 'btn btn-primary m-0', 'id' => 'consultationSave', 'data-loading-text' => "<span class='spinner-border spinner-border-sm'></span> Processing..."])); ?>

                <button type="button" class="btn btn-secondary"
                    data-bs-dismiss="modal"><?php echo e(__('messages.common.cancel')); ?></button>
            </div>
            <?php echo e(Form::close()); ?>

        </div>
    </div>
</div>
<?php /**PATH /home/u827283894/domains/w-manage.org/public_html/hms/resources/views/live_consultations/add_modal.blade.php ENDPATH**/ ?>