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: / home / forge / hms.dentostock.com / resources / views / admins /
Filename : fields.blade.php
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<div class="alert alert-danger d-none" id="adminErrorBox"></div>
<div class="row">
    <div class="col-md-6">
        <div class="form-group mb-5">
            {{ Form::label('first_name', __('messages.user.first_name') . ':', ['class' => 'form-label']) }}
            <span class="required"></span>
            {{ Form::text('first_name', null, ['class' => 'form-control', 'required']) }}
        </div>
    </div>
    <div class="col-md-6">
        <div class="form-group mb-5">
            {{ Form::label('last_name', __('messages.user.last_name') . ':', ['class' => 'form-label']) }}
            <span class="required"></span>
            {{ Form::text('last_name', null, ['class' => 'form-control', 'required']) }}
        </div>
    </div>
    <div class="col-md-6">
        <div class="form-group mb-5">
            {{ Form::label('email', __('messages.user.email') . ':', ['class' => 'form-label']) }}
            <span class="required"></span>
            {{ Form::email('email', null, ['class' => 'form-control', 'required', 'id' => 'createAdminEmail']) }}
        </div>
    </div>
    <div class="col-md-6">
        <div class="form-group mb-5">
            {{ Form::label('phone', __('messages.user.phone') . ':', ['class' => 'form-label']) }}
            <br>
            {{ 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']) }}
            <span class="valid-msg text-success d-none fw-400 fs-small mt-2">✓ &nbsp; {{ __('messages.valid') }}</span>
            <span class="error-msg text-danger d-none fw-400 fs-small mt-2"></span>
        </div>
    </div>
    <div class="col-md-6">
        <div class="form-group mb-5">
            {{ 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' => 'adminBirthDate', 'autocomplete' => 'off']) }}
        </div>
    </div>
    <div class="col-md-3">
        <div class="form-group mb-5">
            {{ Form::label('gender', __('messages.user.gender') . ':', ['class' => 'form-label']) }}
            <span class="required"></span> &nbsp;<br>
            <div class="d-flex align-items-center">
                <div class="form-check me-10">
                    <label class="form-label" for="accountantGenderMale">{{ __('messages.user.male') }}</label>
                    {{ Form::radio('gender', '0', true, ['class' => 'form-check-input', 'id' => 'adminGenderMale']) }}
                </div>
                <div class="form-check me-10">
                    <label class="form-label"
                        for="accountantGenderFemale">{{ __('messages.user.female') }}</label>&nbsp;
                    {{ Form::radio('gender', '1', false, ['class' => 'form-check-input', 'id' => 'adminGenderFemale']) }}
                </div>
            </div>
        </div>
    </div>
    <div class="col-md-3">
        <div class="form-group mb-5">
            {{ Form::label('status', __('messages.common.status') . ':', ['class' => 'form-label']) }}
            <br>
            <div class="form-check form-switch">
                <input class="form-check-input is-active" name="status" type="checkbox" value="1" tabindex="8"
                    checked>
            </div>
        </div>
    </div>
    <div class="col-md-3">
        <div class="form-group mb-5">
            {{ Form::label('password', __('messages.user.password') . ':', ['class' => 'form-label']) }}
            <span class="required"></span>
            {{ Form::password('password', ['class' => 'form-control', 'required', 'min' => '6', 'max' => '10']) }}
        </div>
    </div>
    <div class="col-md-3">
        <div class="form-group mb-5">
            {{ Form::label('password_confirmation', __('messages.user.password_confirmation') . ':', ['class' => 'form-label']) }}
            <span class="required"></span>
            {{ Form::password('password_confirmation', ['class' => 'form-control', 'required', 'min' => '6', 'max' => '10']) }}
        </div>
    </div>
    <div class="form-group col-md-4 mb-5">
        <div class="row2" io-image-input="true">
            {{ Form::label('image', __('messages.common.profile') . ':', ['class' => 'form-label']) }}
            <div class="d-block">
                <?php
                $style = 'style=';
                $background = 'background-image:';
                ?>

                <div class="image-picker">
                    <div class="image previewImage" id="previewImage" {{ $style }}"{{ $background }}
                        url({{ asset('assets/img/avatar.png') }})">
                        <span class="picker-edit rounded-circle text-gray-500 fs-small"
                            title="{{ __('messages.common.change_profile') }}">
                            <label>
                                <i class="fa-solid fa-pen" id="profileImageIcon"></i>
                                <input type="file" id="adminProfileImage" name="image"
                                    class="image-upload d-none profileImage adminProfileImage"
                                    accept=".png, .jpg, .jpeg, .gif" />
                                {{--                                        <input type="hidden" name="avatar_remove"/> --}}
                            </label>
                        </span>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="row mt-3">
        <div class="d-flex justify-content-end">
            {{ Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary me-2']) }}
            <a href="{{ route('admins.index') }}" class="btn btn-secondary">{{ __('messages.common.cancel') }}</a>
        </div>
    </div>