Server : Apache System : Linux server2.corals.io 4.18.0-348.2.1.el8_5.x86_64 #1 SMP Mon Nov 15 09:17:08 EST 2021 x86_64 User : corals ( 1002) PHP Version : 7.4.33 Disable Function : exec,passthru,shell_exec,system Directory :  /home/corals/clinic.corals.io/storage/framework/views/

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<div class="row gx-10 mb-5">
    <div class="d-flex col-sm-12 col-lg-6 flex-column mb-7 fv-row">
        <?php echo e(Form::label('Doctor',__('messages.doctor.doctor').':' ,['class' => 'fs-6 fw-bolder text-gray-700 fw-bold mb-2 required'])); ?>

        <?php echo e(Form::select('doctor_id', $data['doctors'], null,['class' => 'form-control form-control-solid form-select', 'id' => 'doctorId', 'data-control'=>"select2", 'required','placeholder' => 'Select Doctor'])); ?>

    </div>
    <div class="col-lg-6 mb-5 col-sm-12">
        <?php echo e(Form::label('Date',__('messages.appointment.date').':' ,['class' => 'fs-6 fw-bolder text-gray-700 fw-bold mb-2 required'])); ?>

        <?php echo e(Form::text('date', null,['class' => 'form-control form-control-solid date','placeholder' => 'Select Date', 'id'=>'date', 'required','autocomplete'=>'off','disabled' => true])); ?>

    </div>
    <?php if(auth()->check() && auth()->user()->hasRole('patient')): ?>
    <?php echo e(Form::hidden('patient_id',$patient->id)); ?>

    <?php echo e(Form::hidden('status',\App\Models\Appointment::BOOKED)); ?>

    <?php else: ?>
        <div class="d-flex col-lg-6 col-sm-12 flex-column mb-7 fv-row">
            <?php echo e(Form::label('Service',__('messages.appointment.service').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

            <?php echo e(Form::select('service_id', [], null,['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2", 'id'=> 'serviceId','placeholder' => 'Select Service','required'])); ?>

        </div>
            <?php echo e(Form::hidden('status',\App\Models\Appointment::BOOKED)); ?>

        <div class="d-flex col-sm-12 col-lg-6 flex-column mb-7 fv-row">
            <?php echo e(Form::label('Patient',__('messages.appointment.patient').':' ,['class' => 'fs-6 fw-bolder text-gray-700 fw-bold mb-2 required'])); ?>

            <?php echo e(Form::select('patient_id', $data['patients'], null,['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2",'placeholder' => 'Select Patient'])); ?>

        </div>
        <?php endif; ?>
        <?php
            $styleCss = 'style';
        ?>
        <div class="col-12 form-group">
            <?php echo e(Form::label('Available Slots',__('messages.appointment.available_slot').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

            <div class="mb-0 d-inline-flex align-items-center ms-2">
                <div class="bg-danger  rounded-circle" <?php echo e($styleCss); ?>="height: 10px;width: 10px"></div>
            <span class="ms-2"><?php echo e(__('messages.appointment.booked')); ?></span>
            <div class="bg-success ms-2  rounded-circle" <?php echo e($styleCss); ?>="height: 10px;width: 10px"></div>
        <span class="ms-2"><?php echo e(__('messages.appointment.available')); ?></span>
</div>
<div class="fc-timegrid-slot ps-5 pe-5 form-control form-control-solid h-300px overflow-auto">
    <?php echo e(Form::hidden('from_time', null,['id'=>'timeSlot',])); ?>

    <?php echo e(Form::hidden('to_time', null,['id'=>'toTime',])); ?>

    <div class="text-center d-flex flex-wrap justify-content-center px-3" id="slotData">
    </div>
    <span class="justify-content-center d-flex p-20 text-primary no-time-slot"><?php echo e(__('messages.appointment.no_slot_found')); ?></span>
</div>
</div>
<div class="col-12 mb-5 mt-5">
    <?php echo e(Form::label('Description',__('messages.appointment.description').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>

    <?php echo e(Form::textarea('description', null, ['class'=> 'form-control form-control-solid','rows'=> 10,'placeholder'=>'Description' ])); ?>

</div>
<?php if(auth()->check() && auth()->user()->hasRole('patient')): ?>
<div class="d-flex col-lg-6 col-sm-12 flex-column mb-7 mt-4 fv-row">
    <?php echo e(Form::label('Service',__('messages.appointment.service').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

    <?php echo e(Form::select('service_id', [], null,['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2", 'id'=> 'serviceId','placeholder' => 'Select Service','required'])); ?>

</div>
<?php endif; ?>
<div class="d-flex col-lg-6 col-sm-12 flex-column mb-7 mt-4 fv-row">
    <?php echo e(Form::label('Payment Type',__('Payment Method').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

    <?php echo e(Form::select('payment_type', \App\Models\Appointment::PAYMENT_METHOD, null,['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2",'placeholder' => 'Select Payment Method','required'])); ?>

</div>
<div class="col-lg-6 col-sm-12 mt-4 mb-5">
    <?php echo e(Form::label('Charge',__('messages.appointment.charge').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

    <div class="input-group">
        <?php echo e(Form::text('charge', null,['class' => 'form-control form-control-solid','placeholder' => 'Select Date', 'id'=>'chargeId', 'required', 'placeholder' => 'Service Charge','readonly'])); ?>

        <div class="input-group-text border-0">
            <a class="fw-bolder text-gray-500"><?php echo e(getCurrencyIcon()); ?></a>
        </div>
    </div>
</div>
<?php if(!getLogInUser()->hasRole('patient')): ?>
        <div class="col-lg-6 col-sm-12 mt-4 mb-5">
            <?php echo e(Form::label('Add Fees',__('messages.appointment.extra_fees').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>

            <div class="input-group">
                <?php echo e(Form::number('add_fees',null,['class' => 'form-control form-control-solid', 'id' => 'addFees', 
                        'placeholder' => 'Extra Fees','step'=>'any'])); ?>

                <div class="input-group-text border-0">
                    <a class="fw-bolder text-gray-500"><?php echo e(getCurrencyIcon()); ?></a>
                </div>
            </div>
        </div>
        <div class="col-lg-6 col-sm-12 mt-4 mb-5">
            <?php echo e(Form::label('Total Payable Amount',__('messages.appointment.total_payable_amount').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

            <div class="input-group">
                <?php echo e(Form::text('payable_amount', null,['class' => 'form-control form-control-solid','placeholder' => 'Total Payable Amount', 'id'=>'payableAmount', 'required', 'placeholder' => 'Total Charge', 'readonly'])); ?>

                <div class="input-group-text border-0">
                    <a class="fw-bolder text-gray-500"><?php echo e(getCurrencyIcon()); ?></a>
                </div>
            </div>
        </div>
<?php endif; ?>
<?php if(getLogInUser()->hasRole('patient')): ?>
    <div class="col-lg-6 col-sm-12 mt-4 mb-5">
        <?php echo e(Form::label('Total Payable Amount',__('messages.appointment.total_payable_amount').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

        <div class="input-group">
            <?php echo e(Form::text('payable_amount', null,['class' => 'form-control form-control-solid','placeholder' => 'Total Payable Amount', 'id'=>'payableAmount', 'required', 'placeholder' => 'Total Charge', 'readonly'])); ?>

            <div class="input-group-text border-0">
                <a class="fw-bolder text-gray-500"><?php echo e(getCurrencyIcon()); ?></a>
            </div>
        </div>
    </div>
<?php endif; ?>
<div class="d-flex">
    <?php echo e(Form::button(__('messages.common.save'),['type' => 'submit','class' => 'btn btn-primary me-2','id'=>'submitBtn'])); ?>

    &nbsp;
    <a href="<?php echo e(url()->previous()); ?>" type="reset"
       class="btn btn-light btn-active-light-primary me-2"><?php echo e(__('messages.common.discard')); ?></a>
</div>
</div>
<?php /**PATH /home/corals/clinic.corals.io/resources/views/appointments/fields.blade.php ENDPATH**/ ?>