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/

Upload File : current_dir [ Writeable ] document_root [ Writeable ]

<div class="modal show fade" id="createCityModal" aria-modal="true" role="dialog">
    <div class="modal-dialog modal-dialog-centered mw-650px">
        <div class="modal-content">
            <div class="modal-header">
                <h2 class="fw-bolder"><?php echo e(__('messages.city.add_city')); ?></h2>
                <div class="btn btn-sm btn-icon btn-active-color-primary" data-bs-dismiss="modal">
                    <span class="svg-icon svg-icon-1">
                        <svg xmlns="http://www.w3.org/2000/svg"
                             xmlns:xlink="http://www.w3.org/1999/xlink"
                             width="24px" height="24px" viewBox="0 0 24 24"
                             version="1.1">
                            <g transform="translate(12.000000, 12.000000) rotate(-45.000000) translate(-12.000000, -12.000000) translate(4.000000,                                      4.000000)"
                               fill="#000000">
                                <rect fill="#000000" x="0" y="7" width="16"
                                      height="2" rx="1"></rect>
                                <rect fill="#000000" opacity="0.5"
                                      transform="translate(8.000000, 8.000000) rotate(-270.000000) translate(-8.000000, -8.000000)"
                                      x="0" y="7" width="16" height="2"
                                      rx="1"></rect>
                            </g>
                        </svg>
                    </span>
                </div>
            </div>
            <?php
                $styleCss = 'style';
            ?>
            <div class="modal-body scroll-y mx-5 mx-xl-15 mb-6">
                <?php echo e(Form::open(['id' => 'createCityForm'])); ?>

                <div class="alert alert-danger d-none" id="createCityValidationErrorsBox"></div>
                <div class="d-flex flex-column scroll-y me-n7 pe-7"
                     data-kt-scroll="true" data-kt-scroll-activate="{default: false, lg: true}"
                     data-kt-scroll-max-height="auto" data-kt-scroll-dependencies="#kt_modal_add_user_header"
                     data-kt-scroll-wrappers="#kt_modal_add_user_scroll" data-kt-scroll-offset="300px"
                <?php echo e($styleCss); ?>="max-height: 317px;">
                <div class="row gx-10">
                    <div class="fv-row mb-7 fv-plugins-icon-container">
                        <?php echo e(Form::label('name', __('messages.common.name').':', ['class' => 'required form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>

                        <?php echo e(Form::text('name', null, ['class' => 'form-control form-control-solid mb-3 mb-lg-0', 'placeholder' => 'Name',                                         'required'])); ?>

                        <div class="fv-plugins-message-container invalid-feedback"></div>
                    </div>
                    <div class="fv-row mb-7 fv-plugins-icon-container">
                        <?php echo e(Form::label('state_id', __('messages.city.state').':', ['class' => 'required form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>

                        <?php echo e(Form::select('state_id', $states, null, ['id' => 'stateCity','data-dropdown-parent'=>'#createCityModal',
                            'class' => 'form-select form-select-solid form-select-lg', 'aria-label'=>"Select a Country",
                            'required','data-control'=>"select2", 'placeholder' => 'Select State'])); ?>

                            <div class="fv-plugins-message-container invalid-feedback"></div>
                        </div>
                    </div>
                </div>
                <div class="pt-3">
                    <?php echo e(Form::submit(__('messages.common.save'),
                        ['class' => 'btn btn-primary me-2'])); ?>

                    <?php echo e(Form::button(__('messages.common.discard'),['class' => 'btn btn-light btn-active-light-primary','data-bs-dismiss'=>'modal'])); ?>

                </div>
                <?php echo e(Form::close()); ?>

            </div>
        </div>
    </div>
</div>
<?php /**PATH /home/corals/clinic.corals.io/resources/views/cities/create-modal.blade.php ENDPATH**/ ?>