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/ |
<div class="row gx-10 mb-5">
<div class="col-md-6 mb-5">
<?php echo e(Form::label('First Name',__('messages.doctor.first_name').':' ,['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('first_name', $user->first_name,['class' => 'form-control form-control-solid','placeholder' => 'First Name','required'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('Last Name',__('messages.doctor.last_name').':' ,['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('last_name', $user->last_name,['class' => 'form-control form-control-solid','placeholder' => 'Last Name','required'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('Email',__('messages.user.email').':' ,['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::email('email', $user->email,['class' => 'form-control form-control-solid','placeholder' => 'Email'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('Contact', __('messages.user.contact_number').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<br>
<?php echo e(Form::text('contact', $user->contact, ['class' => 'form-control form-control-solid', 'placeholder' => 'Contact Number','onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")','id'=>'phoneNumber'])); ?>
<?php echo e(Form::hidden('region_code',!empty($user->user) ? $user->user->region_code : null,['id'=>'prefix_code'])); ?>
<span id="valid-msg" class="hide">✓ Valid</span>
<span id="error-msg" class="hide"></span>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('DOB',__('messages.doctor.dob').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('dob', $user->dob,['class' => 'form-control form-control-solid','placeholder' => 'DOB', 'id'=>'dob'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('Specialization',__('messages.doctor.specialization').':' ,['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::select('specializations[]',$data['specializations'], $data['doctorSpecializations'],['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2", 'multiple'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('Experience', __('messages.doctor.experience').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('experience', $doctor->experience, ['class' => 'form-control form-control-solid', 'placeholder' => 'Experience In Year','step'=>'any'])); ?>
</div>
<div class="col-md-6 mb-5">
<label class="form-label fs-6 fw-bolder text-gray-700 mb-3 required"><?php echo e(__('messages.doctor.select_gender')); ?>
:</label>
<span class="form-check form-check-custom form-check-solid is-valid">
<div class="align-items-baseline">
<label class="form-label fs-6 fw-bolder text-gray-700 mr-3"><?php echo e(__('messages.doctor.male')); ?></label>
<input name="gender" class="form-check-input" tabindex="10" type="radio" name="gender"
value="1" <?php echo e(!empty($user->gender) && $user->gender === 1 ? 'checked' : ''); ?>>
<label class="form-label fs-6 fw-bolder text-gray-700 mx-3"><?php echo e(__('messages.doctor.female')); ?></label>
<input name="gender" class="form-check-input" tabindex="11" type="radio" name="gender"
value="2" <?php echo e(!empty($user->gender) && $user->gender === 2 ? 'checked' : ''); ?>>
</div>
</span>
</div>
<div class="col-md-6 mb-5">
<label class="form-label fw-bolder fs-6 text-gray-700 mb-2"><?php echo e(__('messages.patient.blood_group').':'); ?></label>
<?php echo e(Form::select('blood_group', $bloodGroup , $user->blood_group, ['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2",'placeholder' => 'Select Blood Group'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('twitter',__('messages.doctor.twitter').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('twitter_url', !empty($doctor->twitter_url) ? $doctor->twitter_url : null,['class' => 'form-control form-control-solid','placeholder' => 'Twitter URL','id' => 'twitterUrl'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('linkedin',__('messages.doctor.linkedin').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('linkedin_url', !empty($doctor->linkedin_url) ? $doctor->linkedin_url : null,['class' => 'form-control form-control-solid','placeholder' => 'Linkedin URL', 'id' => 'linkedinUrl'])); ?>
</div>
<div class="col-md-6 mb-5">
<?php echo e(Form::label('instagram',__('messages.doctor.instagram').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('instagram_url', !empty($doctor->instagram_url) ? $doctor->instagram_url : null,['class' => 'form-control form-control-solid','placeholder' => 'Instagram URL', 'id' => 'instagramUrl'])); ?>
</div>
<div class="col-md-6 mb-5">
<div class="justify-content-center">
<label class="col-form-label fw-bolder fs-6">
<span><?php echo e(__('messages.doctor.profile')); ?>: </span>
<i class="fa fa-question-circle ms-1 fs-7" data-bs-toggle="tooltip"
title="Best resolution for this profile will be 150X150"
data-bs-original-title="Phone number must be active"
aria-label="Phone number must be active"></i>
</label>
</div>
<?php $styleCss = 'style'; ?>
<div class="image-input image-input-outline" data-kt-image-input="true"
<?php echo e($styleCss); ?>="background-image: url('<?php echo e(asset('web/media/avatars/male.png')); ?>')">
<div class="image-input-wrapper w-125px h-125px" id="bgImage"
<?php echo e($styleCss); ?>="background-image: url('<?php echo e($user->profile_image); ?>')">
</div>
<label class="btn btn-icon btn-circle btn-active-color-primary w-25px h-25px bg-white shadow"
data-kt-image-input-action="change" data-bs-toggle="tooltip" title=""
data-bs-original-title="Change profile">
<i class="bi bi-pencil-fill fs-7">
<input type="file" name="profile" value="<?php echo e(asset('web/media/avatars/male.png')); ?>"
accept=".png, .jpg, .jpeg">
</i>
<input type="file" name="avatar" accept=".png, .jpg, .jpeg">
<input type="hidden" name="avatar_remove">
</label>
</div>
<div class="form-text"><?php echo e(__('messages.doctor.allowed_img')); ?>.</div>
</div>
<div class="col-md-6 mb-5">
<label class="form-label fs-6 fw-bolder text-gray-700 mb-3"><?php echo e(__('messages.doctor.status')); ?>:</label>
<div class="col-lg-8 d-flex align-items-center">
<div class="form-check form-check-solid form-switch fv-row">
<input name="status" class="form-check-input w-45px h-30px checkBoxClass"
type="checkbox" <?php echo e($user->status == 1 ? 'checked' : ''); ?>>
<label class="form-check-label" for="allowmarketing"></label>
</div>
</div>
</div>
<div class="fw-bolder fs-3 rotate collapsible mb-7" data-bs-toggle="collapse"
href="#kt_modal_add_customer_billing_info" role="button" aria-expanded="false"
aria-controls="kt_customer_view_details"><?php echo e(__('messages.doctor.address_information')); ?>
</div>
<div class="row gx-10 mb-5">
<div class="d-flex col-md-6 flex-column mb-7 fv-row">
<?php echo e(Form::label('Address 1', __('messages.doctor.address1').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('address1', isset($user->address->address1) ? $user->address->address1 : '', ['class' => 'form-control form-control-solid', 'placeholder' => 'Address 1'])); ?>
</div>
<div class="d-flex col-md-6 flex-column mb-7 fv-row">
<?php echo e(Form::label('Address 2', __('messages.doctor.address2').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('address2', isset($user->address->address2) ? $user->address->address2 : '', ['class' => 'form-control form-control-solid', 'placeholder' => 'Address 2'])); ?>
</div>
<div class="d-flex col-md-6 flex-column mb-7 fv-row">
<?php echo e(Form::label('Country',__('messages.doctor.country').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::select('country_id', $countries, isset($user->address->country_id) ? $user->address->country_id:null,
['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2", 'id'=>'countryId','placeholder' => 'Select Country'])); ?>
</div>
<div class="d-flex col-md-6 flex-column mb-7 fv-row">
<?php echo e(Form::label('State',__('messages.doctor.state').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::select('state_id', (isset($state) && $state!=null) ? $state:[], isset($user->address->state_id) ? $user->address->state_id:null, ['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2", 'id'=> 'stateId','placeholder' => 'Select State'])); ?>
</div>
<div class="d-flex col-md-6 flex-column mb-7 fv-row">
<?php echo e(Form::label('City',__('messages.doctor.city').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::select('city_id', (isset($cities) && $cities!=null) ? $cities:[], isset($user->address->city_id) ? $user->address->city_id:null, ['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2", 'id'=> 'cityId','placeholder' => 'Select City'])); ?>
</div>
<div class="col-md-6 fv-row">
<?php echo e(Form::label('Postal Code', __('messages.doctor.postal_code').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('postal_code', isset($user->address->postal_code) ? $user->address->postal_code : '', ['class' => 'form-control form-control-solid', 'placeholder' => 'Postal Code'])); ?>
</div>
</div>
<div class="d-flex flex-stack align-items-center">
<div class="fw-bolder fs-3 rotate collapsible" data-bs-toggle="collapse"
href="#kt_modal_add_customer_billing_info"
role="button" aria-expanded="false"
aria-controls="kt_customer_view_details"><?php echo e(__('messages.doctor.qualification_information')); ?>
</div>
<a class="btn btn-primary float-end" id="addQualification"><?php echo e(__('messages.doctor.add_qualification')); ?></a>
</div>
<input type="hidden" name="deletedQualifications" value="" id="deletedQualifications">
<div class="row showQualification w-100">
<div class="d-flex col-md-4 flex-column mb-7 fv-row">
<?php echo e(Form::label('Degree', __('messages.doctor.degree').':', ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('degree', null, ['class' => 'form-control form-control-solid', 'placeholder' => 'Degree', 'id'=>'degree'])); ?>
</div>
<div class="d-flex col-md-4 flex-column mb-7 fv-row">
<?php echo e(Form::label('university', __('messages.doctor.university').':', ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3'])); ?>
<?php echo e(Form::text('university', null, ['class' => 'form-control form-control-solid', 'placeholder' => 'University', 'id'=>'university'])); ?>
</div>
<div class="d-flex col-md-4 flex-column mb-7 fv-row">
<label class="fs-6 fw-bold mb-2 required"><?php echo e(__('messages.doctor.year')); ?>:</label>
<?php echo e(Form::select('year', $years,!empty($qualifications->year) ? $qualifications->year : null, ['class' => 'form-control form-control-solid form-select', 'data-control'=>"select2", 'id'=> 'year', 'placeholder' => 'Select Year'])); ?>
</div>
<div class="d-flex col-md-4">
<button type="button" class="btn btn-primary me-3"
id="saveQualification"><?php echo e(__('messages.common.save')); ?></button>
<button type="button" class="btn btn-light btn-active-light-primary"
id="cancelQualification"><?php echo e(__('messages.common.discard')); ?></button>
</div>
</div><br>
<div class="table-responsive-sm w-100">
<table class="table table-row-dashed table-row-gray-300 gy-7" id="doctorQualificationTbl">
<thead>
<tr class="fw-bolder fs-6 text-gray-800">
<th><?php echo e(Str::upper(__('messages.doctor.sr_no'))); ?></th>
<th><?php echo e(Str::upper(__('messages.doctor.degree'))); ?></th>
<th><?php echo e(Str::upper(__('messages.doctor.collage_university'))); ?></th>
<th><?php echo e(Str::upper(__('messages.doctor.year'))); ?></th>
<th class="text-center"><?php echo e(Str::upper(__('messages.common.action'))); ?></th>
</tr>
</thead>
<tbody>
<?php $__currentLoopData = $qualifications; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $index => $qualification): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
<tr>
<td id="qualificationId"><?php echo e($index+1); ?></td>
<td id="degreeTd"><?php echo e($qualification->degree); ?></td>
<td id="universityTd"><?php echo e($qualification->university); ?></td>
<td id="yearTd"><?php echo e($qualification->year); ?></td>
<td class="text-center whitespace-nowrap">
<a data-id="<?php echo e($index+1); ?>" data-primary-id="<?php echo e($qualification->id); ?>" title="Edit"
class="btn edit-btn-qualification btn-icon btn-bg-light btn-active-color-primary btn-sm me-1">
<span class="svg-icon svg-icon-3">
<svg xmlns="http://www.w3.org/2000/svg" width="24px" height="24px" viewBox="0 0 24 24"
version="1.1">
<path d="M12.2674799,18.2323597 L12.0084872,5.45852451 C12.0004303,5.06114792 12.1504154,4.6768183 12.4255037,4.38993949 L15.0030167,1.70195304 L17.5910752,4.40093695 C17.8599071,4.6812911 18.0095067,5.05499603 18.0083938,5.44341307 L17.9718262,18.2062508 C17.9694575,19.0329966 17.2985816,19.701953 16.4718324,19.701953 L13.7671717,19.701953 C12.9505952,19.701953 12.2840328,19.0487684 12.2674799,18.2323597 Z"
fill="#000000" fill-rule="nonzero"
transform="translate(14.701953, 10.701953) rotate(-135.000000) translate(-14.701953, -10.701953)"/>
<path d="M12.9,2 C13.4522847,2 13.9,2.44771525 13.9,3 C13.9,3.55228475 13.4522847,4 12.9,4 L6,4 C4.8954305,4 4,4.8954305 4,6 L4,18 C4,19.1045695 4.8954305,20 6,20 L18,20 C19.1045695,20 20,19.1045695 20,18 L20,13 C20,12.4477153 20.4477153,12 21,12 C21.5522847,12 22,12.4477153 22,13 L22,18 C22,20.209139 20.209139,22 18,22 L6,22 C3.790861,22 2,20.209139 2,18 L2,6 C2,3.790861 3.790861,2 6,2 L12.9,2 Z"
fill="#000000" fill-rule="nonzero" opacity="0.3"/>
</svg></span>
</a>
<a data-id="<?php echo e($qualification->id); ?>" title="Delete"
class="delete-btn-qualification btn btn-icon btn-bg-light btn-active-color-primary btn-sm">
<span class="svg-icon svg-icon-3">
<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 stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
<rect x="0" y="0" width="24" height="24"/>
<path d="M6,8 L6,20.5 C6,21.3284271 6.67157288,22 7.5,22 L16.5,22 C17.3284271,22 18,21.3284271 18,20.5 L18,8 L6,8 Z"
fill="#000000" fill-rule="nonzero"/>
<path d="M14,4.5 L14,4 C14,3.44771525 13.5522847,3 13,3 L11,3 C10.4477153,3 10,3.44771525 10,4 L10,4.5 L5.5,4.5 C5.22385763,4.5 5,4.72385763 5,5 L5,5.5 C5,5.77614237 5.22385763,6 5.5,6 L18.5,6 C18.7761424,6 19,5.77614237 19,5.5 L19,5 C19,4.72385763 18.7761424,4.5 18.5,4.5 L14,4.5 Z"
fill="#000000" opacity="0.3"/></g></svg></span>
</a>
</td>
</tr>
<?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
</tbody>
</table>
</div>
<div class="d-flex">
<button type="submit" class="btn btn-primary"><?php echo e(__('messages.common.save')); ?></button>
<a href="<?php echo e(route('doctors.index')); ?>" type="reset"
class="btn btn-light btn-active-light-primary me-2"><?php echo e(__('messages.common.discard')); ?></a>
</div>
<?php /**PATH /home/corals/clinic.corals.io/resources/views/doctors/edit-fields.blade.php ENDPATH**/ ?>