@extends('layouts.app')

@section('content')
    <h3 class="page-title">Doctor</h3>
    
    {!! Form::model($data, ['method' => 'PUT', 'route' => ['doctor.update', $data->id],'enctype'=>"multipart/form-data"]) !!}

    <div class="panel panel-default">
        <div class="panel-heading">
            @lang('global.app_edit')
        </div>
        <input type="hidden" name="id" value="{{ $data->id }}">
                     
        <input type="hidden" name="oldprofile" value="{{ $data->profile }}">
                    <div class="panel-body">

<div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('type', 'Doctor Type', ['class' => 'control-label']) !!}
            
            {!! Form::select('type', config('constants.doctortype'), old('type'), ['class' => 'form-control']) !!}
             
        </div>
    </div>


    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('online_status', 'Online Status', ['class' => 'control-label']) !!}
            
            {!! Form::select('online_status', config('constants.online_status'), old('online_status'), ['class' => 'form-control']) !!}
             
        </div>
    </div>

    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('call_status', 'Call Status', ['class' => 'control-label']) !!}
            
            {!! Form::select('call_status', config('constants.call_status'), old('call_status'), ['class' => 'form-control']) !!}
             
        </div>
    </div>
     
     
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('doctor_elixir_id', ' Doctor Elixir Id*', ['class' => 'control-label']) !!}
            {!! Form::text('doctor_elixir_id', old('doctor_elixir_id'), ['class' => 'form-control', 'placeholder' => '', 'required' => '']) !!}
            
        </div>
    </div>

    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('name', ' Name*', ['class' => 'control-label']) !!}
            {!! Form::text('name', old('name'), ['class' => 'form-control', 'placeholder' => '', 'required' => '']) !!}
             
        </div>
    </div>

    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('mobile', ' Mobile*', ['class' => 'control-label']) !!}
            {!! Form::text('mobile', old('mobile'), ['class' => 'form-control', 'placeholder' => '', 'required' => '']) !!}
             
        </div>
    </div>
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('email', ' Email*', ['class' => 'control-label']) !!}
            {!! Form::text('email', old('email'), ['class' => 'form-control', 'placeholder' => '', 'required' => '']) !!}
             
        </div>
    </div>

    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('profile', ' Profile Picture', ['class' => 'control-label']) !!}
            <input type="file" name="profile" >
             
        </div>
    </div>

   

    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('dob', ' Dob', ['class' => 'control-label']) !!}
            {!! Form::text('dob', $data->doctordetail->DOB, ['class' => 'form-control datepicker', 'placeholder' => '']) !!}
             
        </div>
    </div>
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('gender', 'Gender', ['class' => 'control-label']) !!}
            
            {!! Form::select('gender', config('constants.gender'), $data->doctordetail->gender, ['class' => 'form-control']) !!}
             
        </div>
    </div>
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('specialization', ' Specialization', ['class' => 'control-label']) !!}
            {!! Form::text('specialization',  $data->doctordetail->specialization, ['class' => 'form-control', 'placeholder' => '']) !!}
             
        </div>
    </div>
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('adwards_and_certificates', ' Adwards & Certificates', ['class' => 'control-label']) !!}
            {!! Form::text('adwards_and_certificates', $data->doctordetail->adwards_and_certificates, ['class' => 'form-control', 'placeholder' => '']) !!}
             
        </div>
    </div>

    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('organisation', ' Organisation *', ['class' => 'control-label']) !!}
            {!! Form::text('organisation', $data->doctordetail->organisation, ['class' => 'form-control', 'placeholder' => '']) !!}
             
        </div>
    </div>
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('registration', ' Registration', ['class' => 'control-label']) !!}
            {!! Form::text('registration', $data->doctordetail->registration, ['class' => 'form-control', 'placeholder' => '']) !!}
             
        </div>
    </div>

    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('address', ' Address *', ['class' => 'control-label']) !!}
            {!! Form::text('address', $data->doctordetail->address, ['class' => 'form-control', 'placeholder' => '']) !!}
             
        </div>
    </div>
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('education', ' Education', ['class' => 'control-label']) !!}
            {!! Form::text('education', $data->doctordetail->education, ['class' => 'form-control', 'placeholder' => '']) !!}
             
        </div>
    </div>
   
    <div class="row">
        <div class="col-xs-12 form-group">
            {!! Form::label('about', 'About', ['class' => 'control-label']) !!}
            {!! Form::textarea('about', $data->doctordetail->about, ['class' => 'form-control editor1' ]) !!}
             
        </div>
    </div>
    
     
     
     
    
 
</div>
</div>
{!! Form::submit(trans('global.app_save'), ['class' => 'btn btn-success']) !!}
&nbsp;&nbsp; &nbsp;
<a href="{{url('doctor')}}">{!! Form::button(trans('global.app_cancel'), ['class' => 'btn btn-danger']) !!}</a>
{!! Form::close() !!}
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
<link href="https://maxcdn.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" type="text/css" />
<link href="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-datepicker/1.3.0/css/datepicker.css" rel="stylesheet" type="text/css" />
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-datepicker/1.3.0/js/bootstrap-datepicker.js"></script>
<script>


$(function(){
$( ".datepicker" ).datepicker({
dateFormat: 'yy-mm-dd',
changeMonth: true,
changeYear: true,
autoclose: true,
})
});

</script>


@stop