@extends('admin/layout')
@section('page_title','Add Hospital & Clinics')
@section('miscellaneous_select','active')
@section('hospital_clinic_select','active')
@section('styles')
<style>
  fieldset.scheduler-border {
    border: 1px groove #ddd !important;
    padding: 0 1.4em 1.4em 1.4em !important;
    margin: 0 0 1.5em 0 !important;
    -webkit-box-shadow:  0px 0px 0px 0px #000;
            box-shadow:  0px 0px 0px 0px #000;
}

legend.scheduler-border {
    font-size: 1.2em !important;
    font-weight: bold !important;
    text-align: left !important;
}
</style>
@endsection
@section('content')

<!-- Content Header (Page header) -->
<section class="content-header">
  <h1>
    Hospital & Clinics
    <small>Add</small>
  </h1>
  <ol class="breadcrumb">
    <li><a href="javascript:void(0)"><i class="fa fa-dashboard"></i>Dashboard</a></li>
    <li class="active">hospital-clinics</li>
  </ol>
</section>


<section class="content">
  <!-- Info boxes -->
  <div class="row">

    <div class="col-md-12">
      <div class="success_message"></div>
      <div class="box box-warning">
        <div class="box-header with-border">
            <div class="d-flex justify-content-end text-right">
                <a href="{{route('admin.hospital-clinics.index')}}" class="btn btn-danger"><i class="fa fa-arrow-circle-left "></i>&nbsp;&nbsp;Back</a>
            </div>
        </div>
        <div class="box-body">
          <div>
            <form action="{{ route('admin.hospital-clinics.store') }}" method="POST" enctype="multipart/form-data">
              @csrf
              
              <div class="row">
            
                <div class="col-md-4">
                  <div class="form-group">
                    <label for="">Institution Name <span class="text-red">*</span></label>
                    <input type="text" name="institution_name" class="form-control"
                      placeholder="" value="{{old('institution_name')}}">
                      <span class="text-red">@error('institution_name')  {{$message}} @enderror</span>
                  </div>
                </div>

                <div class="col-md-4">
                  <div class="form-group">
                    <label for="">Institution Type <span class="text-red">*</span></label>
                    <select class="form-control" name="institution_type">
                        <option value="Govt. Hospital" selected>Govt. Hospital</option>
                        <option value="Private Hospital">Private Hospital</option>
                    </select>
                  </div>
                </div>

                <div class="col-md-4">
                  <div class="form-group">
                    <label for="">Institution_address <span class="text-red"></span></label>
                    <input type="text" name="institution_address" class="form-control"
                      >
                      <span class="text-red">@error('institution_address')  {{$message}} @enderror</span>
                  </div>
                </div>
              </div>
              
              <div class="row">
                                
                <div class="col-md-3">
                    <div class="form-group">
                      <label for="">District</label>
                      <input type="text" name="district" class="form-control"
                        placeholder="" value="{{old('district')}}">
                        <span class="text-red">@error('district')  {{$message}} @enderror</span>
                    </div>
                </div>

                <div class="col-md-3">
                    <div class="form-group">
                      <label for="">Phone No</label>
                      <input type="text" name="phone_no" class="form-control"
                        placeholder="" value="{{old('phone_no')}}">
                        <span class="text-red">@error('phone_no')  {{$message}} @enderror</span>
                    </div>
                    
                </div>
                
                
                <div class="col-md-3">
                    <div class="form-group">
                      <label for="email_address">Email Address <span class="text-red"></span></label>
                      <input type="text" name="email_address" class="form-control"
                        placeholder="" value="{{old('email_address')}}">
                        <span class="text-red">@error('email_address')  {{$message}} @enderror</span>
                    </div>
                </div>


                <div class="col-md-3">
                    <div class="form-group">
                      <label for="">Website <span class="text-red"></span></label>
                      <input type="text" name="website" class="form-control"
                        placeholder="" value="{{old('website')}}">
                        <span class="text-red">@error('website')  {{$message}} @enderror</span>
                    </div>    
                </div>
              </div>
              
              <button class="btn btn-info" type="submit">SAVE</button>

            
            </form>
          </div>
        </div>
        <!-- /.box-body -->
      </div>
    </div>

  </div>
  <!-- /.row -->
</section>

@endsection

@section('scripts')
<script>
  $(function() {
    CKEDITOR.replace('job_description')
    CKEDITOR.replace('compensation_other_benefits')
    CKEDITOR.replace('educational_requirement')
    CKEDITOR.replace('additional_requirement')
    CKEDITOR.replace('apply_instructions')
  })
</script>
@endsection