{{ Form::label('first_name', __('messages.user.first_name').':', ['class' => 'form-label']) }} {{ Form::text('first_name', null, ['class' => 'form-control','required']) }}

{{ Form::label('last_name', __('messages.user.last_name').':', ['class' => 'form-label']) }} {{ Form::text('last_name', null, ['class' => 'form-control','required']) }}

{{ Form::label('email', __('messages.user.email').':', ['class' => 'form-label']) }} {{ Form::email('email', null, ['class' => 'form-control','required']) }}

{{ Form::label('designation', __('messages.user.designation').':', ['class' => 'form-label']) }} {{ Form::text('designation', null, ['class' => 'form-control','required']) }}

{{ Form::label('phone', __('messages.user.phone').':', ['class' => 'form-label']) }}
{{ Form::tel('phone', null, ['class' => 'form-control phoneNumber','id' => 'phoneNumber', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")']) }} {{ Form::hidden('prefix_code',null,['class'=>'prefix_code']) }} {{ Form::hidden('country_iso', null, ['class' => 'country_iso']) }}

{{ Form::label('gender', __('messages.user.gender').':', ['class' => 'form-label']) }}

{{ __('messages.user.male') }} {{ Form::radio('gender', '0', true, ['class' => 'form-check-input', 'id' => 'maleNurse']) }}

{{ __('messages.user.female') }} {{ Form::radio('gender', '1',false, ['class' => 'form-check-input', 'id' => 'femaleNurse']) }}

{{ Form::label('status', __('messages.common.status').':', ['class' => 'form-label']) }}

{{ Form::label('qualification', __('messages.user.qualification').':', ['class' => 'form-label']) }} {{ Form::text('qualification', null, ['class' => 'form-control','required']) }}

{{ Form::label('dob', __('messages.user.dob').':', ['class' => 'form-label']) }} {{ Form::text('dob', null, ['id'=>'birthDate', 'class' => (getLoggedInUser()->theme_mode) ? 'form-control bg-light' : 'form-control bg-white nurseBirthDate','autocomplete' => 'off']) }}

{{ Form::label('blood_group', __('messages.user.blood_group').':', ['class' => 'form-label']) }} {{ Form::select('blood_group', $bloodGroup, null, ['class' => 'form-select', 'id' => 'nurseBloodGroup','placeholder'=>__('messages.user.select_blood_group')]) }}

{{ Form::label('password', __('messages.user.password').':', ['class' => 'form-label']) }} {{ Form::password('password', ['class' => 'form-control','required','min' => '6','max' => '10']) }}

{{ Form::label('password_confirmation', __('messages.user.password_confirmation').':', ['class' => 'form-label']) }} {{ Form::password('password_confirmation', ['class' => 'form-control','required','min' => '6','max' => '10']) }}

{{ Form::label('image', __('messages.common.profile').':', ['class' => 'fs-5 fw-bold mb-2 text-gray-700 d-block']) }}

{{ Form::label('address1', __('messages.user.address1').':', ['class' => 'form-label']) }} {{ Form::text('address1', null, ['class' => 'form-control']) }}

{{ Form::label('address2', __('messages.user.address2').':', ['class' => 'form-label']) }} {{ Form::text('address2', null, ['class' => 'form-control']) }}

{{ Form::label('city', __('messages.user.city').':', ['class' => 'form-label']) }} {{ Form::text('city', null, ['class' => 'form-control']) }}

{{ Form::label('zip', __('messages.user.zip').':', ['class' => 'form-label']) }} {{ Form::text('zip', null, ['class' => 'form-control', 'maxlength' => '6','minlength' => '6']) }}

{{ Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary']) }} {{ __('messages.common.cancel') }}

{{ __('messages.user.address_details') }}