{{ 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']) }}
✓ {{__('messages.valid')}}
{{ 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'=>'receptionistBirthDate', 'class' => 'form-control bg-white','autocomplete' => 'off']) }}
{{ Form::label('blood_group',__('messages.user.blood_group').(':'), ['class' => 'form-label']) }}
{{ Form::select('blood_group', $bloodGroup, null, ['class' => 'form-select form-select-solid', 'id' => 'receptionistBloodGroup'
,'placeholder'=>__('messages.user.select_blood_group')]) }}
{{__('messages.user.address_details')}}
{{ 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')}}