{{ Form::label('First Name',__('messages.doctor.first_name').':' ,['class' => 'form-label required']) }}
{{ Form::text('first_name', null,['class' => 'form-control','placeholder' => __('messages.doctor.first_name'),'required']) }}
{{ Form::label('Last Name',__('messages.doctor.last_name').':' ,['class' => 'form-label required']) }}
{{ Form::text('last_name', null,['class' => 'form-control','placeholder' => __('messages.doctor.last_name'),'required']) }}
{{ Form::label('Email',__('messages.user.email').':' ,['class' => 'form-label required']) }}
{{ Form::email('email', null,['class' => 'form-control','placeholder' => __('messages.user.email')]) }}
{{ Form::label('Contact',__('messages.user.contact_number').':' ,['class' => 'form-label']) }}
{{ Form::tel('contact', null,['class' => 'form-control','placeholder' => __('messages.user.contact_number'),'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")','id'=>'phoneNumber']) }}
{{ Form::hidden('region_code',null,['id'=>'prefix_code']) }}
{{ __('messages.valid_number') }}
{{ __('messages.invalid_number') }}
{{ Form::label('password',__('messages.staff.password').':' ,['class' => 'form-label required']) }}
{{Form::password('password',['class' => 'form-control','placeholder' => __('messages.staff.password'),'autocomplete' => 'off','required','aria-label'=>"Password",'data-toggle'=>"password"])}}
{{ Form::label('Confirm Password',__('messages.user.confirm_password').':' ,['class' => 'form-label required']) }}
{{Form::password('password_confirmation',['class' => 'form-control','placeholder' => __('messages.user.confirm_password'),'autocomplete' => 'off','required','aria-label'=>"Password",'data-toggle'=>"password"])}}
{{ Form::label('DOB',__('messages.doctor.dob').':' ,['class' => 'form-label']) }}
{{ Form::text('dob', null,['class' => 'form-control doctor-dob','placeholder' => __('messages.doctor.dob'), 'id'=>'dob']) }}
{{ Form::label('Specialization',__('messages.doctor.specialization').':' ,['class' => 'form-label required']) }}
{{ Form::select('specializations[]',$specializations, null,['class' => 'io-select2 form-select', 'data-control'=>"select2", 'multiple', 'data-placeholder' => __('messages.doctor.specialization')]) }}
{{ Form::label('Experience',__('messages.doctor.experience').':' ,['class' => 'form-label']) }}
{{ Form::text('experience', null,['class' => 'form-control','onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")','placeholder' => __('messages.doctor.experience'),'step'=>'any']) }}
{{ Form::select('blood_group', $bloodGroup , null, ['class' => 'io-select2 form-select', 'data-control'=>"select2",'placeholder' => __('messages.patient.blood_group')]) }}
{{ Form::label('twitter',__('messages.doctor.twitter').':' ,['class' => 'form-label']) }}
{{ Form::text('twitter_url', null,['class' => 'form-control','placeholder' => __('messages.common.twitter_url'), 'id' => 'twitterUrl']) }}
{{ Form::label('linkedin',__('messages.doctor.linkedin').':' ,['class' => 'form-label']) }}
{{ Form::text('linkedin_url', null,['class' => 'form-control','placeholder' => __('messages.common.linkedin_url'), 'id' => 'linkedinUrl']) }}
{{ Form::label('instagram',__('messages.doctor.instagram').':' ,['class' => 'form-label']) }}
{{ Form::text('instagram_url', null,['class' => 'form-control','placeholder' => __('messages.common.instagram_url'), 'id' => 'instagramUrl']) }}
{{__('messages.doctor.address_information')}}
{{ Form::label('Address1',__('messages.doctor.address1').':' ,['class' => 'form-label']) }}
{{ Form::text('address1', null,['class' => 'form-control','placeholder' => __('messages.doctor.address1')]) }}
{{ Form::label('Address2',__('messages.doctor.address2').':' ,['class' => 'form-label']) }}
{{ Form::text('address2', null,['class' => 'form-control','placeholder' => __('messages.doctor.address2')]) }}
{{ Form::label('Country',__('messages.doctor.country').':' ,['class' => 'form-label']) }}
{{ Form::select('country_id', $country, null,['class' => 'io-select2 form-select', 'data-control'=>"select2", 'id'=>'editDoctorCountryId','placeholder' => __('messages.doctor.country')]) }}
{{ Form::label('State',__('messages.doctor.state').':' ,['class' => 'form-label']) }}
{{ Form::select('state_id', [], null,['class' => 'io-select2 form-select', 'data-control'=>"select2", 'id'=> 'editDoctorStateId','placeholder' => __('messages.doctor.state')]) }}
{{ Form::label('City',__('messages.doctor.city').':' ,['class' => 'form-label']) }}
{{ Form::select('city_id', [], null,['class' => 'io-select2 form-select', 'data-control'=>'select2', 'id'=> 'editDoctorCityId','placeholder' => __('messages.doctor.city')]) }}
{{ Form::text('postal_code',null,['class' => 'form-control','placeholder' => __('messages.doctor.postal_code')]) }}