@include('flash::message')

{{ __('messages.patient.first_name') }}:

{{ __('messages.patient.last_name') }}:

{{ __('messages.patient.email') }}:

{{ __('messages.doctor.doctor')}}: {{ Form::select('doctor_id', $appointmentDoctors, isset(session()->get('data')['doctor_id']) ? session()->get('data')['doctor_id'] : '',['class' => 'form-select', 'id' => 'appointmentDoctorId', 'data-control'=>"select2",'placeholder' => __('messages.common.select_doctor')]) }}

{{ __('messages.appointment.service')}}: {{ Form::select('service_id', isset(session()->get('data')['service']) ? session()->get('data')['service'] : [] , isset(session()->get('data')['service_id']) ? session()->get('data')['service_id'] : '',['class' => 'form-select', 'data-control'=>"select2", 'id'=> 'FrontAppointmentServiceId','placeholder' => __('messages.common.select_service') ]) }}

{{ Form::label('contact', __('messages.patient.contact_no').':', ['class' => 'form-label']) }} {{ Form::tel( 'contact',null,['class' => 'form-control', 'placeholder' => __('messages.patient.contact_no'),'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.appointment.appointment_date')}}:

{{ __('messages.appointment.payment_method')}}: {{ Form::select('payment_type', getAllPaymentStatus(), null,['class' => 'form-select', 'id'=>'paymentMethod', 'data-control'=>"select2",'placeholder' => __('messages.appointment.Select_payment_method') ]) }}

@php $styleCss = 'style'; @endphp

{{ Form::label('Available Slots',__('messages.appointment.available_slot').':' ,['class' => 'form-label me-3 required']) }}

{{ __('messages.web.book_appointment') }}