{{ Form::label('first_name', __('messages.staff.first_name').':', ['class' => 'form-label required']) }} {{ Form::text('first_name', isset($staff) ? $staff->first_name : null, ['class' => 'form-control', 'placeholder' => __('messages.patient.first_name'), 'required']) }}

{{ Form::label('last_name', __('messages.staff.last_name').':', ['class' => 'form-label required']) }} {{ Form::text('last_name', isset($staff) ? $staff->last_name : null, ['class' => 'form-control', 'placeholder' => __('messages.patient.last_name'), 'required']) }}

{{ Form::label('email', __('messages.staff.email').':', ['class' => 'form-label required']) }} {{ Form::email('email', isset($staff) ? $staff->email : null, ['class' => 'form-control', 'placeholder' => __('messages.patient.email'), 'required']) }}

{{ Form::label('contact', __('messages.staff.contact_no').':', ['class' => 'form-label']) }}
{{ Form::tel('contact', isset($staff) && $staff->contact ? '+'.$staff->region_code.$staff->contact : null, ['class' => 'form-control', 'placeholder' => __('messages.patient.contact_no'), 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")','id'=>'phoneNumber']) }} {{ Form::hidden('region_code',isset($staff) ? $staff->region_code : null,['id'=>'prefix_code']) }}

{{ Form::label('password',__('messages.staff.password').':' ,['class' => 'form-label']) }} {{isset($staff) ? null : '*' }}

{{Form::password('password',['class' => 'form-control','placeholder' => __('messages.patient.password'),'autocomplete' => 'off','aria-label'=>"Password",'data-toggle'=>"password"])}}

{{ Form::label('confirmPassword',__('messages.staff.confirm_password').':' ,['class' => 'form-label']) }} {{isset($staff) ? null : '*' }}

{{Form::password('password_confirmation',['class' => 'form-control','placeholder' => __('messages.user.confirm_password'),'autocomplete' => 'off','aria-label'=>"Password",'data-toggle'=>"password"])}}

{{ Form::label('role', __('messages.staff.role').':', ['class' => 'form-label required']) }} {{ Form::select('role', $roles, isset($staff) ? $staff->roles->first()->id : null, ['class' => 'form-select io-select2','required','data-control'=>'select2','placeholder' => __('messages.staff.select_role')]) }}

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

gender === 1 ? 'checked' : '' }} required> {{ __('messages.staff.male') }} gender === 2 ? 'checked' : '' }} required> {{ __('messages.staff.female') }}

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

{{ Form::submit(__('messages.common.save'),['class' => 'btn btn-primary me-2']) }} {{__('messages.common.discard')}}