Viewing file:  create.blade.php (1.91 KB) -rw-r--r--
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{{ Form::open(array('url' => 'blood/collector/store','enctype' => 'multipart/form-data')) }}
<div class="modal-body">
<div class="row">
<div class="form-group col-md-12">
{{ Form::label('name', __('Name'),['class'=>'form-label']) }}
{{ Form::text('name', '', array('class' => 'form-control','required'=>'required')) }}
</div>
<div class="form-group col-md-12">
{{Form::label('phone_number',__('Phone Number'),array('class'=>'form-label')) }}
{{ Form::number('phone_number', '', array('class' => 'form-control','required'=>'required')) }}
</div>
<div class="form-group col-md-12">
{{Form::label('email',__('Email'),array('class'=>'form-label')) }}
{{ Form::email('email', '', array('class' => 'form-control','required'=>'required')) }}
</div>
<div class="form-group col-md-12">
<label for="" class="form-label">Password</label>
<input type="password" class="form-control" name="password">
</div>
<div class="form-group col-md-12">
{{ Form::label('address', __('Address'),['class'=>'form-label']) }}
{{ Form::text('address', '', array('class' => 'form-control','required'=>'required')) }}
</div>
<div class="form-group col-md-12">
{{ Form::label('status', __('Status'),['class'=>'form-label']) }}
<select class="form-control select" required="required" id="status" name="status">
<option selected value="active">{{__('Active')}}</option>
<option value="inactive">{{__('Inactive')}}</option>
</select>
</div>
</div>
</div>
<div class="modal-footer">
<input type="button" value="{{__('Cancel')}}" class="btn btn-light" data-bs-dismiss="modal">
<input type="submit" value="{{__('Create')}}" class="btn btn-primary">
</div>
{{ Form::close() }}
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