@extends('layouts.admin')

@section('content')

    <div class="content-wrapper">
        <!-- ==================== Content Header ======================= -->
        <section class="content-header">
            <h1>
                <i class="fa fa-user"></i> New Doctor
                <small>Add a new Doctor</small>
            </h1>

            <ol class="breadcrumb">
                <li><a href="/Dashboard"><i class="fa fa-dashboard"></i> Dashboard</a></li>
                <li class="active">New Doctor</li>
            </ol>
        </section>
        <!-- ====================  /Content Header ======================= -->


        <!-- ==================== Main Content  ======================= -->
        <section class="content">

            <div class="box box-primary">
                <div class="box-header"></div>
                <div class="box-body">
                    <div class="nav-tabs-custom">
                        <ul class="nav nav-tabs">
                            <li class="pull-left header">
                                <i class="fa fa-th"></i>
                            </li>
                            <li class="active"><a href="#tab_1" data-toggle="tab" >Doctor Entry</a></li>
                        </ul>
                        <div class="tab-content">
                            <div class="tab-pane active" id="tab_1">
                                <form class="form-horizontal" role="form" enctype="multipart/form-data" method="POST" action="{{URL::to('/Doctor/New')}}">
                                    <input type="hidden" name="_token" value="{{csrf_token()}}">

                                    <div class="form-group">
                                        <label for="DoctorName" class="col-sm-2 control-label">Doctor Name :</label>
                                        <div class="col-sm-4">
                                            <input name="Name" type="text" class="form-control" id="DoctorName" placeholder="DoctorName">
                                        </div>

                                        <label for="Designation" class="col-sm-2 control-label">Designation :</label>
                                        <div class="col-sm-4">
                                            <input name="Designation" type="text" class="form-control" id="Designation" placeholder="Designation">
                                        </div>
                                    </div>

                                    <div class="form-group">
                                        <label for="Specialization" class="col-sm-2 control-label">Specialization :</label>
                                        <div class="col-sm-4">
                                            <input name="Specialization" type="text" class="form-control" id="Specialization" placeholder="Specialization">
                                        </div>

                                        <label for="ContactName" class="col-sm-2 control-label">Contact No :</label>
                                        <div class="col-sm-4">
                                            <input name="ContactNo" type="text" class="form-control" id="ContactNo" placeholder="ContactNo">
                                        </div>
                                    </div>

                                    <div class="form-group">
                                        <label for="Address" class="col-sm-2 control-label">Address :</label>
                                        <div class="col-sm-4">
                                            <input name="Address" type="text" class="form-control" id="Address" placeholder="Address">
                                        </div>

                                        <label for="ContactName" class="col-sm-2 control-label">Work Address :</label>
                                        <div class="col-sm-4">
                                            <input name="WorkAddress" type="text" class="form-control" id="WorkAddress" placeholder="WorkAddress">
                                        </div>
                                    </div>

                                    <div class="form-group">
                                        <label for="ContactName" class="col-sm-2 control-label">Commision Rate :</label>
                                        <div class="col-sm-4">
                                            <input name="CommisionRate" type="number" class="form-control" id="CommisionRate" placeholder="Commision Rate">
                                        </div>
                                    </div>

                                    <div class="form-group">
                                        <div class="col-sm-offset-2 col-sm-4">
                                            <button type="button" class="btn btn-danger">Cancel</button>
                                            <input type="submit" name="submit" class="btn btn-primary" value="Add Doctor">
                                        </div>
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>

                </div>
            </div>
        </section>
        <!-- ====================/ Main Content  ======================= -->
    </div>
@endsection