52 lines
2.9 KiB
PHP
52 lines
2.9 KiB
PHP
@extends('layouts.app')
|
|
|
|
@section('title', 'Add Customer')
|
|
|
|
@section('content')
|
|
<div class="mb-8">
|
|
<a href="{{ route('customers.index') }}" class="text-blue-600 hover:text-blue-800 flex items-center gap-2 mb-4">
|
|
<i class="fas fa-arrow-left"></i> Back to Customers
|
|
</a>
|
|
<h2 class="text-3xl font-bold text-gray-800">Add New Customer</h2>
|
|
</div>
|
|
|
|
<div class="bg-white rounded-2xl shadow-sm border border-gray-200 p-8">
|
|
<form action="{{ route('customers.store') }}" method="POST">
|
|
@csrf
|
|
<div class="grid grid-cols-1 md:grid-cols-2 gap-6">
|
|
<div>
|
|
<label class="block text-sm font-medium text-gray-700 mb-2">Full Name</label>
|
|
<input type="text" name="name" required class="w-full px-4 py-3 rounded-lg border border-gray-300 focus:outline-none focus:ring-2 focus:ring-purple-500">
|
|
</div>
|
|
<div>
|
|
<label class="block text-sm font-medium text-gray-700 mb-2">Email</label>
|
|
<input type="email" name="email" required class="w-full px-4 py-3 rounded-lg border border-gray-300 focus:outline-none focus:ring-2 focus:ring-purple-500">
|
|
</div>
|
|
<div>
|
|
<label class="block text-sm font-medium text-gray-700 mb-2">Phone</label>
|
|
<input type="text" name="phone" required class="w-full px-4 py-3 rounded-lg border border-gray-300 focus:outline-none focus:ring-2 focus:ring-purple-500">
|
|
</div>
|
|
<div>
|
|
<label class="block text-sm font-medium text-gray-700 mb-2">License Number</label>
|
|
<input type="text" name="license_number" required class="w-full px-4 py-3 rounded-lg border border-gray-300 focus:outline-none focus:ring-2 focus:ring-purple-500">
|
|
</div>
|
|
<div>
|
|
<label class="block text-sm font-medium text-gray-700 mb-2">License Expiry</label>
|
|
<input type="date" name="license_expiry" required class="w-full px-4 py-3 rounded-lg border border-gray-300 focus:outline-none focus:ring-2 focus:ring-purple-500">
|
|
</div>
|
|
<div>
|
|
<label class="block text-sm font-medium text-gray-700 mb-2">Date of Birth</label>
|
|
<input type="date" name="dob" required class="w-full px-4 py-3 rounded-lg border border-gray-300 focus:outline-none focus:ring-2 focus:ring-purple-500">
|
|
</div>
|
|
<div class="md:col-span-2">
|
|
<label class="block text-sm font-medium text-gray-700 mb-2">Address</label>
|
|
<input type="text" name="address" required class="w-full px-4 py-3 rounded-lg border border-gray-300 focus:outline-none focus:ring-2 focus:ring-purple-500">
|
|
</div>
|
|
</div>
|
|
<div class="mt-6">
|
|
<button type="submit" class="bg-purple-600 text-white px-8 py-3 rounded-xl hover:bg-purple-700">Add Customer</button>
|
|
</div>
|
|
</form>
|
|
</div>
|
|
@endsection
|