79 lines
3.4 KiB
PHP
79 lines
3.4 KiB
PHP
@extends('layouts.app')
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@section('title', __('app.register'))
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@section('content')
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<div class="register-box">
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<div class="register-logo">
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<a href="#"><b>{{ __('app.clinic_management_system') }}</b></a>
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</div>
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<div class="card">
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<div class="card-body register-card-body">
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<p class="login-box-msg">{{ __('app.register') }}</p>
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<form action="{{ route('register') }}" method="POST">
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@csrf
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<div class="input-group mb-3">
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<input type="text" name="name" class="form-control @error('name') is-invalid @enderror" placeholder="{{ __('app.name') }}" required autofocus value="{{ old('name') }}">
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<div class="input-group-append">
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<div class="input-group-text">
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<span class="fas fa-user"></span>
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</div>
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</div>
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@error('name')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<div class="input-group mb-3">
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<input type="email" name="email" class="form-control @error('email') is-invalid @enderror" placeholder="{{ __('app.email') }}" required value="{{ old('email') }}">
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<div class="input-group-append">
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<div class="input-group-text">
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<span class="fas fa-envelope"></span>
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</div>
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</div>
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@error('email')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<div class="input-group mb-3">
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<input type="password" name="password" class="form-control @error('password') is-invalid @enderror" placeholder="{{ __('app.password') }}" required>
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<div class="input-group-append">
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<div class="input-group-text">
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<span class="fas fa-lock"></span>
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</div>
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</div>
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@error('password')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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<div class="input-group mb-3">
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<input type="password" name="password_confirmation" class="form-control" placeholder="{{ __('app.password_confirmation') }}" required>
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<div class="input-group-append">
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<div class="input-group-text">
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<span class="fas fa-lock"></span>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-4">
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<button type="submit" class="btn btn-primary btn-block">{{ __('app.register') }}</button>
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</div>
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<!-- /.col -->
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</div>
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</form>
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<a href="{{ route('login') }}" class="text-center">{{ __('app.login') }}</a>
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</div>
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<!-- /.form-box -->
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</div><!-- /.card -->
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</div>
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<!-- /.register-box -->
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@endsection
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