| Current Path : /home/users/unlimited/www/medimeet.codeskitter.site/resources/views/installation/ |
| Current File : /home/users/unlimited/www/medimeet.codeskitter.site/resources/views/installation/step5.blade.php |
@extends('layouts.blank')
@section('content')
<div class="container center-content mainSection">
<div class="card mt-6">
<div class="card-body">
<div class="card-header">
<div class="row" style="width: 100%">
<div class="col-12">
<div class="text-center main-header">
<h1>Medicare Software Installation</h1>
<h4>Please proceed step by step with proper data according to instructions</h4>
</div>
<div class="col-12">
@if (session()->has('error'))
<div class="alert alert-danger" role="alert">
{{ session('error') }}
</div>
@endif
</div> <hr>
</div>
</div>
<div class="card-main">
<div class="d-flex group-main">
<div class="group-out">
<p class="step-name">STEP 5. Admin Account Settings</p>
<p class="step-subhead">Provide your information.
</p>
<div class="group">
<div class="grp-form">
<form class="form-section" method="POST" action="{{ route('system_settings') }}">
@csrf
<div class="row">
<div class="col-12">
<div class="form-group custom-form-group">
<label class="label-section" for="system_name">Business Name</label>
<input type="text" class="form-control input-section"
name="business_name" required>
</div>
</div>
<div class="col-6">
<div class="form-group custom-form-group">
<label class="label-section" for="admin_name">Name</label>
<input type="text" class="form-control input-section" name="f_name"
required>
</div>
</div>
<!-- <div class="col-6">
<div class="form-group">
<label for="admin_name">Last Name</label>
<input type="text" class="form-control" name="l_name" required>
</div>
</div> -->
<div class="col-12">
<div class="form-group custom-form-group">
<label class="label-section" for="admin_phone">Phone Number (Ex :
124567890)</label>
<input type="text" class="form-control input-section" name="phone"
required>
</div>
</div>
<div class="col-12">
<div class="form-group custom-form-group">
<label class="label-section" for="admin_email">Business Email</label>
<input type="email" class="form-control input-section" id="admin_email"
name="email" required>
</div>
</div>
<div class="col-12">
<div class="form-group custom-form-group">
<label class="label-section" for="admin_password">Admin Password (At
least 8
characters)</label>
<input type="text" class="form-control input-section"
id="admin_password" name="password" required>
</div>
</div>
<div class="col-12">
<div class="text-center">
<button type="submit" class="btn btn-custom">Continue</button>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<link rel="stylesheet" href="{{ asset('css/css.css') }}">
</div>
@endsection