@extends('admin.layouts.app')
@section('page_tab_title' ,"Practitioners")
@section('content')
<style type="text/css">
  .auto_select_height {
    height: auto !important;
  }

  .select2-container .select2-selection--multiple {
    font-family: 'Arial', Verdana;
    font-size: 12px;
    box-sizing: border-box;
    display: block;
    min-height: 40px;
    border-color: #d2d6de;
  }

  .select2-container--default .select2-selection--multiple .select2-selection__choice {
    background-color: #808080;
    border: 1px solid #aaa;
    cursor: default;
    float: left;
    margin-right: 5px;
    margin-top: 5px;
    padding: 0 5px;
  }

  .select2-container--default .select2-selection--multiple .select2-selection__choice__remove {
    color: #fffdfd;
    cursor: pointer;
    display: inline-block;
    font-weight: bold;
    margin-right: 2px;
  }

  .select2-container--default .select2-selection--multiple .select2-selection__rendered {
    box-sizing: border-box;
    list-style: none;
    margin: 0;
    padding: 0 5px;
    width: 100%;
    padding: 6px 12px;
  }

  #dropList1+.select2 .select2-selection--multiple {
    height: auto !important;
  }

  .select2-container--default .select2-selection--multiple .select2-selection__clear {
    position: absolute;
    right: 0;
    top: 7px;
  }

  .select2-container--default .select2-selection--multiple {
    border-radius: 0;
  }

  .select2-container .select2-selection--single {
    height: 42px;
    font-family: 'Arial', Verdana;
  }

  /* add select 2 */
  .select2-container--default .select2-selection--single .select2-selection__arrow {
    height: 26px;
    position: absolute;
    top: 7px;
    right: 1px;
    width: 20px;
  }

  .select2-container--default .select2-selection--single .select2-selection__rendered {
    color: #666666;
    /* line-height: 34px; */
    padding: 4px;
  }

  .select2-container--default .select2-selection--single {
    background-color: #fff;
    border: 1px solid #aaa;
    border-radius: 0;
    /* border-radius: 4px; */
  }

  .select2-container .select2-selection--single {
    font-family: 'Arial', Verdana;
    font-size: 12px;
    box-sizing: border-box;
    display: block;
    min-height: 40px;
    border-color: #d2d6de;
    color: #666666 !important;
  }

  .select2-container--default .select2-selection--single .select2-selection__rendered {
    color: #666666 !important;
    font-size: 13px;
  }

  .select2-container--default .select2-selection--single .select2-selection__placeholder {
    color: #666666 !important;
    font-family: 'Arial', Verdana !important;
    font-size: 13px;
  }
  .d-none
  {
    display: none;
  }
</style>
<section class="content">
  <div class="row">
    <div class="col-md-12">
      <div class="box box-success">
        <div class="box-header">
          <h1>@if(empty($practitioner->id)) Create New practitioner @else Edit practitioner @endif </h1>
          <hr class="bdr-partition">
        </div>
        <form autocomplete="off" method="POST" id="createpractitioner" autocomplete="off" class="form-horizontal" enctype="multipart/form-data" @if(empty($practitioner->id)) action="{{ route('practitioner.store') }}" @else action="{{ route('practitioner.update', $practitioner->id) }}" @endif >
          @csrf
          <div class="box-body">
            <div class="row">
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class=" control-label">First name <span class="required_span">*</span></label>
                    <input type="text" name="first_name" required class="form-control  alpha-only" value="{{$practitioner->first_name ?? old('first_name') }}" maxlength="25">
                    @if ($errors->has('first_name'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('first_name') }}
                    </span>
                    @endif

                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Last name <span class="required_span">*</span></label>
                    <input type="text" name="last_name" maxlength="25" required class="form-control alpha-only" value="{{$practitioner->last_name ?? old('last_name') }}">
                    @if ($errors->has('last_name'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('last_name') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">

                  <div class="col-sm-12">
                    <label class="control-label">Email address <span class="required_span">*</span></label>
                    <input type="email" @if(empty($practitioner->email)) name="email" @else disabled @endif required class="form-control" value="{{$practitioner->email ?? old('email') }}" >
                    @if ($errors->has('email'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('email') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-4">
                <div class="form-group">

                  <div class="col-sm-12">
                    <label class="control-label">Phone number <span class="required_span">*</span></label>
                    <input type="text" required maxlength="15" data-parsley-phonenumber="" name="phone" class="form-control numeric" value="{{$practitioner->phone ?? old('phone') }}">
                    @if ($errors->has('phone'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('phone') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">

                  <div class="col-sm-12">
                    <label class="control-label">Password @if(empty($practitioner->password) && empty($practitioner->id)) <span class="required_span">*</span> @endif</label>
                    <input id="password" data-parsley-password="blur" minlength="6" data-parsley-iff="#password-confirm" data-parsley-iff-message="" type="password"  name="password" class="form-control" value="" @if(empty($practitioner->password) && empty($practitioner->id)) required @endif>
                    @if ($errors->has('password'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('password') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-md-12">
                    <label class="control-label">Confirm password @if(empty($practitioner->password) && empty($practitioner->id)) <span class="required_span">*</span> @endif</label>
                    <input id="password-confirm" data-parsley-password="blur" minlength="6" data-parsley-iff="#password" data-parsley-iff-message="Confirm password doesn't match to password." type="password" name="password_confirmation" class="form-control" value="" @if(empty($practitioner->password) && empty($practitioner->id)) required @endif>
                    @if ($errors->has('password'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('password') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-4 file-custome-profile">
                <div class="form-group ">
                  <label class="control-label">Profile picture</label>
                  <div class="file-upload">
                    <div class="file-select">
                      <div class="file-select-button" id="fileName">Choose File</div>
                      <div class="file-select-name" id="noFile">No file chosen...</div>
                      <input type="file" name="profile_picture" id="chooseFile" accept="image/*">
                    </div>
                  </div>
                </div>
              </div>
              @if(isset($personal->profile_picture))
              <div class="col-md-4">
                <div class="form-group">
                  <img class="lvc-logo-img" width="100" src="{{asset('storage/practitioner_picture/'.$personal->profile_picture)}}">
                </div>
              </div>
              @endif
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label d-block">Gender</label>
                    <input type="radio" name="gender" value="Male" @if(isset($personal->gender) == 'Male') checked @endif @if(!isset($personal->gender) || $personal->gender =="") checked @endif> Male
                    <input type="radio" name="gender" value="Female" @if(isset($personal->gender) == 'Female') checked @endif> Female
                    <input type="radio" name="gender" value="Other" @if(isset($personal->gender) == 'Other') checked @endif> Other
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Bio</label>
                    <input type="text" name="my_bio" class="form-control" value="{{$personal->my_bio ?? old('my_bio')}}">
                    @if ($errors->has('my_bio'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('my_bio') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-4">
                <div class="form-group">

                  <div class="col-sm-12">
                    <label class="control-label">Association</label>
                    <select style="width: 100%" name="association_id[]" id="association_id" class="form-control" multiple>
                      {{--  <option value="">Select Association</option>  --}}
                     @foreach($associations as $association)
                                                <option 
                                                @if(in_array($association->id,$associationId)) ? selected @endif 
                                                value="{{$association->id}}">{{$association->name}}</option>
                    @endforeach
                    </select>
                    @if ($errors->has('association_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('association_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">

                  <div class="col-sm-12">
                    <label class="control-label">Association number</label>
                    <input type="text" name="association_number" class="form-control" value="{{$personal->association_number ?? old('association_number')}}">
                    @if ($errors->has('association_number'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('association_number') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-md-12">
                    <label class="control-label">Qualification</label>
                    <input type="text" name="qualifications" class="form-control" value="{{$personal->qualifications ?? old('qualifications')}}">
                    @if ($errors->has('qualifications'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('qualifications') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Profession</label>
                    <select style="width: 100%" name="profession[]" id="profession" class="form-control" multiple>
                      {{--  <option value="">Select Profession</option>  --}}
                           @foreach($professions as $profession)
                            <option 
                                       @if(in_array($profession->id,$professionId)) ? selected @endif 
                                       value="{{$profession->id}}">{{$profession->name}}
                             </option>
                           @endforeach
                    </select>
                    @if ($errors->has('profession'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('profession') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Language</label>
                    <select style="width: 100%" name="language_id[]" multiple class="form-control language_sel">
                      <option value="" disabled>select language</option>
                      @foreach($languages as $language)
                      <option value="{{$language->id}}" @if(in_array($language->id,$language_id))
                        selected
                        @endif
                        >{{$language->name}}</option>
                      @endforeach
                    </select>
                    @if ($errors->has('language_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('language_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Date of birth</label>
                    <input type="text" readonly placeholder="YYYY/mm/dd" id="datepicker1" name="dob" class="form-control datepicker1" value="{{$personal->dob ?? old('dob')}}">
                    @if ($errors->has('dob'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('dob') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Business Name</label>
                    <input type="text" name="name" id="name" class="form-control" value="{{$business->name ?? old('name')}}">
                    @if ($errors->has('name'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('name') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Business Type</label>
                    <select style="width: 100%" name="business_type" class="form-control business_type">
                      <option value=""> Select Business Type</option>
                      <option
                       @if(isset($practitioner) && $practitioner->business_type =="0")
                       selected
                       @endif 
                       value="0">Sole practitioner</option>
                       
                      <option
                       @if(isset($practitioner) && $practitioner->business_type =="1")
                       selected
                       @endif 
                       value="1">Multi-practitioner clinic</option>

                    </select>
                    {{--  @if ($errors->has('business_type'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('business_type') }}
                    </span>
                    @endif  --}}
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Business Address</label>
                    <input type="text" name="address" id="address" class="form-control" value="{{$business->address ?? old('address')}}">
                    <input type="hidden" name="latitude" id="latitude" value="{{$business->latitude ?? old('latitude')}}">
                    <input type="hidden" name="longitude" id="longitude" value="{{$business->longitude ?? old('longitude')}}">
                    @if ($errors->has('address'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('address') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
         


            </div>
            <div class="row" style="display: none">
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">City</label>
                    <input type="text" name="city" class="form-control" value="{{$personal->city ?? old('city')}}">
                    @if ($errors->has('city'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('city') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">State</label>
                    <input type="text" name="state" class="form-control" value="{{$personal->state ?? old('state')}}">
                    @if ($errors->has('State'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('State') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Country</label>
                    <select name="country" class="form-control">
                      <option value=""> select country</option>
                      @foreach($countries as $country)
                      <option value="{{$country->id}}" @if(isset($personal->country) && $personal->country == $country->id) selected @endif>{{$country->name}}</option>
                      @endforeach
                    </select>
                    @if ($errors->has('country'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('country') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

            </div>
            <div class="row">
              <div class="col-md-4" style="display: none">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Area</label>
                    <input type="text" name="area" class="form-control" value="{{$personal->area ?? old('area')}}">
                    @if ($errors->has('area'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('area') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Service</label>
                    <select style="width: 100%" multiple name="service_id[]" class="form-control auto_select_height">
                      <option value="" disabled> select service</option>
                      @foreach($services as $service)
                      <option value="{{$service->id}}" @if(in_array($service->id,$service_id))) selected
                        @endif>{{$service->name}}</option>
                      @endforeach
                    </select>
                    @if ($errors->has('service_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('service_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Facility</label>
                    <select style="width: 100%" name="facility_id[]" multiple class="form-control facility_sel">
                      <option value="" disabled> select facility</option>
                      @foreach($facilities as $facility)
                      <option value="{{$facility->id}}" @if(in_array($facility->id,$facility_id)) selected @endif>{{ $facility->name }} </option>
                      @endforeach
                    </select>
                    @if ($errors->has('facility_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('facility_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

            
              @if(empty($practitioner->id)) @else
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Free Credits</label>
                    <input type="text" name="credits" id="credits" maxlength="5" class="form-control numeric" value="{{$business->credits ?? old('credits')}}">

                    @if ($errors->has('credits'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('credits') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              @endif
        
            </div>
            <div class="row">
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Merchant Id</label>

                    <input type="text" name="merchant_id" class="form-control" value="{{$practitioner->merchant_id ?? old('merchant_id')}}">

                    @if ($errors->has('merchant_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('merchant_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Merchant Datakey</label>
                    <input type="text" name="merchant_password" class="form-control" value="{{$practitioner->merchant_password ?? old('merchant_password')}}">
                    @if ($errors->has('merchant_password'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('merchant_password') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Merchant Public Key</label>
                    <input type="text" name="merchant_public_key" class="form-control" value="{{$practitioner->merchant_public_key ?? old('merchant_public_key')}}">
                    @if ($errors->has('merchant_public_key'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('merchant_public_key') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Merchant App Password</label>
                    <input type="text" name="pw_merchant_password" class="form-control" value="{{$practitioner->pw_merchant_password ?? old('pw_merchant_password')}}">
                    @if ($errors->has('pw_merchant_password'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('pw_merchant_password') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Account Id</label>
                    <input type="text" name="account_id" class="form-control" value="{{$practitioner->account_id ?? old('account_id')}}">
                    @if ($errors->has('account_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('account_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Store Id</label>
                    <input type="text" name="store_id" class="form-control" value="{{$practitioner->store_id ?? old('store_id')}}">
                    @if ($errors->has('store_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('store_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Device Id</label>
                    <input type="text" name="device_id" class="form-control" value="{{$practitioner->device_id ?? old('device_id')}}">
                    @if ($errors->has('device_id'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('device_id') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Terminal secret</label>
                    <input type="text" name="terminal_secret" class="form-control" value="{{$practitioner->terminal_secret ?? old('terminal_secret')}}">
                    @if ($errors->has('terminal_secret'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('terminal_secret') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Timezone</label>
                    <select style="width: 100%" name="timezone" id="timezone" class="form-control timezone">
                      <option value="" disabled>Select timezone</option>
                      @foreach($timezone as $val)
                      <option value="{{$val}}"  @if($practitioner && $practitioner->timezone == $val) selected @endif> {{$val}}</option>
                      @endforeach
                    </select>
                    @if ($errors->has('timezone'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('timezone') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              @if($practitioner->id)

              @if( !empty( $codeUsed ) )
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Coupon Used</label>
                    <input type="text" readonly class="form-control" value="{{ $codeUsed->couponUsed->code }}">
                  </div>
                </div>
              </div>
              @endif

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Transaction amount</label>
                    <input type="text" name="transaction_amount" class="form-control" value="{{$practitioner->transaction_amount ?? old('transaction_amount')}}">
                    @if ($errors->has('transaction_amount'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('transaction_amount') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Transaction fee</label>
                    <input type="text" name="transaction_fee" class="form-control" value="{{$practitioner->transaction_fee ?? old('transaction_fee')}}">
                    @if ($errors->has('transaction_fee'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('transaction_fee') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Latpay charge</label>
                    <input type="text" name="latpay_charge" class="form-control" value="{{$practitioner->latpay_charge ?? old('latpay_charge')}}">
                    @if ($errors->has('latpay_charge'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('latpay_charge') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Bank account name</label>
                    <input type="text" name="account_name" class="form-control" value="{{$practitionerbankdetails->account_name ?? old('account_name')}}">
                    @if ($errors->has('account_name'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('account_name') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Bank account number</label>
                    <input type="text" name="account_number" class="form-control numeric-only" value="{{$practitionerbankdetails->account_number ?? old('account_number')}}">
                    @if ($errors->has('account_number'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('account_number') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>
             
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Settlement frequency</label>
                    <select style="width: 100%" name="deposit_funds_frequency" class="form-control deposit_funds_frequency">
                      <option
                       @if(isset($practitionerbankdetails) && $practitionerbankdetails->deposit_funds_frequency =="Daily")
                       selected
                       @endif 
                       value="Daily">Daily</option>
                       
                      <option
                       @if(isset($practitionerbankdetails) && $practitionerbankdetails->deposit_funds_frequency =="Weekly")
                       selected
                       @endif 
                       value="Weekly">Weekly</option>
                    </select>
                  </div>
                </div>
              </div>
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">BSB</label>
                    <input type="text" name="bsb" class="form-control numeric-only" value="{{$practitionerbankdetails->bsb ?? old('bsb')}}">
                    @if ($errors->has('bsb'))
                    <span class="invalid-feedback text-danger" role="alert">
                      {{ $errors->first('bsb') }}
                    </span>
                    @endif
                  </div>
                </div>
              </div>

              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label d-block">Receive updates</label>
                    <input type="checkbox" readonly="true" name="resive_update" @if($practitioner->sign_us_with == 0) checked @endif>                 
                  </div>
                </div>
              </div>
              @endif
              @if(isset($practitioner) && $practitioner->parent_id == NULL)
                <div class="col-md-4">
                  <div class="form-group">
                    <div class="col-sm-12">
                      <label class="control-label">Dedicated Number</label>
                      <select style="width: 100%" name="dedicated_number_flag" class="form-control dedicated_number_flag">
                        <option selected disabled value="">Select Dedicated Number</option>
                        <option
                        @if(isset($practitioner_dedicated_number) && $practitioner_dedicated_number->dedicated_number_flag =="no")
                          selected
                        @endif 
                        value="no">No</option>
                        
                        <option
                        @if(isset($practitioner_dedicated_number) && $practitioner_dedicated_number->dedicated_number_flag =="yes")
                        selected
                        @endif 
                        value="yes">Yes</option>
                      </select>
                    </div>
                  </div>
                </div>
                <div class="col-md-4 allow_dedicated_number_div" style="display:none">
                  <div class="form-group">
                    <div class="col-sm-12">
                      <label class="control-label">Allow Dedicated Number</label>
                      <input type="text" name="allow_dedicated_number" class="form-control numeric allow_dedicated_number" value="{{$practitioner_dedicated_number->allow_dedicated_number ?? old('allow_dedicated_number')}}">
                
                    </div>
                  </div>
                </div>
                <div class="col-md-4 dedicated_number_expiry_date_div" style="display:none">
                  <div class="form-group">
                    <div class="col-sm-12">
                      <label class="control-label">Dedicated Number Expiry Date</label>
                      <input type="text" readonly placeholder="YYYY/mm/dd" id="dedicated_number_expiry_date" name="dedicated_number_expiry_date" class="form-control dedicated_number_expiry_date" value="{{$practitioner_dedicated_number->dedicated_number_expiry_date ?? old('dedicated_number_expiry_date')}}">
                      
                    </div>
                  </div>
                </div>
              @endif
            </div>
            
            @if($practitioner->id && $practitioner->status != "active")
            <div class="row">
              <div class="col-md-4">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label">Close account reason</label>
                    <textarea  class="form-control" style="height: 60px !important;" readonly name="close_account_reason">{{$practitioner->close_account_reason ?? old('close_account_reason') }}</textarea>                 
                  </div>
                </div>
              </div>              
            </div>
            @endif

            @if(isset($practitionerbankdetails) && $staffAccess == 0)
            @php
                $front_license = url('/')."/storage/license/".$practitionerbankdetails->license_front;
                $back_license = url('/')."/storage/license/".$practitionerbankdetails->license_back;
                @endphp
                {{-- {{dd($front_license)}} --}}
            <div class="row">
                <div class="col-md-4">
                  <a href="{{ $front_license }}" target="_blank">Front License</a>
                </div>
                <div class="col-md-4">
                  <a href="{{ $back_license }}" target="_blank">Back License</a>
                </div>
              </div>
            @endif


            <div class="row">
              <div class="col-md-4">             
                  <div class="form-group">
                    <div class="col-sm-12">
                      <label class="control-label d-block">Currently using a Pms?</label>
                      <input type="radio" class="waitList" name="is_pms" value="YES" @if(isset($practitioner->is_pms) && $practitioner->is_pms == 'YES') checked @endif  @if(!isset($practitioner->is_pms) || $practitioner->is_pms =="") checked @endif> YES
                      <input type="radio" class="waitList" name="is_pms" value="Female" @if(isset($practitioner->is_pms) && $practitioner->is_pms == 'NO') checked @endif> NO                     
                    </div>
                  </div>
                </div>          
              <div class="col-md-4 @if(isset($practitioner->is_pms) && $practitioner->is_pms == 'NO') d-none @endif" id="pms_other">
                <div class="form-group">
                  <div class="col-sm-12">
                    <label class="control-label d-block">Current software</label>
                    <input type="text" name="pms" class="form-control" value="{{$practitioner->pms ?? old('pms')}}" placeholder="Enter the name of your current software">                   
                  </div>
                </div>
              </div>   

			   <div class="col-md-4">
					<div class="form-group">
						<div class="col-sm-12">
							<label class="control-label d-block">Course Access</label>
							<input type="radio" name="is_course" value="yes"  @if(isset($practitioner->is_course) && $practitioner->is_course == 'yes') checked @endif /> Yes
							<input type="radio" name="is_course" value="no" @if(isset($practitioner->is_course) && $practitioner->is_course == 'no') checked @endif/> No
						</div>
					</div>
				</div>
			  
		
            </div>      
          </div>
          <div class="button-area">
            <button type="submit" class="btn btn-info ">Submit</button>
            <a href="{{route('practitioner.index')}}" class="btn btn-default">Cancel</a>
          </div>
        </form>
      </div>
    </div>
  </div>
</section>
{{-- <script src="https://maps.googleapis.com/maps/api/js?key=AIzaSyCjtdxXehCp88pH_w-aQ84QFn-LfRX-3Pg&amp;libraries=places"></script> --}}
<script src="https://maps.googleapis.com/maps/api/js?key=AIzaSyCthc-S3bNXYCC2J6mun-z1qQ2maA_yV-E&amp;libraries=places"></script>

<script type="text/javascript">
  $(document).ready(function() {
    $('#datepicker1').datepicker({
      endDate: '0',
      format: "yyyy-mm-dd",
      autoclose: true

    })
  });
  $(document).ready(function() {
    $('#dedicated_number_expiry_date').datepicker({
      format: "yyyy-mm-dd",
      autoclose: true
    })
  });
  var iffRecursion = false;
  window.Parsley.addValidator('iff', {
    validateString: function(value, requirement, instance) {
      var $partner = $(requirement);
      var isValid = $partner.val() == value;
      if (iffRecursion) {
        iffRecursion = false;
      } else {
        iffRecursion = true;
        $partner.parsley().validate();
      }
      return isValid;
    }
  });
  /*auto google address*/
  var input = document.getElementById('address');
  var options = {
    types: ['geocode']
    //    componentRestrictions: { country: 'uk' } //Turkey only
  };
  var autocomplete = new google.maps.places.Autocomplete(input);
  google.maps.event.addListener(autocomplete, 'place_changed', function() {
    var place = autocomplete.getPlace();
    $("#latitude").val(place.geometry.location.lat());
    $("#longitude").val(place.geometry.location.lng());

  });

  /*end google address*/
  $('#chooseFile').change(function() {
    var i = $(this).prev('div').clone();
    var file = $('#chooseFile')[0].files[0].name;
    $(this).prev('div').text(file);
  });
</script>
<script type="text/javascript">
  window.Parsley.addValidator('phonenumber', {
    validateString: function(number) {
      var p = /^[+]*[(]{0,1}[0-9]{1,4}[)]{0,1}[-\s\./0-9]*$/;
      if (number.match(p)) {
        return true;
      }
      return false;

    },
    messages: {
      en: '