@extends('adminlte::page')

@section('title', __('clinic-staff.confirm.title'))

@section('content_header')
    <h5><label class="title-underbar">{!! __('clinic-staff.confirm.title') !!}</label></h5>
@stop
@section('content')
    <div class="card" style="border-radius: 50px;">
        <div class="card-body" style="margin: 20px 50px;">
            <form method="POST" action="{{ route('clinic.clinic-staff.store') }}">
                @csrf

                {!! __('clinic-staff.confirm.p_confirm') !!}<br>
                <br>
                <br>
                <!-- 権限 -->
                <div class="row" style="margin-bottom: 20px;">
                    <div class="col-md-3">
                        <b>{!! __('clinic-staff.confirm.b_role') !!}</b><sup style="color: red;">★</sup>
                    </div>
                    <div class="col-md-9">
                        {{ __("clinic.common.role." . $roleList[\Arr::get($clinic, 'role_id')]) }}
                        <input type="hidden" name="role_id" value="{{ \Arr::get($clinic, 'role_id') }}">
                    </div>
                </div>

                <!-- 経営者名 -->
                <div class="row" style="margin-bottom: 20px;">
                    <div class="col-md-3">
                        <b>{!! __('clinic-staff.confirm.b_name') !!}</b><sup style="color: red;">★</sup>
                    </div>
                    <div class="col-md-9">
                        {{ \Arr::get($clinic, 'name') }}
                        <input type="hidden" id="name" name="name" value="{{ \Arr::get($clinic, 'name') }}">
                    </div>
                </div>

                <!-- メールドレス -->
                <div class="row" style="margin-bottom: 20px;">
                    <div class="col-md-3">
                        <b>{!! __('clinic-staff.confirm.b_email') !!}</b><sup style="color: red;">★</sup>
                    </div>
                    <div class="col-md-9">
                        {{ \Arr::get($clinic, 'email') }}
                        <input type="hidden" name="email" value="{{ \Arr::get($clinic, 'email') }}">
                    </div>
                </div>

                <!-- パスワード -->
                <div class="row" style="margin-bottom: 20px;">
                    <div class="col-md-3">
                        <b>{!! __('clinic-staff.confirm.b_password') !!}</b><sup style="color: red;">★</sup>
                    </div>
                    <div class="col-md-9">
                        ********
                        <input type="hidden" name="password" value="{{ \Arr::get($clinic, 'password') }}">
                    </div>
                </div>

                <br>
                <br>
                <div class="col-md-12 text-center">
                    <div class="row">
                        <div class="col-md-6">
                            <a href="#" onclick="window.history.back();" class="w-100 btn btn-block button-back btn-lg rounded-pill">
                                {!! __('clinic-staff.confirm.button_back') !!}
                            </a>
                        </div>
                        <div class="col-md-6">
                            <button type="submit" class="w-100 btn btn-block button-go btn-lg rounded-pill">
                                {!! __('clinic-staff.confirm.button_submit') !!}
                            </button>
                        </div>
                    </div>
                </div>
            </form>
        </div>
    </div>
@stop

@section('css')
    <link rel="stylesheet" href="/css/admin_custom.css">
    <link href="/css/progressbar.css" rel="stylesheet">
@stop