<?php $page = 'patient-register-step5'; ?>

<?php $__env->startSection('content'); ?>
    <!-- Page Content -->
    <div class="content login-page pt-0">
        <div class="container-fluid">
            
            <!-- Register Content -->
            <div class="account-content">
                <div class="d-flex align-items-center">
                    <div class="login-right">
                        <div class="inner-right-login">
                            <div class="login-header">
                                <div class="logo-icon">
                                    <img src="<?php echo e(URL::asset('assets/img/logo.png')); ?>" alt="doccure-logo">
                                </div>
                                <div class="step-list">
                                    <ul>
                                        <li><a href="javascript:;" class="active-done">1</a></li>
                                        <li><a href="javascript:;" class="active-done">2</a></li>
                                        <li><a href="javascript:;" class="active-done">3</a></li>
                                        <li><a href="javascript:;" class="active-done">4</a></li>
                                        <li><a href="javascript:;" class="active">5</a></li>
                                    </ul>
                                </div>
                                <form method="post">
                                    <h3 class="my-4">Your Location</h3>
                                    <div class="mb-3">
                                        <label class="mb-2">Select City</label>
                                        <select class="form-select form-control select" id="heart_rate" name="heart_rate" tabindex="-1" aria-hidden="true">
                                            <option value="">Select Your City</option>
                                            <option value="1">City 1</option>
                                            <option value="2">City 2</option>
                                        </select>
                                    </div>
                                    <div class="mb-3">
                                        <label class="mb-2">Select State</label>
                                        <select class="form-select form-control select" id="bp" name="bp" tabindex="-1" aria-hidden="true">
                                            <option value="">Select Your State</option>
                                            <option value="1">State 1</option>
                                            <option value="2">State 2</option>
                                        </select>
                                    </div>
                                    
                                    <div class="mt-5">
                                        <a href="<?php echo e(url('patient-dashboard')); ?>" class="btn btn-primary w-100 btn-lg login-btn step5_submit">Continue </a>
                                    </div>
                                </form>
                            </div>
                        </div>
                        <div class="login-bottom-copyright">
                            <span>© <script>document.write(new Date().getFullYear())</script> Doccure. All rights reserved.</span>
                        </div>
                    </div>
                </div>
            </div>
            <!-- /Register Content -->

        </div>

    </div>
    <!-- /Page Content -->
<?php $__env->stopSection(); ?>

<?php echo $__env->make('layout.mainlayout', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH C:\xampp\htdocs\doccure\laravel\template\resources\views/patient-register-step5.blade.php ENDPATH**/ ?>