<?php $page = 'patient-signup'; ?>

<?php $__env->startSection('content'); ?>
   
<!-- Page Content -->
<div class="login-content-info">
    <div class="container">

        <!-- Patient Signup -->
        <div class="row justify-content-center">
            <div class="col-lg-5 col-md-6">
                <div class="account-content">
                    <div class="account-info">
                        <div class="login-title">
                            <h3>Patient Signup</h3>
                            <p class="mb-0">Enter your credentials & create your account</p>
                        </div>
                        <form action="<?php echo e(url('signup-success')); ?>">
                            <div class="mb-3">
                                <label class="form-label">Phone</label>
                                <input class="form-control form-control-lg group_formcontrol form-control-phone" id="phone" name="phone" type="text">
                            </div>
                            <div class="mb-3">
                                <label class="form-label">First Name</label>
                                <input type="text" class="form-control">
                            </div>
                            <div class="mb-3">
                                <label class="form-label">Last Name</label>
                                <input type="text" class="form-control">
                            </div>
                            <div class="mb-3 form-check-box terms-check-box">
                                <div class="form-group-flex">
                                    <div class="form-check mb-0">
                                        <input class="form-check-input" type="checkbox" id="remember" checked>
                                        <label class="form-check-label" for="remember">
                                            I have read and agree to Doccure’s <a href="<?php echo e(url('terms-condition')); ?>">Terms of Service</a> and <a href="<?php echo e(url('privacy-policy')); ?>">Privacy Policy.</a> 
                                        </label>
                                    </div>		
                                </div>
                            </div>
                            <div class="mb-3">
                                <button class="btn btn-primary-gradient btn-xl w-100" type="submit">Register Now</button>
                            </div>
                            <div class="mb-3">
                                <button class="btn btn-light btn-xl w-100" type="submit">Create an Account</button>
                            </div>										
                            <div class="login-or">
                                <span class="or-line"></span>
                                <span class="span-or">or</span>
                            </div>
                            <div class="social-login-btn">
                                <a href="javascript:void(0);" class="btn w-100">
                                    <img src="<?php echo e(URL::asset('assets/img/icons/google-icon.svg')); ?>" alt="google-icon">Sign in With Google
                                </a>
                                <a href="javascript:void(0);" class="btn w-100">
                                    <img src="<?php echo e(URL::asset('assets/img/icons/facebook-icon.svg')); ?>" alt="fb-icon">Sign in With Facebook
                                </a>
                            </div>
                            <div class="account-signup">
                                <p>Already have account? <a href="<?php echo e(url('login-email')); ?>">Sign In</a></p>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
        <!-- /Patient Signup -->

    </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-signup.blade.php ENDPATH**/ ?>