<?php $page = 'payment'; ?>

<?php $__env->startSection('content'); ?>
    <!-- Page Content -->
    <div class="doctor-content">
        <div class="container">
            <!-- Payment -->
            <div class="row">
                <div class="col-md-12">
                    <div class="back-link">
                        <a href="<?php echo e(url('consultation')); ?>"><i class="fa-solid fa-arrow-left-long"></i> Back</a>
                    </div>
                </div>
            </div>
            <div class="row">
                <div class="col-lg-8 col-md-12">
                    <div class="paitent-header">
                        <h4 class="paitent-title">Payment</h4>
                    </div>
                    <div class="booking-header">
                        <h4 class="booking-title">Payments Methods</h4>
                    </div>
                    <div class="payments-form">
                        <form action="<?php echo e(url('booking-success-one')); ?>">
                            <div class="payment-mb-3">
                                <div class="mb-3">
                                    <label class="custom_radio">
                                        <input type="radio" name="payment" checked="">
                                        <span class="checkmark"></span> Debit or Credit Card
                                    </label>
                                </div>
                                <div class="mb-3 card-label">
                                    <label class="mb-2">Name on Card</label>
                                    <input type="text" class="form-control" placeholder="John Smith">
                                </div>
                                <div class="mb-3 card-label">
                                    <label class="mb-2">Card Number</label>
                                    <input type="text" class="form-control" placeholder="xxxx-xxxx-xxxx-xxxx">
                                </div>
                                <div class="row">
                                    <div class="col-md-4">
                                        <div class="mb-3 card-label">
                                            <label class="mb-2">Expiry Month</label>
                                            <input type="text" class="form-control" placeholder="MM">
                                        </div>
                                    </div>
                                    <div class="col-md-4">
                                        <div class="mb-3 card-label">
                                            <label class="mb-2">Expiry Year</label>
                                            <input type="text" class="form-control" placeholder="YYYY">
                                        </div>
                                    </div>
                                    <div class="col-md-4">
                                        <div class="mb-3 card-label">
                                            <label class="mb-2">CVV</label>
                                            <input type="text" class="form-control" placeholder="****">
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="payment-mb-3">
                                <div class="mb-3">
                                    <label class="custom_radio">
                                        <input type="radio" name="payment">
                                        <span class="checkmark"></span> Paypal
                                    </label>
                                </div>
                                <div class="mb-3">
                                    <label class="custom_radio">
                                        <input type="radio" name="payment">
                                        <span class="checkmark"></span> Cash on Visit
                                    </label>
                                </div>
                                <div class="mb-3">
                                    <label class="custom_radio">
                                        <input type="radio" name="payment">
                                        <span class="checkmark"></span> Bank Transfer
                                    </label>
                                </div>
                                <div class="mb-3">
                                    <label class="custom_radio">
                                        <input type="radio" name="payment">
                                        <span class="checkmark"></span> UPI
                                    </label>
                                </div>
                            </div>
                            <div class="mb-3 mb-0">
                                <div class="booking-btn">
                                    <button type="submit"
                                        class="btn btn-primary prime-btn justify-content-center align-items-center">
                                        Next <i class="feather-arrow-right-circle"></i>
                                    </button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
                <div class="col-lg-4 col-md-12">
                    <div class="booking-header">
                        <h4 class="booking-title">Booking Summary</h4>
                    </div>
                    <div class="card booking-card">
                        <div class="card-body booking-card-body">
                            <div class="booking-doctor-details">
                                <div class="booking-doctor-left">
                                    <div class="booking-doctor-img">
                                        <a href="<?php echo e(url('doctor-profile')); ?>">
                                            <img src="<?php echo e(URL::asset('/assets/img/doctors/doctor-02.jpg')); ?>" alt="John Doe">
                                        </a>
                                    </div>
                                    <div class="booking-doctor-info">
                                        <h4><a href="<?php echo e(url('doctor-profile')); ?>">Dr. John Doe</a></h4>
                                        <p>MBBS, Dentist</p>
                                    </div>
                                </div>
                                <div class="booking-doctor-right">
                                    <p>
                                        <i class="fas fa-circle-check"></i>
                                        <a href="<?php echo e(url('doctor-profile-settings')); ?>">Edit</a>
                                    </p>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="card booking-card">
                        <div class="card-body booking-card-body booking-list-body">
                            <div class="booking-list">
                                <div class="booking-date-list">
                                    <ul>
                                        <li>Booking Date: <span>Sun, 30 Aug 2023</span></li>
                                        <li>Booking Time: <span>10.00AM to 11:00AM</span></li>
                                    </ul>
                                </div>
                                <div class="booking-doctor-right">
                                    <p>
                                        <a href="<?php echo e(url('booking')); ?>">Edit</a>
                                    </p>
                                </div>
                            </div>
                            <div class="booking-list">
                                <div class="booking-date-list">
                                    <ul>
                                        <li>Consultation Type: <span><i class="feather-video"></i> Video Consulting</span>
                                        </li>
                                    </ul>
                                </div>
                                <div class="booking-doctor-right">
                                    <p>
                                        <a href="<?php echo e(url('consultation')); ?>">Edit</a>
                                    </p>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="card booking-card">
                        <div class="card-body booking-card-body booking-list-body">
                            <div class="booking-list">
                                <div class="booking-date-list consultation-date-list">
                                    <ul>
                                        <li>Consultation Fee: <span>$150.00</span></li>
                                        <li>Booking Fee: <span>$8.00</span></li>
                                        <li>Tax: <span>$5.00</span></li>
                                        <li><span class="total-amount"></span>Total <span>$163.00</span></li>
                                    </ul>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="booking-btn proceed-btn">
                        <a href="<?php echo e(url('booking-success-one')); ?>" class="btn btn-primary prime-btn">
                            Proceed to Pay $163.00
                        </a>
                    </div>
                </div>
            </div>
            <!-- /Payment -->

        </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/payment.blade.php ENDPATH**/ ?>