@extends('layouts.admin')
@section('content')
<p class="pulso-label">Patients</p><h1 class="text-2xl font-display">Add patient</h1>
<form method="POST" action="{{ route('admin.patients.store') }}" class="mt-6 bg-white border border-stone-200 p-6 grid md:grid-cols-2 gap-4 max-w-3xl">@csrf
<input name="first_name" placeholder="First name" required class="border border-stone-200 px-3 py-3 text-sm">
<input name="last_name" placeholder="Last name" required class="border border-stone-200 px-3 py-3 text-sm">
<input name="email" type="email" placeholder="Email" required class="border border-stone-200 px-3 py-3 text-sm md:col-span-2">
<input name="phone" placeholder="Phone +1 (212)" class="border border-stone-200 px-3 py-3 text-sm">
<input name="date_of_birth" type="date" class="border border-stone-200 px-3 py-3 text-sm">
<button class="md:col-span-2 bg-ink-900 text-white py-3 text-[11px] tracking-[0.14em] uppercase">Create patient</button>
</form>
@endsection