@extends('layout/main')
@section('title','Poliklinik')

@section('Sidebar')
    @include('layout/sidebar')
@endsection
@section('Topbar')
    @include('layout/topbar')
@endsection

@section('Content')
<div class="container-fluid">

    <!-- Page Heading -->
    <div class="d-sm-flex align-items-center justify-content-between mb-4">
        <h1 class="h3 mb-0 text-gray-800"></h1>
    </div>
    <!-- Content Row -->

    <div class="row">

        <!-- Pie Chart -->
        <div class="col-xl-9 col-lg-10 mx-auto">
            <div class="card shadow-lg mb-3">
                <div class="row no-gutters">
                  <div class="col-lg-4">
                    <div class="js--image-preview"></div>
                    <div class="input-group mb-3">
                        <div class="custom-file">
                          <input type="file" class="custom-file-input btn btn-primary" id="inputGroupFile01" aria-describedby="inputGroupFileAddon01">
                        </div>
                    </div>
                    {{-- <img src="{{ asset('img/undraw_profile_pic_ic5t.svg') }}" class="card-img"> --}}
                  </div>
                  <div class="col-lg-8">
                    <div class="card-body">
                      <h5 class="card-title h3 text-gray-800">Edit Profile</h5>
                      <form>
                        <div class="form-group">
                          <label for="exampleInputEmail1">Nama Dokter</label>
                          <input type="text" class="form-control" id="exampleInputEmail1">
                        </div>
                        <div class="form-group">
                          <label for="exampleInputPassword1">Jenis Kelamin</label>
                          <input type="text" class="form-control" id="exampleInputPassword1">
                        </div>
                        <div class="form-group">
                            <label for="exampleInputPassword1">Tanggal Lahir</label>
                            <input type="text" class="form-control" id="exampleInputPassword1">
                        </div>
                        <div class="form-group">
                            <label for="exampleInputPassword1">Alamat</label>
                            <input type="text" class="form-control" id="exampleInputPassword1">
                        </div>
                        <div class="form-row">
                            <div class="form-group col-md-6">
                              <label for="inputCity">Kota</label>
                              <input type="text" class="form-control" id="inputCity">
                            </div>
                            <div class="form-group col-md-4">
                                <label for="inputCity">Provinsi</label>
                                <input type="text" class="form-control" id="inputCity">
                            </div>
                            <div class="form-group col-md-2">
                              <label for="inputZip">Kode Pos</label>
                              <input type="text" class="form-control" id="inputZip">
                            </div>
                        </div>
                        <button type="submit" class="btn btn-primary">Simpan Perubahan</button>
                      </form>
                    </div>
                  </div>
                </div>
            </div>
        </div>
    </div>

</div>
@endsection