@extends('layouts.auth')

@section('content')
    <div class="card shadow-sm">
        <div class="card-body p-4">
            <h2 class="h5 mb-3">{{ __('ui.auth.register') }} ({{ __('ui.nav.patient') }})</h2>

            <form method="POST" action="{{ route('register.submit') }}">
                @csrf
                <div class="mb-3">
                    <label class="form-label">{{ __('ui.auth.name') }}</label>
                    <input name="name" class="form-control" value="{{ old('name') }}" required>
                </div>
                <div class="mb-3">
                    <label class="form-label">{{ __('ui.auth.email') }}</label>
                    <input name="email" type="email" class="form-control" value="{{ old('email') }}" required>
                </div>
                <div class="mb-3">
                    <label class="form-label">{{ __('ui.auth.phone') }}</label>
                    <input name="phone" class="form-control" value="{{ old('phone') }}">
                </div>
                <div class="mb-3">
                    <label class="form-label">{{ __('ui.auth.password') }}</label>
                    <input name="password" type="password" class="form-control" required>
                </div>
                <div class="mb-3">
                    <label class="form-label">{{ __('ui.auth.password_confirm') }}</label>
                    <input name="password_confirmation" type="password" class="form-control" required>
                </div>

                <button class="btn btn-primary w-100" type="submit">{{ __('ui.auth.create_account') }}</button>
            </form>

            <div class="text-center mt-3">
                <a href="{{ route('login') }}">{{ __('ui.auth.back_to_login') }}</a>
            </div>
        </div>
    </div>
@endsection