@extends('Admin.layout') @section('content')
Create Customer
Create Customer
@csrf
Personal Details
@error('name')
{{ $message }}
@enderror
@error('phone_number')
{{ $message }}
@enderror
@error('email')
{{ $message }}
@enderror
Upload Image

Choose a file

Max 1MB • 770x770px

@error('store_image') {{ $message }} @enderror
@error('id_number')
{{ $message }}
@enderror
@error('password')
{{ $message }}
@enderror
@error('dob')
{{ $message }}
@enderror
@error('date_of_joining')
{{ $message }}
@enderror
@error('age')
{{ $message }}
@enderror
@error('address')
{{ $message }}
@enderror
Referral Details
Health Details
@error('height')
{{ $message }}
@enderror
@error('weight')
{{ $message }}
@enderror
@error('bmi')
{{ $message }}
@enderror
@error('vf')
{{ $message }}
@enderror
@error('bmr')
{{ $message }}
@enderror
@error('body_age')
{{ $message }}
@enderror
Eating Habits
@error('wake_up')
{{ $message }}
@enderror
@error('tea_type')
{{ $message }}
@enderror
@error('tiffen')
{{ $message }}
@enderror
@error('lunch')
{{ $message }}
@enderror
@error('evening_snacks')
{{ $message }}
@enderror
@error('dinner')
{{ $message }}
@enderror
@error('food_type')
{{ $message }}
@enderror
@error('water_intake')
{{ $message }}
@enderror
Health Conditions
@error('blood_pressure')
{{ $message }}
@enderror
@error('sugar')
{{ $message }}
@enderror
@foreach(['headache', 'giddiness', 'cardiac', 'gastritis', 'tiredness', 'acidity', 'indigestion', 'constipation', 'pain', 'breathing_problem'] as $cond)
@error($cond)
{{ $message }}
@enderror
@endforeach
@error('sleeping_disorder')
{{ $message }}
@enderror
@endsection