@extends('layouts.main')

@section('content')

    <section class="py-4 py-md-3 banner-c single-speciality-page">
        <div class="container">
            <div class="row align-items-center">
                <div class="col-md-12">
                    <h1 class="text-white f-sm-30 f-30 fw-500 mb-0 text-capitalize">
                        Get Second Opinion
                    </h1>
                </div>
            </div>
        </div>
    </section>

    <section class="second-opinion-sec pb-md-5 pb-4 mt-4">
        <div class="container">
            <div class="left_Sec_content">
                <h2>Get Second Opinion</h2>
                <p>
                    The second opinion at Sarvodaya Hospital is comprehensive and embraces every possible perspective when performed by a multidisciplinary team of experts consisting of surgeons, therapists, internists, and sub-specialists. Seeking a second opinion from the Sarvodaya team can be an important step in ensuring that patients receive the right diagnosis and treatment plan, and can improve the quality of care and treatment outcomes.
                </p>
            </div>
            <div class="row">
                <div class="col-md-6">
                    <div class="second-opinion-left-box">
                        <div class="d-md-flex">
                            <img src="{{ asset('img/second-opinion-left-img.svg') }}" alt="missing image" />
                            <div class="s-opinion--content">
                                <h4 class="text-white f-18 text-white">Here’s why you must take a second opinion from the Sarvodaya medical team</h4>
                                <ul>
                                    <li>Can help confirm the diagnosis and ensure that the correct treatment plan is chosen</li>
                                    <li>Helps verify the treatment plan for complex medical cases or cases where there are multiple treatment options.</li>
                                    <li>Provides peace of mind when making important treatment decisions.</li>
                                    <li>May help explore other options that may be less invasive or risky.</li>
                                    <li>Helps to get expert suggestions from other specialized doctors in the field.</li>
                                </ul>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="col-md-6 mt-md-0 mt-4" id="second-opinion-section">
                    <form method="POST" id="secondOpinionForm" enctype="multipart/form-data">
                        @csrf
                        {!! RecaptchaV3::field('secondOpinion') !!}
                        <div class="row">
                            <div class="col-sm-6 mb-3">
                                <div class="form-group">
                                    <input type="text" class="form-control inputBox" name="name" placeholder="Name" onkeydown="return /[a-z, ]/i.test(event.key)"
                                    onblur="if (this.value == '') {this.value = '';}"
                                    onfocus="if (this.value == '') {this.value='';}">
                                </div>
                            </div>
                            <div class="col-sm-6 mb-3">
                                <div class="form-group">
                                    <input type="tel" class="form-control inputBox" name="phone" placeholder="Mobile" minlength="5"
                                    maxlength="10"
                                    pattern="[0-9]{10}">
                                </div>
                            </div>
                            <div class="col-sm-6 mb-3">
                                <div class="form-group">
                                    <input type="email" class="form-control" name="email" placeholder="Email ID">
                                </div>
                            </div>
                            <div class="col-sm-6 mb-3">
                                <div class="form-group">
                                    <input type="file" class="form-control" name="file_attachment" id="secondOpinionFileAttachment">
                                </div>
                            </div>
                            <div class="col-sm-6 mb-3">
                                <div class="form-group">
                                    <select class="form-control inputBox" name="speciality">
                                        <option value="">Choose Speciality</option>
                                        @foreach ($specialities as $speciality)
                                            <option value="{{ $speciality->SpecialityName }}">{{ $speciality->SpecialityName }}</option>
                                        @endforeach
                                    </select>
                                </div>
                            </div>
                            <div class="col-sm-6 mb-3">
                                <div class="form-group">
                                    <select class="form-control inputBox" name="hospital">
                                        <option value="">Choose Hospital</option>
                                        @foreach ($hospitals as $hospital)
                                            <option value="{{ $hospital->id }}">{{ $hospital->HospitalName }}</option>
                                        @endforeach
                                    </select>
                                </div>
                            </div>
                            <div class="col-sm-12 mb-3">
                                <div class="form-group">
                                    <textarea placeholder="Message" class="form-control" name="remark"></textarea>
                                </div>
                            </div>
                            <div class="col-sm-12 mb-3">
                                <div class="form-check ">
                                    <input class="form-check-input inputBox" type="checkbox" id="tc" name="tc" checked>
                                    <label class="form-check-label f-13 text-black" for="tc">I agree to the <a href="{{ url('terms-and-conditions') }}" class="no-underline clrBlueDark">terms and conditions</a></label>
                                </div>
                            </div>
                            <div class="col-sm-12 mb-3">
                                <div class="form-group">
                                    <button type="submit" class="btn text-white f-18 f-sm-18 fw-500 bgBlueDark rounded-3 secondOpinionBtn">
                                        Submit
                                    </button>
                                </div>
                            </div>
                        </div>
                    </form>
                </div>
                <div class="col-md-6 mt-md-0 mt-4">
                    <div class="on-success bgBlueDark text-center text-white" style="display: none">
                        <div class="border rounded-3 px-4 py-3 mt-3">
                            <p>Your request has been submitted, our team will contact you soon.</p>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </section>
@stop