@extends('layouts.app')

@section('content')
<form action="{{ route('settings.disability-types.store') }}" class="col col-lg-9 pd-30" id="form_request_ajax" method="POST">
    @csrf
    <!-- Page Title -->
    <div class="page-title divider-b pdb-10 flexbox align-between align-center-y mb-20">
        <h1 class="reset-block primary-color lineheight-130 fs-20">اصافة اعاقة جديدة</h1>
        <button class="btn small primary">حفظ </button>
    </div>
    <!-- // Page Title -->

    <!-- Grid -->
    <div class="row">
        <!-- Column -->
        <div class="col-6">
            <!-- Controls Widget -->
            <div class="widget-block mb-30  white-bg radius-g pdb-5 form-ui gray-form">
                <!-- Title -->
                <h3 class="far fa-angle-up widget-title fs-15 pdx-20 pdy-10 medium-weight mb-20">بيانات اساسية</h3>
                <!-- Content -->
                <div class="widget-content pdx-20">
                        <div class="col pds-15 col-12">

                            <input  type="text" class="input_validation" name="name" id="name" placeholder="الاسم" value="">
                            <span style="color:red ;  font-size:12px" class="msg msg_name"></span>

                        </div>


                        </div>
                </div>
                <!-- // Content -->
            </div>
            <!-- // Controls Widget -->
        </div>

    </div>
    <!-- // Grid -->
</form>
@endsection