<%@ taglib uri="http://java.sun.com/jsp/jstl/core" prefix="c"%>
<%@ taglib prefix="fmt" uri="http://java.sun.com/jsp/jstl/fmt" %>
<%@ taglib prefix="form" uri="http://www.springframework.org/tags/form"%>
<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<jsp:include page="${data._INCLUDE}/header.jsp"></jsp:include>
</head>
<body>
    <div class="wrapper">
        <jsp:include page="${data._INCLUDE}/sidebar.jsp"></jsp:include>
        
        <div class="main">
            <jsp:include page="${data._INCLUDE}/top.jsp"></jsp:include>

            <main class="content">
                <div class="container-fluid p-0">
                    <!-- 환자관리 : 신규환자 등록 START -->
                    <div class="row">
                        <div class="col-12 col-lg-6">
                            <h1 class="h3 mb-3">내정보 변경</h1>
                        </div>
                        <div class="col-12 col-lg-6  text-right">
                            <nav aria-label="breadcrumb">
                                <ol class="breadcrumb">
                                    <li class="breadcrumb-item"><a href="javscript:;">Home</a></li>
                                    <li class="breadcrumb-item active">의료진 관리</li>
                                    <li class="breadcrumb-item active">내정보 변경</li>
                                </ol>
                            </nav>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-12">
                            <div class="card">
                                <div class="card-body">
                                    <table class="table mobile-table">
                                        <colgroup>
                                            <col style="width:15%">
                                            <col style="width:35%">
                                            <col style="width:15%">
                                            <col style="width:35%">
                                        </colgroup>
                                        <tr>
                                            <th>아이디</th>
                                            <td>
                                                ghdrlfehd
                                            </td>
                                            <th>이름</th>
                                            <td>
                                                홍길동
                                            </td>
                                        </tr>
                                        <tr>
                                            <th>현재 비밀번호</th>
                                            <td colspan="3">
                                                <input type="text" class="form-control">
                                            </td>
                                        </tr>
                                        <tr>
                                            <th>신규 비밀번호</th>
                                            <td colspan="3">
                                                <input type="text" class="form-control">
                                                <span class="font-13 text-muted">특수문자, 영문, 숫자 조합으로 8자 이상 12자 이내로 작성</span>
                                            </td>
                                        </tr>
                                        <tr>
                                            <th>비밀번호 확인</th>
                                            <td colspan="3">
                                                <input type="text" class="form-control">
                                            </td>
                                        </tr>
                                        <tr>
                                            <th>휴대폰번호</th>
                                            <td>
                                                <input type="text" class="form-control" placeholder="010-1234-1234">
                                            </td>
                                            <th>치료센터</th>
                                            <td>
                                                레몬종합병원
                                            </td>
                                        </tr>
                                    </table>
                                    <div class="row mt-3">
                                        <div class="col-12">
                                            <div class="text-right">
                                                <button class="btn btn-outline-primary w100">취소</button>
                                                <button class="btn btn-primary w100">등록</button>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <!-- 환자관리 : 신규환자 등록 END -->
                </div>
            </main>

            <jsp:include page="${data._INCLUDE}/footer.jsp"></jsp:include>
        </div>
    </div>
</body>
</html>