@extends('base.base')
@section('base')
<!--demo4输入框选择框-->
    <div class="col-md-6 grid-margin stretch-card">
        <div class="card">
          <div class="card-body">
            <h4 class="card-title"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">{{ __('auto.创建核销账号') }}</font></font></h4>
            <p class="card-description"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">
              {{ __('auto.创建核销账号') }}
            </font></font></p>
            <form class="forms-sample">
              <div class="form-group row">
                <label for="exampleInputUsername2" class="col-sm-3 col-form-label"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">{{ __('auto.昵称') }}</font></font></label>
                <div class="col-sm-9">
                  <input type="text" class="form-control" id="exampleInputUsername2" placeholder="Username" name="name">
                </div>
              </div>
              <div class="form-group row">
                <label for="exampleInputEmail2" class="col-sm-3 col-form-label"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">{{ __('auto.登录账号') }}</font></font></label>
                <div class="col-sm-9">
                  <input type="text" name="wx_account" class="form-control" id="exampleInputEmail2" placeholder="{{ __('auto.登录账号') }}">
                </div>
              </div>
              <div class="form-group row">
                <label for="exampleInputPassword2" class="col-sm-3 col-form-label"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">{{ __('auto.密码') }}</font></font></label>
                <div class="col-sm-9">
                  <input type="password" name="password" class="form-control" id="exampleInputPassword2" placeholder="Password">
                </div>
              </div>
              <div class="form-group row">
                <label for="exampleInputConfirmPassword2" class="col-sm-3 col-form-label"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">{{ __('auto.重新输入密码') }}</font></font></label>
                <div class="col-sm-9">
                  <input type="password" name="repwd" class="form-control" id="exampleInputConfirmPassword2" placeholder="Password">
                </div>
              </div>
              <button type="submit" class="btn btn-gradient-primary mr-2"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">{{ __('auto.提交') }}</font></font></button>
              <button class="btn btn-light"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">{{ __('auto.取消') }}</font></font></button>
            </form>
          </div>
        </div>
    </div>
  <!--end-->

<script type="text/javascript">
	if({{$status}} ==1)
  		layer.msg('{{$msg}}');
</script>
@endsection