first commit

resources/views/improved_health_check.blade.php

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+@extends('layouts.app')
+
+@section('content')
+
+<div class="container">
+    <div class="row justify-content-center">
+        <div class="col-md-8 main-area">
+            <h1 style="text-align: center;">
+                健康達標GO 大獎汽車不是夢
+            </h1>
+        </div>
+    </div>
+    <div style="height:20px;">&nbsp;</div>
+
+    <div class="row justify-content-center">
+        <div class="col-md-8 main-area">
+            <h2 style="text-align: center;">查詢審核狀態</h2>
+            <p>&nbsp;</p>
+            <form id="dataForm" method="POST" action="/improved_health_check" enctype="multipart/form-data" style="font-size: 1.4em; ">
+                @csrf
+                @if ($errors->any())
+                    <div class="text-left mt-3 alert alert-block alert-dismissible alert-danger">
+                        <!--<span type="button" class="close" data-bs-dismiss="alert">×</span>-->
+                        <ul>
+                            @foreach ($errors->all() as $error)
+                            @if ($error)
+                                <li>{{ $error }}</li>
+                            @endif
+                            @endforeach
+                        </ul>
+                    </div>
+                @endif
+                @if ($message = Session::get('success'))
+                    <div class="text-left mt-3 alert alert-block alert-dismissible alert-success ">
+                        <!--<span type="button" class="close" data-bs-dismiss="alert">×</span>-->
+                        <strong>{{ $message }}</strong>
+                    </div>
+                @endif
+                <div class="card">
+                    <div class="card-body">
+                        <div class="mb-3">
+                            <label for="regIdNumber" class="form-label">身份證字號後4碼</label>
+                            <input type="text" class="form-control" id="regTwid" name="twid" required value="{{ old('twid') }}" placeholder="範例：6789">
+                        </div>
+                        
+                        <div class="mb-3">
+                            <label for="regPhone" class="form-label">行動電話後4碼</label>
+                            <input type="text" class="form-control" id="regPhone" name="phone" required value="{{ old('phone') }}" placeholder="範例：1111">
+                        </div>
+
+                        <div class="mb-3">
+                            &nbsp;
+                        </div>
+                        
+                        <button type="submit" class="btn btn-primary">送出查詢</button>
+                    </div>
+                </div>
+            </form>
+        </div>
+    </div>
+    
+</div>
+
+
+@endsection