@extends('layouts.app')

@section('content')
<div class="row">
    <div class="col-12" >
        <div class="card">
            <div class="card-header">
                <h3 class="card-title">Register a County</h3>
            </div>
            <div class="card-body" style="min-height: 500px;">
                <div class="row">
                    <div class="col-md-12 col-lg-12">
                       <form class="card">
                            <div class="card-body">
                              <div class="row">
                                    <div class="col-sm-6 col-md-6">
                                      <div class="form-group">
                                        <label class="form-label">Region</label>
                                        <input type="text" class="form-control" placeholder="Company" value="Chet">
                                      </div>
                                    </div>
                                    <div class="col-sm-6 col-md-6">
                                      <div class="form-group">
                                        <label class="form-label">District</label>
                                        <input type="text" class="form-control" placeholder="Last Name" value="Faker">
                                      </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-sm-6 col-md-6">
                                      <div class="form-group">
                                        <label class="form-label">County ID</label>
                                        <input type="text" class="form-control" placeholder="Username" value="michael23">
                                      </div>
                                    </div>
                                    <div class="col-sm-6 col-md-6">
                                      <div class="form-group">
                                        <label class="form-label">County Name</label>
                                        <input class="form-control" placeholder="your-email@domain.com"/>
                                      </div>
                                    </div>
                                </div>
                              </div>
                            </div>
                            <div class="card-footer text-right pull pull-right">
                              <button type="submit" class="btn btn-primary">Update Profile</button>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
@endsection