{% extends 'base.html.twig' %}

{% block title %}ABHA Account Profile{% endblock %}

{% block content %}
  <div class="kt-subheader kt-grid__item"></div>

  <form action="{{ path('abhacard_status') }}" method="post" class="kt-form" id="frmFetchMode" autocomplete="off">
    <div class="kt-container kt-grid__item kt-grid__item--fluid">
      <div class="kt-portlet kt-portlet--mobile">
        <div class="kt-portlet__head kt-portlet__head--lg">
          <div class="kt-portlet__head-label">
            <h3 class="kt-portlet__head-title">ABHA Account Profile</h3>
          </div>

          <div class="kt-portlet__head-toolbar">
            <div class="kt-portlet__head-wrapper">
             
              
              
            </div>
          </div>
        </div>

        <div class="kt-portlet__body">
          {% include 'parts/flash.html.twig' %}
          <div class="form-group row">
           
            <div class="col-lg-12 col-xl-10">
              <input type="hidden" name="_csrf_token" value="{{ csrf_token('authenticate') }}" />
                <input type="hidden" name="txn_id" value="{{ txnId }}" />
            <input type="hidden" name="tokens" value="{{ tokens }}" />
            
            <input type="hidden" name="ABHANumber" value="{{ ABHANumber }}" />
            <input type="hidden" name="pincode" value="{{ pincode }}" />
            <input type="hidden" name="address" value="{{ address }}" />
            <input type="hidden" name="preferredAbhaAddress" value="{{ preferredAbhaAddress }}" />
            <input type="hidden" name="mobile" value="{{ mobile }}" />
            <input type="hidden" name="dob" value="{{ dob }}" />
            <input type="hidden" name="profilePhoto" value="{{ profilePhoto }}" />
            <input type="hidden" name="gender" value="{{ gender }}" />
            <input type="hidden" name="lastName" value="{{ lastName }}" />
            <input type="hidden" name="middleName" value="{{ middleName }}" />
            <input type="hidden" name="firstName" value="{{ firstName }}" />
           
            
            <span>
              Mobile number is now successfully linked to your Account.
            </span>

            <button type="submit" class="btn btn-primary btn-bold">VIEW ABHA PROFILE</button>

                </div>
          </div>
        
        </div>
      </div>
    </div>
  </form>
{% endblock %}