@extends('layouts.master')

@section('title')
    Alat Kesehatan
@endsection

@section('content')
    <div class="nk-block-head">
        <div class="nk-block-head-content">
            <div class="nk-block-between-md g-4">
                <div class="nk-block-head-content">
                    <h3 class="nk-block-title page-title">
                        Tambah Alat Kesehatan
                    </h3>
                </div>
                <div class="nk-block-head-content">
                    <a href="{{ route('pages.registration.medical', ['user_id' => Crypt::encryptString(Auth::user()->id)]) }}"
                        class="btn btn-primary btn-sm"><em class="icon ni ni-arrow-left"></em>
                        Kembali</a>
                </div>
            </div>
        </div>
    </div><!-- .nk-block-head -->

    <div class="nk-block">
        <div class="card card-bordered">
            <div class="card-inner card-inner-lg">
                <div class="nk-block">
                    <form
                        action="{{ route('services.registration.medical.update', ['slug' => Crypt::encryptString($model->id)]) }}"
                        enctype="multipart/form-data" method="POST">
                        @csrf
                        <div class="row gy-2">
                            <div class="col-sm-12">
                                <div class="form-group">
                                    <div class="form-control-wrap">
                                        <input name="license_number" type="text"
                                            class="form-control form-control-outlined" value="{{ $model->license_number }}">
                                        <label class="form-label-outlined" for="outlined">AKD <span
                                                class="text-danger">*</span></label>
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-12">
                                <div class="form-group">
                                    <div class="form-control-wrap">
                                        <input name="product_name" class="form-control form-control-outlined"
                                            value="{{ $model->product_name }}">
                                        <label class="form-label-outlined" for="outlined">Nama Alat <span
                                                class="text-danger">*</span></label>
                                    </div>
                                </div>
                            </div>
                            <div class="col-12">
                                <div class="form-group">
                                    <div class="form-control-wrap">
                                        <select name="tool_id" class="form-control form-control-outlined" data-search="on">
                                            <option value="">
                                                Pilih Kelompok Alat <span class="text-danger">*</span>
                                            </option>
                                            @foreach ($tools as $item)
                                                <option value="{{ $item->id }}"
                                                    {{ $model->tool_id == $item->id ? 'selected' : '' }}>
                                                    {{ $item->name }}</option>
                                            @endforeach
                                        </select>
                                        <label class="form-label-outlined" for="outlined">
                                            Kelompok Alat <span class="text-danger">*</span>
                                        </label>
                                    </div>
                                </div>
                            </div>
                            <div class="col-12">
                                <div class="row">
                                    <div class="col-6">
                                        <div class="form-group">
                                            <div class="form-control-wrap">
                                                <select name="category_id" class="form-control form-control-outlined">
                                                    <option value="">
                                                        Pilih Kategori Alat
                                                    </option>
                                                    @foreach ($categorys as $item)
                                                        <option value="{{ $item->id }}"
                                                            {{ $model->category_id == $item->id ? 'selected' : '' }}>
                                                            {{ $item->name }}</option>
                                                    @endforeach
                                                </select>
                                                <label class="form-label-outlined" for="outlined">
                                                    Kategori Alat <span class="text-danger">*</span>
                                                </label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-6">
                                        <div class="form-group">
                                            <div class="form-control-wrap">
                                                <select name="item_classification_id"
                                                    class="form-control form-control-outlined">
                                                    <option value="">
                                                        Pilih Klasifikasi Alat
                                                    </option>
                                                    @foreach ($item_classifications as $item)
                                                        <option value="{{ $item->id }}"
                                                            {{ $model->item_classification_id == $item->id ? 'selected' : '' }}>
                                                            {{ $item->name }}</option>
                                                    @endforeach
                                                </select>
                                                <label class="form-label-outlined" for="outlined">
                                                    Klasifikasi Alat <span class="text-danger">*</span>
                                                </label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-12">
                                <div class="form-group">
                                    <div class="form-control-wrap">
                                        <input name="type" type="text" class="form-control form-control-outlined"
                                            value="{{ $model->type }}">
                                        <label class="form-label-outlined" for="outlined">Tipe <span
                                                class="text-danger">*</span></label>
                                    </div>
                                </div>
                            </div>
                            <div class="col-12">
                                <div class="row">
                                    <div class="col-6">
                                        <div class="form-group">
                                            <div class="form-control-wrap">
                                                <select name="risk_class" class="form-control form-control-outlined">
                                                    <option value="">Pilih Kelas Resiko</option>
                                                    <option value="A"
                                                        {{ $model->risk_class == 'A' ? 'selected' : null }}>A</option>
                                                    <option value="B"
                                                        {{ $model->risk_class == 'B' ? 'selected' : null }}>B</option>
                                                    <option value="C"
                                                        {{ $model->risk_class == 'C' ? 'selected' : null }}>C</option>
                                                </select>
                                                <label class="form-label-outlined" for="outlined">
                                                    Kelas Resiko
                                                    <span class="text-danger">*</span>
                                                </label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-6">
                                        <div class="form-group">
                                            <div class="form-control-wrap">
                                                <select name="class" class="form-control form-control-outlined">
                                                    <option value="">Pilih Kelas</option>
                                                    <option value="1" {{ $model->class == '1' ? 'selected' : null }}>
                                                        1</option>
                                                    <option value="2" {{ $model->class == '2' ? 'selected' : null }}>
                                                        2</option>
                                                    <option value="3" {{ $model->class == '3' ? 'selected' : null }}>
                                                        3</option>
                                                </select>
                                                <label class="form-label-outlined" for="outlined">
                                                    Kelas
                                                    <span class="text-danger">*</span>
                                                </label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-12">
                                <div class="form-group">
                                    <div class="form-control-wrap">
                                        <input name="manufacturer" type="text"
                                            class="form-control form-control-outlined"
                                            value="{{ $model->manufacturer }}">
                                        <label class="form-label-outlined" for="outlined">Produsen <span
                                                class="text-danger">*</span></label>
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-12">
                                <div class="form-group">
                                    <div class="form-control-wrap">
                                        <input name="country" type="text" class="form-control form-control-outlined"
                                            value="{{ $model->country }}">
                                        <label class="form-label-outlined" for="outlined">Negara <span
                                                class="text-danger">*</span></label>
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-12">
                                <div class="form-group">
                                    <div class="form-control-wrap">
                                        <textarea name="address" class="form-control form-control-outlined" cols="10" rows="5">{{ $model->address }}</textarea>
                                        <label class="form-label-outlined" for="outlined">Alamat <span
                                                class="text-danger">*</span></label>
                                    </div>
                                </div>
                            </div>
                            <div class="col-12">
                                <div class="row">
                                    <div class="col-6">
                                        <div class="form-group">
                                            <div class="form-control-wrap">
                                                <input name="published_date" type="date"
                                                    class="form-control form-control-outlined"
                                                    value="{{ $model->published_date }}">
                                                <label class="form-label-outlined" for="outlined">Terbit <span
                                                        class="text-danger">*</span></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-6">
                                        <div class="form-group">
                                            <div class="form-control-wrap">
                                                <input name="expired_date" type="date"
                                                    class="form-control form-control-outlined"
                                                    value="{{ $model->expired_date }}">
                                                <label class="form-label-outlined" for="outlined">Expired <span
                                                        class="text-danger">*</span></label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="col-12">
                                <ul class="align-center justify-content-end flex-wrap flex-sm-nowrap gx-4 gy-2">
                                    <li>
                                        <button type="submit" class="btn btn-primary">Update</button>
                                    </li>
                                </ul>
                            </div>
                        </div>
                    </form>
                </div><!-- .nk-block -->
            </div><!-- .card-inner -->
        </div><!-- .card -->
    </div><!-- .nk-block -->
@endsection