@extends('admin.layouts.master') 
@section('content')
<div class="content-header">
      <div class="container-fluid">
        <div class="row mb-2">
          <div class="col-sm-6" >
            <h1 class="m-0 text-dark">Update Patient</h1>
          </div><!-- /.col -->
          <div class="col-sm-6">
            <ol class="breadcrumb float-sm-right">
              <li class="breadcrumb-item"><a href="{{asset('admin')}}">Home</a></li>
              <li class="breadcrumb-item active"><a href="{{asset(route('patient'))}}">Patient</a></li>
            </ol>
          </div><!-- /.col -->
        </div><!-- /.row -->
      </div><!-- /.container-fluid -->
    </div>
  <div class="container-fluid">
    @if(session()->has('success'))
      <div class="alert alert-success">
        {{ session()->get('success') }}
       </div>
    @endif
    @if(session()->has('error'))
      <div class="alert alert-success">
        {{ session()->get('error') }}
      </div>
    @endif
        <div class="row">
          <div class="col-md-12">
            <div class="card card-primary">
              <div class="card-header">
                <h3 class="card-title">Update Patient Info</h3>
              </div>
              <form role="form" method="post" action="{{!isset($patient['id']) ? route('patient.store') : route('patient.update',$patient['user_id'])}}">
                @csrf
                @if(isset($patient['id']))
                   {{ method_field('PUT') }}
                @endif
                <div class="card-body">
                  <div class="row">
                    <div class="col-md-6">
                      <div class="form-group">
                        <label>First Name</label>
                        <input type="text" class="form-control" id="first_name" required name="first_name" value="{{ old('first_name', $patient['first_name']) }}" placeholder="Enter First Name">
                      </div>
                      
                      <div class="form-group">
                        <label>Nick Name</label>
                        <input type="text" class="form-control" id="nickname" name="nickname" value="{{ old('nickname', $patient['nickname']) }}" placeholder="Enter Nick Name">
                      </div>

                      <div class="form-group">
                        <label>Date of Birth</label>
                        <input type="text" class="form-control datepicker" id="date_of_birth" name="date_of_birth" value="{{ old('date_of_birth', $patient['date_of_birth']) }}" placeholder="Enter Date of Birth">
                      </div>

                      <div class="form-group">
                        <label>Country</label>
                        <select class="form-control country_change" required style="width: 100%;" name="country_id" required>
                        <option value="" selected>Select Country</option>
                              @foreach($countries as $country)
                                <option value="{{$country->id}}" {{(isset($patient['country_id']) && $patient['country_id'] == $country->id) ? "selected" : ""}}>{{$country->name}}</option>
                              @endforeach
                        </select>
                      </div>

                      <div class="form-group">
                        <label>Anonymous</label>
                        <input type="checkbox" class="form-control" name="anonymous" name="anonymous" {{isset($patient['anonymous'])  && $patient['anonymous'] == 1 ? "checked" : ""}} data-bootstrap-switch>
                      </div>

                      <div class="form-group">
                        <button type="submit" class="btn btn-primary">Submit</button>
                      </div>
                      
                    </div>
                    <!-- /.col -->
                    <div class="col-md-6">
                      <div class="form-group">
                        <label>Last Name</label>
                        <input type="text" class="form-control" required id="last_name" name="last_name" value="{{ old('last_name', $patient['last_name']) }}" placeholder="Enter Last Name">
                      </div>
                      
                      
                      <div class="form-group">
                        <label>Mobile Number</label>
                        <input type="text" class="form-control" required id="mobile" name="mobile" value="{{ old('contact', $patient['contact']) }}" placeholder="Enter Mobile">
                      </div>

                      <div class="form-group">
                        <label>Email</label>
                        <input type="text" class="form-control" disabled required id="email" name="email" value="{{ old('email', $patient->user->email) }}" placeholder="Enter email">
                      </div>
                      
                      <div class="form-group">
                        <label>Email verified</label>
                        <select class="form-control" required style="width: 100%;" name="email_verified" {{(isset($patient->user->email_verified_at) && $patient->user->email_verified_at) ? "disabled" : ""}}>
                        <option value="" selected>Please select</option>
                            <option value="1" {{(isset($patient->user->email_verified_at) && $patient->user->email_verified_at) ? "selected" : ""}}>Yes</option>
                            <option value="0" {{(isset($patient->user->email_verified_at) && !$patient->user->email_verified_at) ? "selected" : ""}}>No</option>
                        </select>
                      </div>
                    </div>
                    <!-- /.col -->
                  </div>
                </div>
                
                  
              </form>
                <div class="card-body">
                  <h2>Questionnaire</h2>
                  <table id="example1" class="table table-bordered table-striped">
                    <thead>
                    <tr>
                      <th>Question ID</th>
                      <th>Answer ID</th>
                      <th>Question</th>
                      <th>Answer</th>
                    </tr>
                    </thead>
                    <tbody>
                      @foreach($questionnaire as $key=>$row)
                        <tr>
                          <th>{{isset($row->question) ? $row->question->id : ""}}</th>
                          <th>{{isset($row->answer) ? $row->answer->id : ""}}</th>
                          <td>{{isset($row->question) ? $row->question->question : ""}}</td>
                          <td>{{isset($row->answer) ? $row->answer->answer : ""}}</td>
                        </tr>
                      @endforeach
                    </tbody>
                  </table>
                </div>
              </div>
            </div>
            
            
        </div>
      </div>
  @endsection