@extends('layouts.app')
@section('style')
    <style>
        .flatpickr-wrapper {
            width: 100% !important;
        }
    </style>
@endsection
@section('content')
<div class="col-12">

</div>
<div class="col-12">
    <div class="card">
        <div class="card-header pl-5">
            <h5 class="title ">Update Neurological Exam</h5>
            <nav aria-label="breadcrumb">
                <ol class="breadcrumb"style="background-color: white; padding-left: 2px">
                    <li class="breadcrumb-item"><a href="{{ route('home') }}">Home</a></li>
                    <li class="breadcrumb-item"><a href="{{ route('personnel') }}">Personnel</a></li>
                    <li class="breadcrumb-item"><a href="{{ route('personnel.show', [ 'id' => $personnel->id ]) }}">{{ $personnel->first_name . ' ' . $personnel->last_name }}</a></li>
                    <li class="breadcrumb-item active" aria-current="page">Neurological Exam</li>
                </ol>
            </nav>
        </div>
        <div class="card-body">
            <form method="POST" action="{{ route('personnel.update.neurological') }}" enctype="multipart/form-data" onsubmit="formSubmit()">
                @csrf
                <input type="hidden" name="pid" value="{{ $personnel->id }}" />
                {{-- Neurological Exam --}}
                <div class="row pr-5 pl-5">
                    <div class="card p-3">
                        <p class=" mt-3 text-info">Neurological Exam Information</p>
                        <div class="row">

                            <div class="col-12 col-md-3">
                                <div class="form-group">
                                    <label>Status</label>
                                    <select type="text" class="form-control js-example-basic-single @if ($errors->has('status')) is-invalid @endif" placeholder="required" name="status">
                                        <option value="NP Granted" @if(old('status', $neurological->status ?? '') == "NP Granted") selected @endif>NP Granted</option>
                                        <option value="Not Granted" @if(old('Not Granted', $neurological->status ?? '') == "Not Granted") selected @endif>Not Granted</option>
                                    </select>
                                    @if ($errors->has('status'))
                                        <div class="invalid-feedback">
                                            <strong>{{ $errors->first('status') }}</strong>
                                        </div>
                                    @endif
                                </div>
                            </div>

                            <div class="col-12 col-md-3">
                                <div class="form-group">
                                    <label>Issued At</label>
                                    <input type="text" class="form-control @if ($errors->has('neurological_exam_issued_at')) is-invalid @endif" placeholder="required" name="neurological_exam_issued_at" value="{{ old('neurological_exam_issued_at', $neurological->issued_at ?? '') }}">
                                    @if ($errors->has('neurological_exam_issued_at'))
                                        <div class="invalid-feedback">
                                            <strong>{{ $errors->first('neurological_exam_issued_at') }}</strong>
                                        </div>
                                    @endif
                                </div>
                            </div>

                            <div class="col-12 col-md-3">
                                <div class="form-group">
                                    <label>Expiration Date</label>
                                    <input type="text" class="form-control selector @if ($errors->has('neurological_exam_expiration_date')) is-invalid @endif" placeholder="required" name="neurological_exam_expiration_date" value="{{ old('neurological_exam_expiration_date', $neurological->expiration_date ?? '') }}">
                                    @if ($errors->has('neurological_exam_expiration_date'))
                                        <div class="invalid-feedback">
                                            <strong>{{ $errors->first('neurological_exam_expiration_date') }}</strong>
                                        </div>
                                    @endif
                                </div>
                            </div>

                            <div class="col-12 col-md-3 mb-3">
                                <div class="">
                                    <label>Medical Certificate File</label>
                                    <input type="file" class="form-control-file"  accept="image/x-png,image/gif,image/jpeg" name="neurological_exam_clearance_file">
                                    @if ($errors->has('neurological_exam_clearance_file'))
                                        <div class="invalid-feedback" style="display:block;">
                                            <strong>{{ $errors->first('neurological_exam_clearance_file') }}</strong>
                                        </div>
                                    @endif
                                </div>
                            </div>

                            <div class="col-12">
                                <div class="form-group">
                                    <label>Remarks</label>
                                    <textarea type="text" class="form-control @if ($errors->has('remarks')) is-invalid @endif" placeholder="optional" name="remarks" style="border: 1px solid #E3E3E3">{{ old('remarks', $neurological->remarks ?? '') }}</textarea>
                                    @if ($errors->has('remarks'))
                                        <div class="invalid-feedback">
                                            <strong>{{ $errors->first('remarks') }}</strong>
                                        </div>
                                    @endif
                                </div>
                            </div>

                        </div>
                    </div>
                </div>

                <div class="row pr-5 pl-5">
                    <div class="col-12">
                        <button type="submit" class="d-block d-md-none ml-auto btn btn-md btn-primary btn-block">
                            <span class="icon text-white-50">
                                <i class="fas fa-save"></i>
                            </span>
                            &nbsp;Save
                        </button>
                        <button type="submit" class="d-none d-md-block ml-auto btn btn-md btn-primary btn-block" style="width: 155px">
                            <span class="icon text-white-50">
                                <i class="fas fa-save"></i>
                            </span>
                            &nbsp;Save
                        </button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>
@section('script')
<script src="https://cdn.jsdelivr.net/npm/flatpickr@latest/dist/plugins/monthSelect/index.js"></script>
<script>
    function formSubmit() {
        loader();
        return true;
    }
    $(document).ready(function() {

        notif = {
            misc: {
            navbar_menu_visible: 0
            },

            showNotification: function(from, align, color, msg) {

            $.notify({
                icon: "now-ui-icons ui-1_bell-53",
                message: msg

            }, {
                type: color,
                timer: 8000,
                placement: {
                from: from,
                align: align
                }
            });
            }
        };

        @if(session()->has('message.level'))
            notif.showNotification('top','right', '{{ session('message.level') }}', '{{ session('message.content') }}')
        @endif
    });
</script>

@endsection

@endsection