@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 PhilHealth</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">PhilHealth</li>
                </ol>
            </nav>
        </div>
        <div class="card-body">
            <form method="POST" action="{{ route('personnel.update.philhealth') }}" enctype="multipart/form-data" onsubmit="formSubmit()">
                @csrf
                <input type="hidden" name="pid" value="{{ $personnel->id }}" />
                {{-- PhilHealth --}}
                <div class="row pr-5 pl-5">
                    <div class="card p-3">
                        <p class=" mt-3 text-info">PhilHealth Information</p>
                        <div class="row">
                            <div class="col-12 col-md-6">
                                <div class="form-group">
                                    <label>PhilHealth No.</label>
                                    <input type="text" class="form-control @if ($errors->has('philhealth_no')) is-invalid @endif" placeholder="required" name="philhealth_no" value="{{ old('philhealth_no', $philhealth) }}">
                                    @if ($errors->has('philhealth_no'))
                                        <div class="invalid-feedback">
                                            <strong>{{ $errors->first('philhealth_no') }}</strong>
                                        </div>
                                    @endif
                                </div>
                            </div>

                            <div class="col-12 col-md-6 mb-3">
                                <div class="">
                                    <label>MDR File</label>
                                    <input type="file" class="form-control-file"  accept="image/x-png,image/gif,image/jpeg" name="mdr_file">
                                    @if ($errors->has('mdr_file'))
                                        <div class="invalid-feedback" style="display:block;">
                                            <strong>{{ $errors->first('mdr_file') }}</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