@extends('admin.layouts.app')

@section('title', 'View Patient')

@section('content')
<!-- ============================================================== -->
<!-- Page wrapper  -->
<!-- ============================================================== -->
<div class="page-wrapper">
    <!-- ============================================================== -->
    <!-- Container fluid  -->
    <!-- ============================================================== -->
    <div class="container-fluid">
        <!-- ============================================================== -->
        <!-- Bread crumb and right sidebar toggle -->
        <!-- ============================================================== -->
        <div class="row page-titles">
            <div class="col-md-5 align-self-center">
                <h4 class="text-themecolor">View Patient</h4>
            </div>
            <div class="col-md-7 align-self-center text-end">
                <div class="d-flex justify-content-end align-items-center">
                    <ol class="breadcrumb">
                        <li class="breadcrumb-item"><a href="{{ url('admin/dashboard') }}">Home</a></li>
                        <li class="breadcrumb-item active newRedCommonColor">Edit patient</li>
                    </ol>
                    <!-- <button type="button" class="btn btn-info d-none d-lg-block m-l-15 text-white"><i class="fa fa-plus-circle"></i> Create New</button> -->
                </div>
            </div>
        </div>
        <!-- ============================================================== -->
        <!-- End Bread crumb and right sidebar toggle -->
        <!-- ============================================================== -->
        <!-- ============================================================== -->
        <!-- Info box -->
        <!-- ============================================================== -->
        <div class="row g-0">
            <div class="card border">
                <div class="card-body">
                    <form id="create-patient-form" method="POST" action="{{url('admin/patients/store/'.$patient->id)}}" enctype="multipart/form-data">
                        @csrf <!-- Include CSRF token for security in Laravel -->

                        <!-- Patient Name Field -->
                        <div class="mb-3">
                            <label for="name" class="form-label">Name</label>
                            <input type="text" class="form-control" id="name" name="name" value="{{ old('name', $patient->name) }}" required>
                        </div>

                        <!-- Patient Status Field -->
                        <div class="mb-3">
                            <label for="status" class="form-label" required>Status</label>
                            <select class="form-select" name="status">
                                <option value="">Select status</option>

                                @php $statuslist = config('constants.status'); @endphp

                                @foreach($statuslist as $key => $status)
                                    <option value="{{$key}}" {{ old('status', $patient->status) == $key ? 'selected' : '' }}>{{$status}}</option>
                                @endforeach
                            </select>
                        </div>

                        <!-- Email Field -->
                        <div class="mb-3">
                            <label for="email" class="form-label">Email</label>
                            <input type="email" class="form-control" id="email" name="email" value="{{ old('email', $patient->email) }}" required>
                        </div>

                        <!-- Phone Number Field -->
                        <div class="mb-3">
                            <label for="phone_number" class="form-label">Phone Number</label>
                            <input type="tel" class="form-control" id="phone_number" name="phone_number" value="{{ old('phone_number', $patient->phone_number) }}" required>
                        </div>

                        <!-- Notes Field -->
                        <div class="mb-3">
                            <label for="notes" class="form-label">Notes</label>
                            <textarea name="notes" class="form-control" rows="5" required>{{ old('notes', $patient->notes) }}</textarea>
                        </div>

                        <div class="mb-3">
                            @php
                                $medicalRecords = json_decode($patient->medical_records, true);
                            @endphp
                            @if (!empty($medicalRecords))
                                <label>Download Medical document</label>
                                <div>
                                    <a href="{{ route('file.downloadsuperadmin', ['type' => 'medical_records', 'patient_id' => $patient->id]) }}">Download</a>
                                </div>
                                <p><strong>Uploaded at : </strong>{{\Carbon\Carbon::parse($patient->medical_records_uploaded_at)->format('m/d/Y H:i:s')}}</p>
                            @endif
                        </div>

                        <div class="mb-3">
                            @php
                                $illustrations = json_decode($patient->illustrate_doc, true);
                            @endphp
                            @if (!empty($illustrations))
                                <label>Download illustrate document</label>
                                <div>
                                    <a href="{{ route('file.downloadsuperadmin', ['type' => 'illustrate_doc', 'patient_id' => $patient->id]) }}">Download</a>
                                </div>
                                <p><strong>Uploaded at : </strong>{{\Carbon\Carbon::parse($patient->illustrate_doc_uploaded_at)->format('m/d/Y H:i:s')}}</p>
                            @endif
                        </div>

                        <div class="mb-3">
                            @php
                                $policies = json_decode($patient->policy_doc, true);
                            @endphp
                            @if (!empty($policies))
                                <label>Download Policy document</label>
                                <div>
                                    <a href="{{ route('file.downloadsuperadmin', ['type' => 'policy_doc', 'patient_id' => $patient->id]) }}">Download</a>
                                </div>
                                <p><strong>Uploaded at : </strong>{{\Carbon\Carbon::parse($patient->policy_doc_uploaded_at)->format('m/d/Y H:i:s')}}</p>
                            @endif
                        </div>

                        <div class="mb-3">
                            @php
                                $randomDocs = json_decode($patient->random_doc);
                            @endphp
                            @if (!empty($randomDocs))
                                <label>Download Random document</label>
                                <div>
                                    <a href="{{ route('file.downloadsuperadmin', ['type' => 'random_doc', 'patient_id' => $patient->id]) }}">Download</a>
                                </div>
                                <p><strong>Uploaded at : </strong>{{\Carbon\Carbon::parse($patient->random_doc_uploaded_at)->format('m/d/Y H:i:s')}}</p>
                            @endif
                        </div>

                        <div class="text-start">
                            <!-- Submit Button -->
                            <button type="submit" class="btn btn-primary">Update Patient Details</button>
                            <a href="{{url('admin/patients')}}" class="btn btn-danger">Cancel</a>
                        </div>
                    </form>
                </div>
            </div>
        </div>
        <!-- ============================================================== -->
        <!-- End Info box -->
        <!-- ============================================================== -->
    </div>
    <!-- ============================================================== -->
    <!-- End Container fluid  -->
    <!-- ============================================================== -->
</div>
<!-- ============================================================== -->
<!-- End Page wrapper  -->
<!-- ============================================================== -->

@endsection


@section('scripts')
<script>
    $(document).ready(function() {
       $("#phone_number").inputmask("(999) 999-9999");
   });
   </script>
@endsection