@extends('doctor.layouts.app')

@section('title', $patient->name.' | Patient')

@section('content')

<div class="page-wrapper">
    <div class="container-fluid">
        <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('doctors/dashboard') }}">Home</a></li>
                        <li class="breadcrumb-item active newRedCommonColor">Patients List</li>
                    </ol>
                </div>
            </div>
        </div>
        <div class="row g-0">
                <div class="card border">
                    <div class="card-body">
                        <form method="POST" action="{{url('doctors/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">Status</label>
                                <select class="form-select" name="status" required>
                                    <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">{{ old('notes', $patient->notes) }}</textarea>
                            </div>

                            <div class="text-end">
                                <!-- Submit Button -->
                                <button type="submit" class="btn btn-primary">Update Patient Details</button>
                            </div>
                        </form>
                    </div>
                </div>
        </div>
    </div>
</div>

@endsection