@extends('admin.layouts.app')

@section('title','Add Visit')

@section('header')
Add Visit
@endsection

@section('content')

<form method="POST" action="{{ route('admin.visits.store') }}">
@csrf

<div class="card shadow-sm mb-4">

    <div class="card-header">
        <h5 class="mb-0">Visit Information</h5>
    </div>

    <div class="card-body">

        <div class="row">

            <div class="col-md-12 mb-3">
                <label>Appointment</label>

                <select name="appointment_id" class="form-control" required>
                    <option value="">Select Appointment</option>

                    @foreach($appointments as $appointment)
                        <option value="{{ $appointment->id }}" @selected(old('appointment_id') == $appointment->id)>
                            {{ $appointment->appointment_number }}
                            - {{ $appointment->patient?->full_name }}
                            - {{ $appointment->doctor?->full_name }}
                        </option>
                    @endforeach

                </select>
            </div>

            <div class="col-md-6 mb-3">
                <label>Status</label>

                <select name="status" class="form-control" required>
                    <option value="Waiting">Waiting</option>
                    <option value="In Progress">In Progress</option>
                    <option value="Completed">Completed</option>
                    <option value="Cancelled">Cancelled</option>
                </select>
            </div>

            <div class="col-md-12 mb-3">
                <label>Chief Complaint</label>

                <textarea
                    name="chief_complaint"
                    class="form-control"
                    rows="3">{{ old('chief_complaint') }}</textarea>
            </div>

            <div class="col-md-12 mb-3">
                <label>Clinical Notes</label>

                <textarea
                    name="clinical_notes"
                    class="form-control"
                    rows="5">{{ old('clinical_notes') }}</textarea>
            </div>

        </div>

    </div>

</div>

<button class="btn btn-primary">
    Save Visit
</button>

<a href="{{ route('admin.visits.index') }}" class="btn btn-secondary">
    Cancel
</a>

</form>

@endsection