@extends('layout.master')
@section('css')
    <link rel="stylesheet" href="https://fonts.googleapis.com/icon?family=Material+Icons">
    <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/materialize/0.97.3/css/materialize.min.css">
    <link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap-icons@1.5.0/font/bootstrap-icons.min.css"
        crossorigin="anonymous">
    <link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.15.4/css/all.css" crossorigin="anonymous">
    <link href="{{ asset('css/fileinput.css') }}" rel="stylesheet" />

    <style>
        .dropdown.bootstrap-select>.btn,
        .dropdown.bootstrap-select>.btn:hover,
        .dropdown.bootstrap-select>.btn:active,
        .dropdown.bootstrap-select>.btn:visited,
        .dropdown.bootstrap-select>.btn:focus {
            background-color: transparent;
            color: #495057;
            text-transform: none;
            font-family: "Roboto", "Helvetica", "Arial", sans-serif;
        }

        .image img {
            width: 150px;
            margin: 3%;
        }

        .field-icon {
            cursor: pointer;
            position: absolute;
            right: 5%;
            top: 30%;
            transform: translateY(-50%)
        }

    </style>
@stop
@section('content')
    <div class="content">
        <div class="container-fluid">
            <div class="row">
                <div class="col-lg-12 col-md-12">
                    <form name="addpatient" id="addpatient" action="{{ route('patients.store') }}"
                        enctype="multipart/form-data" method="POST">
                        @csrf

                        <div class="card">
                            <div class="card-header card-header-warning">

                                <h4 class="card-title">Add Patient</h4>
                            </div>
                            <div class="card-body">
                                <div class="row">

                                    <div class="col-md-12 col-sm-12 p-3">

                                        <div class="row">

                                            <label class="col-sm-3 col-form-label mt-0">Choose Profile Picture</label>
                                            <div class="col-sm-8 ">
                                                <div class='file-loading'><input id='profile_picture' name='profile_picture'
                                                        type='file' class='file' data-upload-url='#'></div>
                                                @if ($errors->has('profile_picture'))
                                                    <div class="error mt-2">
                                                        <strong>{{ $errors->first('profile_picture') }}</strong></div>
                                                @endif
                                            </div>

                                        </div>
                                        <div class="row">
                                            <label class="col-sm-3 col-form-label"> Name <span class="text-danger"> *
                                                </span></label>
                                            <div class="col-sm-8">
                                                <div class="form-group bmd-form-group">
                                                    <input type="text" class="form-control" id="fullname" name="fullname"
                                                        placeholder="Enter Patient Name " value="{{ old('fullname') }}">
                                                    @if ($errors->has('fullname'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('fullname') }}</strong></div>
                                                    @endif
                                                </div>
                                            </div>
                                        </div>
                                        <div class="row">
                                            <label class="col-sm-3 col-form-label"> Email <span class="text-danger"> *
                                                </span></label>
                                            <div class="col-sm-8">
                                                <div class="form-group bmd-form-group">
                                                    <input type="email" class="form-control" id="email" name="email"
                                                        placeholder="Enter Patient Email " value="{{ old('email') }}">
                                                    @if ($errors->has('email'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('email') }}</strong></div>
                                                    @endif
                                                </div>

                                            </div>
                                        </div>
                                        <div class="row">
                                            <label class="col-sm-3 col-form-label"> Password<span class="text-danger"> *
                                                </span></label>
                                            <div class="col-sm-8">
                                                <div class="form-group bmd-form-group">
                                                    <div><span toggle="#password"
                                                            class="fa fa-fw fa-eye-slash field-icon toggle-password"></span>
                                                    </div>
                                                    <input type="password" name="password" id="password" value=""
                                                        class="form-control" placeholder="Enter Password">

                                                    @if ($errors->has('password'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('password') }}</strong></div>
                                                    @endif
                                                </div>
                                            </div>
                                        </div>

                                        <div class="row">
                                            <label class="col-sm-3 col-form-label">Country <span class="text-danger"> *
                                                </span></label>
                                            <div class="form-group col-sm-8 bmd-form-group">
                                                <select name="country" id="country" class="form-control  selectpicker "
                                                    data-actions-box="true" title="Select Country"
                                                    data-selected-text-format="count > 2" data-size="5" required>

                                                    <option value="">Select Any One</option>
                                                    <option selected value="{{ 'india' }}"
                                                        {{ old('country') == 'india' ? 'selected' : '' }}>India</option>
                                                    <option value="{{ 'shrilanka' }}"
                                                        {{ old('country') == 'shrilanka' ? 'selected' : '' }}>Shrilanka</option>
                                                    <option value="{{ 'nepal' }}"
                                                        {{ old('country') == 'nepal' ? 'selected' : '' }}>Nepal</option>
                                                    <option value="{{ 'vietnam' }}"
                                                        {{ old('country') == 'vietnam' ? 'selected' : '' }}>Vietnam</option>
                                                    <option value="{{ 'indonesia' }}"
                                                        {{ old('country') == 'indonesia' ? 'selected' : '' }}>Indonesia</option>
                                                    <option value="{{ 'malaysia' }}"
                                                        {{ old('country') == 'malaysia' ? 'selected' : '' }}>Malaysia</option>
                                                    <option value="{{ 'singapore' }}"
                                                        {{ old('country') == 'singapore' ? 'selected' : '' }}>Singapore</option>
                                                    <option value="{{ 'united states' }}"
                                                        {{ old('country') == 'united states' ? 'selected' : '' }}>United States
                                                    </option>

                                                </select>
                                                @if ($errors->has('country'))
                                                    <div class="error">
                                                        <strong>{{ $errors->first('country') }}</strong></div>
                                                @endif
                                            </div>
                                        </div>

                                        <div class="row">
                                            <label class="col-sm-3 col-form-label">Mobile Number<span
                                                    class="text-danger"> * </span></label>
                                            <div class="col-sm-8">
                                                <div class="row">
                                                    <div class="col-sm-3 pl-0">
                                                        <div class="form-group bmd-form-group">
                                                            <select name="phone_code" id="phone_code"
                                                                class="form-control  selectpicker " data-actions-box="true"
                                                                title="">
                                                                <option value="">Select Any One</option>

                                                                <option selected value="{{ '91' }}"
                                                                    {{ old('phone_code') == '91' ? 'selected' : '' }}>
                                                                    {{ '+91' }}</option>
                                                                <option value="{{ '94' }}"
                                                                    {{ old('phone_code') == '94' ? 'selected' : '' }}>
                                                                    {{ '+94' }}</option>
                                                                <option value="{{ '977' }}"
                                                                    {{ old('phone_code') == '977' ? 'selected' : '' }}>
                                                                    {{ '+977' }}</option>
                                                                <option value="{{ '84' }}"
                                                                    {{ old('phone_code') == '84' ? 'selected' : '' }}>
                                                                    {{ '+84' }}</option>
                                                                <option value="{{ '62' }}"
                                                                    {{ old('phone_code') == '62' ? 'selected' : '' }}>
                                                                    {{ '+62' }}</option>
                                                                <option value="{{ '60' }}"
                                                                    {{ old('phone_code') == '60' ? 'selected' : '' }}>
                                                                    {{ '+60' }}</option>
                                                                <option value="{{ '65' }}"
                                                                    {{ old('phone_code') == '65' ? 'selected' : '' }}>
                                                                    {{ '+65' }}</option>
                                                                <option value="{{ '1' }}"
                                                                    {{ old('phone_code') == '1' ? 'selected' : '' }}>
                                                                    {{ '+1' }}</option>
                                                            </select>
                                                            @if ($errors->has('phone_code'))
                                                                <div class="error">
                                                                    <strong>{{ $errors->first('phone_code') }}</strong>
                                                                </div>
                                                            @endif
                                                        </div>
                                                    </div>
                                                    <div class="col-sm-9 pl-0">
                                                        <div class="form-group bmd-form-group">
                                                            <input type="number" class="form-control" id="mobile_number"
                                                                name="mobile_number" placeholder="Enter Mobile Number "
                                                                value="{{ old('mobile_number') }}">
                                                            @if ($errors->has('mobile_number'))
                                                                <div class="error">
                                                                    <strong>{{ $errors->first('mobile_number') }}</strong>
                                                                </div>
                                                            @endif
                                                        </div>
                                                    </div>
                                                </div>
                                            </div>
                                        </div>

                                        <div class="row">
                                            <label class="col-sm-3 col-form-label">Pin Code<span class="text-danger"> *
                                                </span></label>
                                            <div class="col-sm-8">
                                                <div class="form-group bmd-form-group">
                                                    <input type="text" class="form-control" id="pincode" name="pincode"
                                                        placeholder="Enter Pin Code" value="{{ old('pincode') }}">
                                                    @if ($errors->has('pincode'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('pincode') }}</strong></div>
                                                    @endif
                                                </div>
                                            </div>
                                        </div>
                                        <div class="row">
                                            <label class="col-sm-3 col-form-label">LMP Date<span class="text-danger"> *
                                                </span></label>
                                            <div class="col-sm-8 mb-2">
                                                <div class="form-group bmd-form-group">
                                                    <input type="text" readonly placeholder="Choose LMP Date"
                                                        name="conceivedate" style="cursor: pointer;" id="conceivedate"
                                                        class="form-control" value="{{ old('conceivedate') }}">
                                                    @if ($errors->has('conceivedate'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('conceivedate') }}</strong></div>
                                                    @endif
                                                </div>
                                            </div>
                                        </div>

                                        <div class="row">
                                            <label class="col-sm-3 col-form-label">Plan Type<span class="text-danger"> *
                                                </span></label>
                                            <div class="col-sm-8 mb-2">
                                                <div class="form-group bmd-form-group">
                                                    <select name="plan_type" id="plan_type" value=""
                                                        class="form-control selectpicker p-1" data-actions-box="true"
                                                        title="Select plan Type" data-selected>
                                                        <option selected value="planning"
                                                            {{ old('plan_type') == 'planning' ? 'selected' : 'true' }}>
                                                            Planning</option>
                                                        <option value="pregnant"
                                                            {{ old('plan_type') == 'pregnant' ? 'selected' : 'true' }}>
                                                            Pregnant</option>


                                                    </select>
                                                    @if ($errors->has('plan_type'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('plan_type') }}</strong></div>
                                                    @endif
                                                </div>
                                            </div>
                                        </div>

                                        <div class="row" id="programsection">
                                            <label class="col-sm-3 col-form-label">Program Type<span class="text-danger">
                                                    * </span></label>
                                            <div class="col-sm-8 mb-2">
                                                <div class="form-group bmd-form-group">
                                                    <select name="user_program_type" value="{{ old('user_program_type') }}"
                                                        id="user_program_type" class="form-control selectpicker p-1"
                                                        data-actions-box="true" title="Select Program Type" data-selected>

                                                        <option selected value="Normal"
                                                            {{ old('user_program_type') == 'normal' ? 'selected' : 'true' }}>
                                                            {{ 'Normal' }}</option>
                                                        <option value="IVF"
                                                            {{ old('user_program_type') == 'IVF' ? 'selected' : 'true' }}>
                                                            {{ 'IVF' }}</option>
                                                    </select>
                                                    @if ($errors->has('user_program_type'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('user_program_type') }}</strong>
                                                        </div>
                                                    @endif
                                                </div>
                                            </div>
                                        </div>
                                        <div class="row">
                                            <label class="col-sm-3 col-form-label">Language<span class="text-danger"> *
                                                </span></label>
                                            <div class="col-sm-8 mb-2">
                                                <div class="form-group bmd-form-group">
                                                    <select name="patient_language" id="patient_language" value=""
                                                        class="form-control selectpicker p-1" data-actions-box="true"
                                                        title="Select Language" data-selected>
                                                        <option value="en"
                                                            {{ old('patient_language') == 'en' ? 'selected' : 'true' }}>
                                                            {{ 'English' }}</option>
                                                        <option value="hi"
                                                            {{ old('patient_language') == 'hi' ? 'selected' : 'true' }}>
                                                            {{ 'Hindi' }}</option>
                                                        <option value="gu"
                                                            {{ old('patient_language') == 'gu' ? 'selected' : 'true' }}>
                                                            {{ 'Gujarati' }}</option>
                                                    </select>
                                                    @if ($errors->has('patient_language'))
                                                        <div class="error">
                                                            <strong>{{ $errors->first('patient_language') }}</strong>
                                                        </div>
                                                    @endif
                                                </div>
                                            </div>
                                        </div>


                                        <div class="row">
                                            <label class="col-sm-3 col-form-label">Choose Doctor</label>
                                            <div class="col-sm-8 mb-2">
                                                <div class="form-group bmd-form-group">
                                                    <select name="doctor" id="doctor" class="form-control  selectpicker "
                                                        data-actions-box="true" data-live-search="true"
                                                        title="Choose Doctor" data-selected-text-format="count >2"
                                                        data-size="5">
                                                        <option value="">{{ 'Select Your Doctor' }}</option>
                                                        @foreach ($doctors as $index => $doctor)
                                                            <option value="{{ $doctor->id }}">{{ $doctor->username }}
                                                                {{ '(' }} {{ $doctor->email }}
                                                                {{ ')' }}</option>
                                                        @endforeach
                                                    </select>
                                                </div>
                                            </div>
                                        </div>


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

                            <div class="text-center p-2">
                                <a href="{{ route('patients') }}" class="btn btn-danger w-25">Cancel</a>
                                <input type="submit" class="btn btn-info w-25" name="submit" value="SAVE">
                            </div>

                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
@stop
@section('script')
    <style>
        .table-responsive {
            overflow-x: hidden !important;
            overflow-y: auto !important;
        }

        body {
            overflow: hidden;
        }

        .table-responsive {
            overflow-x: hidden !important;
            overflow-y: auto !important;
        }

        .bmd-form-group .form-control,
        .bmd-form-group label,
        .bmd-form-group input::placeholder {
            line-height: 3.5;
        }

        input[type="text"],
        input[type="password"],
        input[type="email"],
        input[type="url"],
        input[type="time"],
        input[type="date"],
        input[type="datetime-local"],
        input[type="tel"],
        input[type="number"],
        input[type="search"],
        textarea.materialize-textarea {
            margin: 0 auto;
            padding: 0;
        }

        .form-control {
            background: none;
        }

        .activity_section .form-control[type="url"] {
            border-bottom: 1px solid #9e9e9e;
        }

        input.file-path::placeholder {
            line-height: 2;
        }

        textarea.form-control {
            border-bottom: 1px solid #9e9e9e;
        }

        .bootstrap-select {
            background-image: none !important;
            padding: 0 !important;
        }

    </style>
    <script src="{{ asset('js/patient/add.js') }}" type="text/javascript"></script>
    <script src="https://cdnjs.cloudflare.com/ajax/libs/materialize/0.97.3/js/materialize.min.js">
    </script>
    <script src="https://cdn.jsdelivr.net/npm/bootstrap@5.1.1/dist/js/bootstrap.bundle.min.js"></script>
    <script src="{{ asset('js/image/fileinput.js') }}" type="text/javascript"></script>
    <script>
        $("#profile_picture").fileinput({
            initialPreviewAsData: true,
            showUpload: false,
            showPreview: true,
            showUploadStats: true,
            removeFromPreviewOnError: true,
            overwriteInitial: true,
            allowedFileExtensions: ['jpg', 'jpeg', 'png'],
            allowedPreviewTypes: ['image'],
            uploadUrl: '/file-upload-batch/2',
            maxFilePreviewSize: 2048
        });

        $('#conceivedate').datepicker({
            maxDate: '-1',
            dateFormat: "yy-mm-dd"
        })

        $(document).ready(function() {
            $(document).on('change', '#country', function() {
                var country = $(this).val();

                if (country == "india") {
                    $('#phone_code').val('91').change();
                } else if (country == "nepal") {
                    $('#phone_code').val('977').change();
                } else if (country == "shrilanka") {
                    $('#phone_code').val('94').change();

                } else if (country == "vietnam") {
                    $('#phone_code').val('84').change();
                } else if (country == "indonesia") {
                    $('#phone_code').val('62').change();
                } else if (country == "malaysia") {
                    $('#phone_code').val('60').change();
                } else if (country == "singapore") {
                    $('#phone_code').val('65').change();
                } else if (country == "united states") {
                    $('#phone_code').val('1').change();
                }
            });

            var full_date = formatDate();

            function formatDate() {
                var d = new Date(),
                    month = '' + (d.getMonth() + 1),
                    day = '' + (d.getDate() - 1),
                    year = d.getFullYear();
                if (month.length < 2)
                    month = '0' + month;
                if (day.length < 2)
                    day = '0' + day;
                return [year, month, day].join('-');
            }

            $('#conceivedate').attr('max', full_date);


            $(".toggle-password").click(function() {
                $(this).toggleClass("fa-eye fa-eye-slash");
                var input = $($(this).attr("toggle"));
                if (input.attr("type") == "password") {
                    input.attr("type", "text");
                } else {
                    input.attr("type", "password");
                }
            });
            (($) => {
                class Toggle {

                    constructor(element, options) {

                        this.defaults = {
                            icon: 'fa-eye'
                        };

                        this.options = this.assignOptions(options);

                        this.$element = element;
                        this.$button = $(
                            `<button class="btn-toggle-pass"><i class="fa ${this.options.icon}"></i></button>`
                            );

                        this.init();
                    };

                    assignOptions(options) {

                        return $.extend({}, this.defaults, options);
                    }

                    init() {

                        this._appendButton();
                        this.bindEvents();
                    }

                    _appendButton() {
                        this.$element.after(this.$button);
                    }

                    bindEvents() {

                        this.$button.on('click touchstart', this.handleClick.bind(this));
                    }

                    handleClick() {

                        let type = this.$element.attr('type');

                        type = type === 'password' ? 'text' : 'password';

                        this.$element.attr('type', type);
                        this.$button.toggleClass('active');
                        return false;
                    }
                }

                $.fn.togglePassword = function(options) {
                    return this.each(function() {
                        new Toggle($(this), options);
                    });
                }
            })(jQuery);
            // Password to Text Toogle END
        });

        (function($) {
            $.fn.toggleDisabled = function() {
                return this.each(function() {
                    var $this = $(this),
                        id = $this.attr('id'),
                        label = $this.next('label[for="' + id + '"]');
                    if ($this.prop('disabled')) {
                        label.show();
                        $this.prop('disabled', false).show();
                    } else {
                        label.hide();
                        $this.prop('disabled', true).hide();
                    }
                });
            };
        })(jQuery);
    </script>
@stop