@extends('app')
@section('content')
    <!-- Content Header (Page header) -->
    <section class="content-header">
        <h1>
            Add Discharge
        </h1>
        <ol class="breadcrumb">
            <li><a href="{{url('/')}}"><i class="fa fa-dashboard"></i> Home</a></li>
            <li><a href="#">Indoor</a></li>
            <li class="active">Add Discharge</li>
        </ol>
    </section>
    <!-- Main content -->
    <section class="content">
        <!-- SELECT2 EXAMPLE -->
        <div class="box box-info">
            <div class="box-header with-border">
                <h3 class="box-title">
                    @can('diagnostic-test-view')
                        <a href="{{route('indoor.discharge.index')}}" class="btn btn-info btn-md">
                            <i class="fa fa-shopping-cart"></i>&nbsp;
                            Discharge List
                        </a>
                    @endcan
                </h3>
            </div>
            <!-- /.box-header -->
            <div class="box-body">
                <div class="row">
                    <div class="col-md-12">

                        <form action="{{route('indoor.discharge.update')}}" class="form-horizontal" id="myForm"
                              method="post" accept-charset="utf-8">

                            <input type="hidden" name="sale_invoice_id" value="{{$sale_invoice_id}}">

                            {{csrf_field()}}

                            <div class="col-md-6">
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">From</label>
                                    <div class="col-md-10">
                                        <input type="text" class="form-control datepicker"
                                               @if($discharge)
                                               value="{{$discharge->getFrom()??''}}"
                                               @endif
                                               name="from">
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">To</label>
                                    <div class="col-md-10">
                                        <input type="text" class="form-control datepicker"
                                               @if($discharge)
                                               value="{{$discharge->getTo()??''}}"
                                               @endif
                                               name="to">
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">Doctor</label>
                                    <div class="col-md-10">
                                        {!! Form::select('doctor_id',
                                                  $doctors
                                                  ,$discharge->doctor_id??null, ['class'=> 'form-control select2','placeholder'=>
                                                  'Please Select Doctor']) !!}
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                            </div>


                            <div class="col-md-6">
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">Duty Doctor</label>
                                    <div class="col-md-10">
                                        {!! Form::select('duty_doctor_id',
                                                  $doctors
                                                  ,$discharge->duty_doctor_id??null, ['class'=> 'form-control select2','placeholder'=>
                                                  'Please Select Doctor']) !!}
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">Duty Nurse</label>
                                    <div class="col-md-10">
                                        {!! Form::select('duty_nurse_id',
                                                  $nurses
                                                  ,$discharge->duty_nurse_id??null, ['class'=> 'form-control select2','placeholder'=>
                                                  'Please Select Nurse']) !!}
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">Patient</label>
                                    <div class="col-md-10">
                                        {!! Form::select('patient_id',
                                                  $patients
                                                  ,$patientInfo->user_id??null, ['class'=> 'form-control select2','placeholder'=>
                                                  'Please Select Patient']) !!}
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                            </div>

                            @isset($patientInfo)
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label for="diagnostic_test_name" class="col-md-2">Patient Father
                                            Name</label>
                                        <div class="col-md-10">
                                            <input type="text" class="form-control"
                                                   value="{{$patientInfo->user->father_name??''}}"
                                                   name="father_name">
                                            <div class="help-block with-errors"></div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label for="diagnostic_test_name" class="col-md-2">Patient Age</label>
                                        <div class="col-md-10">
                                            <input type="number" class="form-control"
                                                   value="{{$patientInfo->age??''}}"
                                                   name="age">
                                            <div class="help-block with-errors"></div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label for="diagnostic_test_name" class="col-md-2">Patient Blood
                                            Group</label>
                                        <div class="col-md-10">
                                            {!! Form::select('blood_group',
                                                bloodGroups()
                                            ,$patientInfo->blood_group, ['class'=> 'form-control','placeholder'=>
                                         'Please Select Blood Group']) !!}
                                            <div class="help-block with-errors"></div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label for="address" class="col-md-2">Address</label>
                                        <div class="col-md-10">
                                            <input type="text" class="form-control"
                                                   value="{{$patientInfo->user->present_address??''}}"
                                                   name="address">
                                            <div class="help-block with-errors"></div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label for="address" class="col-md-2">Phone Number</label>
                                        <div class="col-md-10">
                                            <input type="text" class="form-control"
                                                   value="{{$patientInfo->user->mobile_no??''}}"
                                                   name="mobile_no">
                                            <div class="help-block with-errors"></div>
                                        </div>
                                    </div>
                                </div>
                            @endisset


                            <div class="col-md-6">
                                <div class="form-group">
                                    <label for="exampleInputEmail1" class="col-md-2">Findings</label>
                                    <div class="col-md-10">
                                   <textarea placeholder="" class="form-control"
                                             name="findings"
                                             id="findings">{{$discharge->findings??""}}</textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="exampleInputEmail1" class="col-md-2">Patient History</label>
                                    <div class="col-md-10">
                                   <textarea placeholder="" class="form-control"
                                             name="patient_history"
                                             id="patient_history">{{$discharge->patient_history??""}}</textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="exampleInputEmail1" class="col-md-2">Investigation</label>
                                    <div class="col-md-10">
                                   <textarea placeholder="" class="form-control"
                                             name="investigation"
                                             id="investigation">{{$discharge->investigation??""}}</textarea>
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label for="exampleInputEmail1" class="col-md-2">Treatment under
                                        admission</label>
                                    <div class="col-md-10">
                                   <textarea placeholder="" class="form-control"
                                             name="treatment_under_admission"
                                             id="treatment_under_admission">{{$discharge->treatment_under_admission??""}}</textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="exampleInputEmail1" class="col-md-2">Post treatment and
                                        advice</label>
                                    <div class="col-md-10">
                                   <textarea placeholder="" class="form-control"
                                             name="post_treatment_and_advice"
                                             id="post_treatment_and_advice">{{$discharge->post_treatment_and_advice??""}}</textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">Status</label>
                                    <div class="col-md-10">
                                        {!! Form::select('status',
                                                  [
                                                  '0'=>'Not Released',
                                                  '1'=>'Released',
                                                  ]
                                                  ,$discharge->status??0, ['class'=> 'form-control select2','placeholder'=>
                                                  'Please Select Doctor']) !!}
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label for="diagnostic_test_name" class="col-md-2">Release Date</label>
                                    <div class="col-md-10">
                                        <input type="text" class="form-control datepicker"
                                               @if($discharge)
                                               value="{{$discharge->getDate()??\Carbon\Carbon::now()->format('d-m-Y')}}"
                                               @else
                                               value="{{\Carbon\Carbon::now()->format('d-m-Y')}}"
                                               @endif
                                               name="date">
                                        <div class="help-block with-errors"></div>
                                    </div>
                                </div>
                            </div>

                            <div class="box-footer">
                                <button type="submit" class="btn btn-info pull-right">Submit</button>
                            </div>

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

        </div>
    </section>
@endsection

@section('script')
    <script src="{{ asset('assets/bower_components/ckeditor/ckeditor.js') }}"></script>
    <script type="text/javascript">
        $(document).ready(function () {
            window.CKEDITOR_BASEPATH = '{{asset('assets/bower_components/ckeditor')}}';
            $('.datepicker').datepicker({
                todayHighlight: true,
                autoclose: true,
                format: "dd-mm-yyyy"
            });
            CKEDITOR.replace('findings');
            CKEDITOR.replace('patient_history');
            CKEDITOR.replace('investigation');
            CKEDITOR.replace('treatment_under_admission');
            CKEDITOR.replace('post_treatment_and_advice');
        });

    </script>
@endsection