@extends('backend.layouts.master')

@section('content')
<div class="page-wrapper">
    <div class="content">
        <div class="page-header">
            <div class="row">
                <div class="col-sm-12">
                    <ul class="breadcrumb">
                        <li class="breadcrumb-item"><a href="index.html">Dashboard </a></li>
                        <li class="breadcrumb-item"><i class="feather-chevron-right"></i></li>
                        <li class="breadcrumb-item active">Patient Dashboard</li>
                    </ul>
                </div>
            </div>
        </div>

        <div class="good-morning-blk">
            <div class="row">
                <div class="col-md-6">
                    <div class="morning-user">
                        <h2>Hello!, <span> {{ auth()->user()->fname }}{{ auth()->user()->lname }}</span></h2>
                        <p>Have a nice day at work</p>
                    </div>
                </div>
               
                <div class="col-md-6 position-blk">
                    <div class="morning-img">
                        <img src="{{ asset('backend/assets/img/morning-img-03.png') }}" alt="">
                    </div>
                </div>

            </div>
        </div>


        <div class="table-responsive">
                                <table class="table border-0 custom-table comman-table datatable mb-0">
                                    <thead>
                                        <tr>
                                            <th>Topic</th>
                                            <th>Date</th>
                                              <th>For</th>
                                            <th>Link</th>
                                            <th>Status</th>
                                            
                                        </tr>
                                    </thead>
                                    <tbody>
                                    <td>Webinar in ILD in MDA5+ Dermatomyositis </td>
                                    <td>27-April-2024</td>
                                      <td>Doctors</td>
                                    <td>    <a href="https://teams.microsoft.com/l/meetup-join/19%3ameeting_OWE0OTA3YjktMDQwYS00NjAzLTkyMmUtOGQxNTA4MWQzNGUx%40thread.v2/0?context=%7b%22Tid%22%3a%228b3dd73e-4e72-4679-b191-56da1588712b%22%2c%22Oid%22%3a%22f77bbfcf-4a6b-4ce0-bb90-e1d19c85708e%22%7d" target="_blank" class="btn btn-primary">Click here to join 

</td>
<td>Upcoming</td>
                                       
                                    </tbody>
                                </table>
                            </div>
        @if (Session::has('success'))

<p class="alert alert-info">{{ Session::get('success') }}</p>

@endif
        <!-- Button trigger modal -->
        <button type="button" class="btn btn-primary" data-bs-toggle="modal" data-bs-target="#exampleModal">
            Request An Appointment
        </button>

        <!-- Modal -->
        <div class="modal fade" id="exampleModal" tabindex="-1" aria-labelledby="exampleModalLabel" aria-hidden="true">
            <div class="modal-dialog modal-lg">
                <div class="modal-content">
                    <div class="modal-header">
                        <h5 class="modal-title" id="exampleModalLabel">Book Appointment Now</h5>
                        <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
                    </div>
                    <div class="modal-body">
                        <div class="row">



                            <div class="col-lg-12 col-md-12 col-sm-12 ">


                               
                                <style>
                                    .s-indicator {
                                        color: red;
                                    }

                                    
                                </style>
                                <form action="{{ route('enquiry.store') }}" method="post">
                                    @csrf
                                    <div class="row">
                                        <div class="form-group col-md-4">
                                            <label for="name" class="lable">First Name <span class="s-indicator">*</span> </label> @error('fname')
                                            <span class="text-danger">{{ $fname }}</span>
                                            @enderror
                                            <input type="text" name="name" class="form-control" value="{{auth()->user()->fname}}" required>

                                        </div>
                                        <div class="form-group col-md-4">
                                            <label for="name" class="lable">Last Name <span class="s-indicator">*</span> </label> @error('lname')
                                            <span class="text-danger">{{ $lname }}</span>
                                            @enderror
                                            <input type="text" name="name" class="form-control" value="{{auth()->user()->lname}}" required>

                                        </div>
                                        <div class="form-group col-md-4">

                                            <label for="" class="lable">Email<span class="s-indicator">*</span> </label> @error('email')
                                            <span class="text-danger">{{ $email }}</span>
                                            @enderror
                                            <input type="text" name="email" class="form-control" placeholder="Enter Your Email" value="{{auth()->user()->email}}" required>

                                        </div>
                                        <div class="form-group col-md-4">

                                            <label for="" class="lable">Phone<span class="s-indicator">*</span> </label> @error('phone')
                                            <span class="text-danger">{{ $phone }}</span>
                                            @enderror
                                            <input type="text" name="phone" class="form-control" placeholder="Enter Your Phone" value="{{auth()->user()->phone}}" required>

                                        </div>

                                        <div class="form-group col-md-4">
                                            <label for="" >Gender:</label>
                                            <select name="gender" class="form-control">
                                                <option value="">--Select--</option>
                                                <option value="Male" {{ Auth::user()->gender == 'Male' ? 'selected' : '' }}>Male</option>
                                                <option value="Female" {{ Auth::user()->gender == 'Female' ? 'selected' : '' }}>Female</option>
                                            </select>

                                        </div>
                                        <div class="form-group col-md-4">

                                            <label for="" class="lable">Age<span class="s-indicator">*</span> </label>  
                                            <input type="text" name="age" class="form-control" placeholder="Enter Your Phone" >

                                        </div>
                                        <div class="form-group col-md-4">
                                            <label for="country" >Country:</label>
                                            <input type="text" name="country" value="{{auth()->user()->country->name}}" class="form-control">
                                        </div>
                                        <div class="form-group col-md-4">
                                            <label for="state" class="lable">State<span class="s-indicator">*</span> </label>
                                            @error('state')
                                            <span class="text-danger">{{ $message }}</span>
                                            @enderror
                                            <input type="text" name="state" class="form-control" value="{{auth()->user()->state->name}}" required>

                                        </div>
                                        <div class="form-group col-md-4">
                                            <label for="city">City:</label>
                                            <input type="text" name="city" value="{{auth()->user()->city->name}}" class="form-control">
                                        </div>

                                        <div class="form-group col-md-12">
                                            <label for="">Provide brief history and reason for appointment:</label>
                                            <textarea name="message" cols="30" rows="3" class="form-control" placeholder="Message"> </textarea>
                                        </div>
                                        <div class="form-group col-md-12 text-center">
                                            <button type="submit" class="btn btn-primary">SUBMIT </button>
                                        </div>
                                    </div>
                                </form>






                            </div>


                        </div>

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

        </div>
    </div>


    @endsection