@extends('layouts.master_home')

@section('dashboard_content')
    <div class="page-content">
        <!-- BEGIN PAGE HEAD -->
        <div class="page-head">
            <!-- BEGIN PAGE TITLE -->
            <div class="page-title">
                <h1>Laboratory <small>manage</small></h1>
            </div>
            <!-- END PAGE TITLE -->
            <!-- BEGIN PAGE TOOLBAR -->
            <div class="page-toolbar">
                <!-- BEGIN THEME PANEL -->
                <a href="{{ url('/') }}/{{$slug}}/"
                   class="btn green"><i
                            class="fa fa-backward"></i> Back</a>
                <!-- END THEME PANEL -->
            </div>
            <!-- END PAGE TOOLBAR -->
        </div>
        <!-- END PAGE HEAD -->
        <div class="row">
            <div class="col-md-12">
                <div class="portlet light">
                    <div class="portlet-title">
                        <div class="caption">
                            <i class="icon-credit-card font-green-sharp"></i>
                            <span class="caption-subject font-green-sharp bold uppercase">Laboratories Listing</span>
                            <span class="caption-helper">manage forms...</span>
                        </div>
                        <div class="actions">

                        </div>
                    </div>
                    <div class="portlet-body">
                        <form method="post" action="{{!isset($lab->id) ? route('lab/store') : route('lab/update',['id' => encrypt($lab->id)])}}" enctype="multipart/form-data">
                            {{ csrf_field() }}
                            <div class="row">
                                <div class="col-md-4"></div>
                                <div class="form-group col-md-4">
                                    <label for="Name">Name:</label>
                                    <input type="text" class="form-control" name="name" value="{{ !isset($lab->name) ? "": $lab->name}}">
                                    @if ($errors->has('name'))
                                        <span class="help-block validation-advice">
                                                <strong>{{ $errors->first('name') }}</strong>
                                            </span>
                                    @endif
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-4"></div>
                                <div class="form-group col-md-4">
                                    <label for="country">Country:</label>
                                    <select name="country" class="form-control">
                                        @foreach ($countryList as $value)
                                            <option value="{{ $value->id }}"
                                                    @if ($value->id == old('country', !isset($lab->country) ? "": $lab->country))
                                                    selected="selected"
                                                    @endif
                                            >{{ $value->country }}</option>
                                        @endforeach
                                    </select>
                                    @if ($errors->has('country'))
                                        <span class="help-block validation-advice">
                                                <strong>{{ $errors->first('country') }}</strong>
                                            </span>
                                    @endif
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-4"></div>
                                <div class="form-group col-md-4">
                                    <label for="city">City:</label>
                                    <input type="text" class="form-control" name="city" value="{{ !isset($lab->city) ? "": $lab->city}}">
                                    @if ($errors->has('city'))
                                        <span class="help-block validation-advice">
                                                <strong>{{ $errors->first('city') }}</strong>
                                            </span>
                                    @endif
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-4"></div>
                                <div class="form-group col-md-4" style="margin-top:60px">
                                    <button type="submit" class="btn btn-success">Submit</button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>

    </div>
@endsection