@extends ('backend.layouts.app')

@section('page-header')
    <h1>
        {{ trans('labels.backend.appointment.create') }}

    </h1>

@endsection

@section('content')
    {{ Form::open(['route' => 'admin.appointment.store', 'class' => 'form-horizontal', 'role' => 'form', 'method' => 'post', 'id' => 'create-appointment']) }}
    <div class="box box-success">
        <div class="box-header with-border">
            <h3 class="box-title">{{ trans('labels.backend.patients.details') }}</h3>


        </div><!-- /.box-header -->

        <div class="box-body">
            <div class="nav-tabs-custom">
                <ul class="nav nav-tabs">
                    <li class="active"><a href="#tab_1" id="tab_1_header" data-toggle="tab" aria-expanded="true">Pacient
                            existent</a></li>
                    <li class=""><a href="#tab_2" data-toggle="tab" id="tab_2_header" aria-expanded="false">Pacient
                            nou</a>
                    </li>

                    <li class="pull-right"><a href="#" class="text-muted"></a></li>
                </ul>
                <div class="tab-content">
                    <div class="tab-pane active" class="tab-pane" id="tab_1">
                        <div class="form-group">
                            {!! Form::label('pacient_label','Pacient',['class' => 'col-lg-2 control-label']) !!}
                            <div class="col-lg-10">


                                @if(!empty($pacient))
                                    {!! Form::select('patient_id',[$pacient->id=>$pacient->name],null,['class'=>'form-control areas', 'id'=>'patient_id']) !!}
                                @else
                                    {!! Form::select('patient_id',[0=>'Alege un pacient'],null,['class'=>'form-control areas', 'id'=>'patient_id']) !!}

                                @endif


                            </div>
                        </div>
                    </div>
                    <!-- /.tab-pane -->
                    <div class="tab-pane" id="tab_2">

                        <div class="form-group">
                            {{ Form::label('name', trans('validation.attributes.backend.access.roles.name'), ['class' => 'col-lg-2 control-label']) }}
                            <div class="col-lg-10">
                                {{ Form::text('name', null, ['class' => 'form-control', 'placeholder' => trans('validation.attributes.backend.access.roles.name')]) }}
                            </div><!--col-lg-10-->

                        </div><!--form control-->


                        <div class="form-group">
                            {{ Form::label('email', trans('labels.backend.patients.email'), ['class' => 'col-lg-2 control-label']) }}
                            <div class="col-lg-10">
                                {{ Form::email('email', null, ['class' => 'form-control', 'placeholder' => trans('labels.backend.patients.email')]) }}
                            </div><!--col-lg-10-->
                        </div><!--form control-->
                        <div class="form-group">
                            {{ Form::label('sex', 'Sex', ['class' => 'col-lg-2 control-label']) }}
                            <div class="col-lg-10">
                                {{ Form::select('sex',config('constants.genders'), [], ['class' => 'form-control m-bot15'])}}
                            </div><!--col-lg-10-->
                        </div><!--form control-->
                        <div class="form-group">
                            {{ Form::label('nationality', 'Naționalitate', ['class' => 'col-lg-2 control-label']) }}
                            <div class="col-lg-10">
                                {{ Form::select('nationality',config('constants.nationality'), [], ['class' => 'form-control m-bot15'])}}
                            </div><!--col-lg-10-->
                        </div><!--form control-->
                        <div class="form-group">
                            {{ Form::label('phone', trans('labels.backend.patients.phone'), ['class' => 'col-lg-2 control-label']) }}
                            <div class="col-lg-10">
                                {{ Form::text('phone', null, ['class' => 'form-control', 'placeholder' => trans('labels.backend.patients.phone')]) }}
                            </div><!--col-lg-10-->
                        </div><!--form control-->
                    </div>

                    <!-- /.tab-pane -->
                </div>
                <!-- /.tab-content -->
            </div>
            @include('backend.appointments.form')
            <div class="box box-success">
                <div class="box-body">
                    <div class="pull-left">
                        {{ link_to_route('admin.appointment.index', trans('buttons.general.cancel'), [], ['class' => 'btn btn-danger btn-m']) }}
                    </div><!--pull-left-->

                    <div class="pull-right">
                        {{ Form::submit(trans('buttons.general.save'), ['class' => 'btn btn-success btn-m']) }}
                    </div><!--pull-right-->

                    <div class="clearfix"></div>
                </div><!-- /.box-body -->
            </div><!--box-->

    {{ Form::close() }}
@endsection