@extends('Admin.layout')

@section('content')

    <div
        class="d-flex flex-column flex-md-row justify-content-between align-items-start align-items-md-center mb-1 row-gap-4">
        <div class="d-flex flex-column justify-content-center">
            <h5> <button type="button" class="btn btn-icon bg-white waves-effect me-2"
                    style="box-shadow: 0px 9px 12px -2px #66328E1F;">
                    <a href="{{ route('view_follow_up') }}"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24"
                            viewBox="0 0 24 24" fill="none" stroke="#000" stroke-width="2" stroke-linecap="round"
                            stroke-linejoin="round" class="icon icon-tabler icons-tabler-outline icon-tabler-chevron-left">
                            <path stroke="none" d="M0 0h24v24H0z" fill="none" />
                            <path d="M15 6l-6 6l6 6" />
                        </svg>
                    </a></button>Create Follow Up</h5>
        </div>
    </div>
    <div class="card p-3">
        <form action="{{ route('insert_follow_up') }}" method="POST" id="login_form">

            @csrf
            <input type="hidden" name="customer_id" value="{{ $id }}">
            <h6>Personal Details</h6>
            <div class="row">

                <div class="col-lg-3 mt-3">
                    <label class="form-label">Weight (Kg) <span class="text-danger">*</span></label>
                    <input type="text" name="weight" class="form-control" value="{{ old('weight') }}">
                    @error('weight') <small class="text-danger">{{ $message }}</small> @enderror
                </div>

                <div class="col-lg-3 mt-3">
                    <label class="form-label">Fat (%) <span class="text-danger">*</span></label>
                    <input type="text" name="fat" class="form-control" value="{{ old('fat') }}">
                    @error('fat') <small class="text-danger">{{ $message }}</small> @enderror
                </div>

                <div class="col-lg-3 mt-3">
                    <label class="form-label">BMI <span class="text-danger">*</span></label>
                    <input type="text" name="bmi" class="form-control" value="{{ old('bmi') }}">
                    @error('bmi') <small class="text-danger">{{ $message }}</small> @enderror
                </div>

                <div class="col-lg-3 mt-3">
                    <label class="form-label">VF <span class="text-danger">*</span></label>
                    <input type="text" name="vf" class="form-control" value="{{ old('vf') }}">
                    @error('vf') <small class="text-danger">{{ $message }}</small> @enderror
                </div>

                <div class="col-lg-3 mt-3">
                    <label class="form-label">BMR <span class="text-danger">*</span></label>
                    <input type="text" name="bmr" class="form-control" value="{{ old('bmr') }}">
                    @error('bmr') <small class="text-danger">{{ $message }}</small> @enderror
                </div>
                <div class="col-lg-3 mt-3">
                    <label class="form-label">BA <span class="text-danger">*</span></label>
                    <input type="text" name="ba" class="form-control" value="{{ old('ba') }}">
                    @error('ba') <small class="text-danger">{{ $message }}</small> @enderror
                </div>

                <div class="col-lg-3 mt-3">
                    <label class="form-label">MM (%) <span class="text-danger">*</span></label>
                    <input type="text" name="mm" class="form-control" value="{{ old('mm') }}">
                    @error('mm') <small class="text-danger">{{ $message }}</small> @enderror
                </div>

                <div class="col-lg-3 mt-3">
                    <label class="form-label">Next Follow Up <span class="text-danger">*</span></label>
                    <input type="date" name="nxt_follow_up" class="form-control" value="{{ old('nxt_follow_up') }}">
                    @error('nxt_follow_up') <small class="text-danger">{{ $message }}</small> @enderror
                </div>

            </div>

            <div class="d-flex justify-content-center mt-4">
                <button type="button" class="btn btn-primary me-3" data-bs-toggle="modal"
                    data-bs-target="#submit">Submit</button>
                <button class="btn btn-secondary">Discard</button>

            </div>
        </form>
    </div>
    <div class="modal fade" id="submit" tabindex="-1">
        <div class="modal-dialog modal-sm modal-dialog-centered">
            <div class="modal-content rounded-4 px-4 py-5 text-center">

                <h5 class="fw-bold mb-2">Are you sure?</h5>
                <p class="text-muted mb-4">Do you confirm to submit this form?</p>

                <div class="d-flex justify-content-center gap-3 mt-3">

                    <!-- Cancel -->
                    <button type="button" class="btn btn-outline-secondary px-4" data-bs-dismiss="modal">
                        Cancel
                    </button>

                    <!-- Final submit -->
                    <button type="button" class="btn btn-primary px-4 fw-semibold" id="finalSubmit">
                        Yes, Sure
                    </button>

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

    <script>

        document.getElementById('finalSubmit').addEventListener('click', function (e) {
            e.preventDefault();
            let btn = this;
            btn.disabled = true;
            btn.innerText = 'Processing...';
            document.getElementById('login_form').submit();
        });
    </script>
@endsection