@extends('adminlte::page')

@section('title', 'Add New Child')

@section('content_header')
    <!-- <h1>Add New Child</h1> -->
@stop

@section('content')

<div class="container">
    <h1>አዲስ ፋይል መመዝገቢያ  </h1>

    <form action="{{ route('children.store') }}" method="POST" enctype="multipart/form-data">
        @csrf

        <div class="row">
            <div class="col-md-6">
                <div class="form-group">
                    <label for="child_full_name">የህፃኑ ሙሉ ስም*</label>
                    <input type="text" class="form-control" id="child_full_name" name="child_full_name" required>
                </div>


                <div class="form-group">
                    <label for="sex">ጾታ </label>
                    <select class="form-control" id="sex" name="sex">
                        <option value="">Select</option>
                        <option value="male">ወንድ</option>
                        <option value="female">ሴት </option>
                    </select>
                </div>
                <div class="form-group">
                    <label for="case_file">የፋይል ቁጥር </label>
                    <input type="text" class="form-control" id="case_file" name="case_file">
                </div>
             

                <div class="form-group">
                    <label for="birthdate">የትውልድ ቀን/ ዘመን</label>
                    <input type="date" class="form-control" id="birthdate" name="birthdate">
                </div>

                <div class="form-group">
                    <label for="birth_place">የትውልድ ቦታ
</label>
                    <input type="text" class="form-control" id="birth_place" name="birth_place">
                </div>

                <div class="form-group">
                    <label for="region">ክልል</label>
                    <input type="text" class="form-control" id="region" name="region">
                </div>

                <div class="form-group">
                    <label for="family_status">የቤተሰብ ሁኔታ</label>
                    <select class="form-control" id="family_status" name="family_status">
                        <option value="">Select</option>
                        <option value="single">ተጥሎ/የተገኝ</option>
                        <option value="married">ሁለቱም ወላጆች በሂይወት ያሉ</option>
                        <option value="divorced">አንድ ወላጅ በሂይወት ያሉ</option>
                        <option value="separated">ህጻኑን ለጉዲፈቻ ወይ ለህ/ማ  የሰጠው ሰው ሙሉ ስምና ከህጻኑ ጋር ያለው ግንኙነት</option>
                        <option value="widowed">ሌሎች ቤተሰቦች ጋር </option>
                    </select>
                </div>
<!-- //id`, `child_full_name`, `sex`, `photo`, `birthdate`, `birth_place`, `region`, `family_status`, `father_full_name`, `mother_full_name`, `caregiver_company_name`, `agency_name`, `file_number`, `approved_date`, `caregiver_name`, `country`, `city`, `phone_no`, `email`,
// `fax`, `street_address`, `remark`, `case_file`, `created_at`, `updated_at`, `approval_status`, `approval_remark`, `approved_by`, `created_by`, `approved_at -->
                <div class="form-group">
                    <label for="father_full_name">የወላጅ አባት ሙሉ ስም</label>
                    <input type="text" class="form-control" id="father_full_name" name="father_full_name">
                </div>
                <div class="form-group">
                    <label for="mother_full_name">የወላጅ እናት ሙሉ ስም </label>
                    <input type="text" class="form-control" id="mother_full_name" name="mother_full_name">
                </div>

                <div class="form-group">
                    <label for="caregiver_company_name">የማሳደጊያ ስም </label>
                    <input type="text" class="form-control" id="caregiver_company_name" name="caregiver_company_name">
                </div>

                <div class="form-group">
                    <label for="agency_name">የኤጀንሲ ስም </label>
                    <input type="text" class="form-control" id="agency_name" name="agency_name">
                </div>

                <!-- <div class="form-group">
                    <label for="file_number">የፋይል ቁጥር </label>
                    <input type="text" class="form-control" id="file_number" name="file_number">
                </div> -->
            </div>

            <div class="col-md-6">
                

                <div class="form-group">
                    <label for="approved_date">የፀደቀበት ቀን</label>
                    <input type="date" class="form-control" id="approved_date" name="approved_date">
                </div>

                <div class="form-group">
                    <label for="caregiver_name">የአሳዳጊ ሙሉ ስም(እናት ወይም አባት ) </label>
                    <input type="text" class="form-control" id="caregiver_name" name="caregiver_name">
                </div>

                <div class="form-group">
                    <label for="country">የሄዱበት ሀገር </label>
                    <select name="country" id="country" class="form-control">
                        <option value="">Select Country</option>
                        @foreach($countries as $country)
                            <option value="{{ $country->id }}">{{ $country->name }}</option>
                        @endforeach
                    </select>
                </div>

                <div class="form-group">
                    <label for="city">የሄዱበት ከተማ  </label>
                    <input type="text" class="form-control" id="city" name="city">
                </div>

                <div class="form-group">
                    <label for="phone_no">የስልክ ቁጥር </label>
                    <input type="text" class="form-control" id="phone_no" name="phone_no">
                </div>

                <div class="form-group">
                    <label for="email">ኢሜል አድራሻ</label>
                    <input type="email" class="form-control" id="email" name="email">
                </div>

                <div class="form-group">
                    <label for="fax">ፋክስ ቁጥር</label>
                    <input type="text" class="form-control" id="fax" name="fax">
                </div>

                <div class="form-group">
                    <label for="street_address">የሄዱበት ቦታ አድራሻ</label>
                    <textarea class="form-control" id="street_address" name="street_address" rows="2"></textarea>
                </div>

                <div class="form-group">
                    <label for="remark"> ማስታዎሻ  </label>
                    <textarea class="form-control" id="remark" name="remark" rows="2"></textarea>
                </div>

                <!-- <div class="form-group">
                    <label for="file">ፋይል አያይዝ </label>
                    <input type="text" class="form-control-file" id="file" name="case_file" value="1">
                </div> -->
                <div class="form-group">
                    <label for="photo">የህጻኑን ፎቶ አያይዝ </label>
                    <input type="file" class="form-control-file" id="photo" name="photo">
                </div>
            </div>
        </div>

        <button type="submit" class="btn btn-primary">መዝግብ </button>
        <a href="{{ route('children.index') }}" class="btn btn-secondary">ተመለስ</a>
    </form>
</div>
@stop

@section('css')
    {{-- Add here extra stylesheets --}}
    {{-- <link rel="stylesheet" href="/css/admin_custom.css"> --}}
    
@stop

@section('js')
    <script> console.log("Hi, I'm using the Laravel-AdminLTE package!"); </script>
@stop