@extends('adminlte::page')

@section('content_header')
<h2>Edit Child Record</h2>
@stop

@section('content')
<div class="card">
    <div class="card-body">
        @if($children->approval_status === 'rejected')
            <div class="alert alert-warning">
                This record was rejected@if($children->approval_remark): <em>{{ $children->approval_remark }}</em>@endif.
                Saving your changes will resubmit it for review.
            </div>
        @endif

        <form action="{{ route('children.update', $children->id) }}" method="POST" enctype="multipart/form-data">
            @csrf
            @method('PUT')

            <div class="row">
                <div class="col-md-6">
                    <div class="form-group">
                        <label for="child_full_name">Child Full Name*</label>
                        <input type="text" class="form-control" id="child_full_name" name="child_full_name" value="{{ old('child_full_name', $children->child_full_name) }}" required>
                    </div>

                    <div class="form-group">
                        <label for="sex">Sex</label>
                        <select class="form-control" id="sex" name="sex">
                            <option value="">Select</option>
                            <option value="male" {{ old('sex', $children->sex) == 'male' ? 'selected' : '' }}>Male</option>
                            <option value="female" {{ old('sex', $children->sex) == 'female' ? 'selected' : '' }}>Female</option>
                        </select>
                    </div>

                    <div class="form-group">
                        <label for="photo">Photo</label>
                        @if($children->photo)
                            <div class="mb-2">
                                <img src="{{ asset('storage/children_data/' . $children->photo) }}" width="100" class="img-thumbnail">
                            </div>
                        @endif
                        <input type="file" class="form-control-file" id="photo" name="photo" accept="image/*">
                    </div>

                    <div class="form-group">
                        <label for="birthdate">Birthdate</label>
                        <input type="date" class="form-control" id="birthdate" name="birthdate" value="{{ old('birthdate', $children->birthdate ? $children->birthdate->format('Y-m-d') : '') }}">
                    </div>

                    <div class="form-group">
                        <label for="birth_place">Birth Place</label>
                        <input type="text" class="form-control" id="birth_place" name="birth_place" value="{{ old('birth_place', $children->birth_place) }}">
                    </div>

                    <div class="form-group">
                        <label for="region">Region</label>
                        <input type="text" class="form-control" id="region" name="region" value="{{ old('region', $children->region) }}">
                    </div>

                    <div class="form-group">
                        <label for="family_status">Family Status</label>
                        <input type="text" class="form-control" id="family_status" name="family_status" value="{{ old('family_status', $children->family_status) }}">
                    </div>

                    <div class="form-group">
                        <label for="father_full_name">Father Full Name</label>
                        <input type="text" class="form-control" id="father_full_name" name="father_full_name" value="{{ old('father_full_name', $children->father_full_name) }}">
                    </div>

                    <div class="form-group">
                        <label for="mother_full_name">Mother Full Name</label>
                        <input type="text" class="form-control" id="mother_full_name" name="mother_full_name" value="{{ old('mother_full_name', $children->mother_full_name) }}">
                    </div>
                </div>

                <div class="col-md-6">
                    <div class="form-group">
                        <label for="caregiver_company_name">Caregiver Company Name</label>
                        <input type="text" class="form-control" id="caregiver_company_name" name="caregiver_company_name" value="{{ old('caregiver_company_name', $children->caregiver_company_name) }}">
                    </div>

                    <div class="form-group">
                        <label for="agency_name">Agency Name</label>
                        <input type="text" class="form-control" id="agency_name" name="agency_name" value="{{ old('agency_name', $children->agency_name) }}">
                    </div>

                    <div class="form-group">
                        <label for="file_number">File Number*</label>
                        <input type="text" class="form-control" id="file_number" name="file_number" value="{{ old('file_number', $children->file_number) }}" required>
                        <small class="form-text text-muted">
                            Changing this moves where the system expects the transferred scan file for this case.
                        </small>
                    </div>

                    <div class="form-group">
                        <label for="approved_date">Approved Date</label>
                        <input type="date" class="form-control" id="approved_date" name="approved_date" value="{{ old('approved_date', $children->approved_date ? $children->approved_date->format('Y-m-d') : '') }}">
                    </div>

                    <div class="form-group">
                        <label for="caregiver_name">Caregiver Name</label>
                        <input type="text" class="form-control" id="caregiver_name" name="caregiver_name" value="{{ old('caregiver_name', $children->caregiver_name) }}">
                    </div>

                    <div class="form-group">
                        <label for="country_id">Country*</label>
                        <select class="form-control" id="country_id" name="country_id" required>
                            <option value="">Select Country</option>
                            @foreach($countries as $country)
                                <option value="{{ $country->id }}" {{ old('country_id', $children->country_id) == $country->id ? 'selected' : '' }}>
                                    {{ $country->name }}
                                </option>
                            @endforeach
                        </select>
                    </div>

                    <div class="form-group">
                        <label for="city">City</label>
                        <input type="text" class="form-control" id="city" name="city" value="{{ old('city', $children->city) }}">
                    </div>

                    <div class="form-group">
                        <label for="phone_no">Phone Number*</label>
                        <input type="text" class="form-control" id="phone_no" name="phone_no" value="{{ old('phone_no', $children->phone_no) }}" required>
                    </div>

                    <div class="form-group">
                        <label for="email">Email</label>
                        <input type="email" class="form-control" id="email" name="email" value="{{ old('email', $children->email) }}">
                    </div>

                    <div class="form-group">
                        <label for="fax">Fax</label>
                        <input type="text" class="form-control" id="fax" name="fax" value="{{ old('fax', $children->fax) }}">
                    </div>

                    <div class="form-group">
                        <label for="street_address">Street Address</label>
                        <textarea class="form-control" id="street_address" name="street_address" rows="2">{{ old('street_address', $children->street_address) }}</textarea>
                    </div>

                    <div class="form-group">
                        <label for="remark">Remark</label>
                        <textarea class="form-control" id="remark" name="remark" rows="2">{{ old('remark', $children->remark) }}</textarea>
                    </div>
                </div>
            </div>

            <button type="submit" class="btn btn-primary">Update</button>
            <a href="{{ route('children.show', $children->id) }}" class="btn btn-secondary">Cancel</a>
        </form>
    </div>
</div>
@stop