@extends('admin.layout.app')
@section('title','Edit Insurance')
@push('headerscript')
    <link href="{{asset('theme/plugins/bootstrap-datepicker/css/bootstrap-datepicker.min.css')}}" rel="stylesheet">
@endpush
@section('content')
    <div class="content">
        <div class="container">
            <div class="row">
                <div class="col-xs-12">
                    <div class="page-title-box">
                        <h4 class="page-title">Edit Insurance</h4>
                        <div class="pull-right">
                            <a href="{{route('insurance.index')}}"
                               class="btn btn-info btn-rounded waves-effect waves-light m-b-2"><i
                                    class=" mdi mdi-keyboard-backspace"></i> Back</a>
                        </div>
                        <div class="clearfix"></div>
                    </div>
                </div>
            </div>
            <div class="row">
                <div class="col-sm-12 ">
                    <div class="card-box">
                        <div class="row">
                            <div class="col-sm-12">
                                {!! Form::open(['route'=>array('insurance.update', $insurance->id), 'onsubmit'=>'BtnSubmit.disabled = true','method' => 'put']) !!}
                                <div class="form-group row">
                                    <div class="col-sm-4 col-12 m-t-5">
                                        <label for="insurance_code">Insurance Code<span
                                                class="text-danger">*</span></label>
                                        <input id="insurance_code" type="text" class="form-control"
                                               name="insurance_code"
                                               value="{{$insurance->insurance_code}}" readonly>
                                        <div class="text-danger">{{$errors->first('insurance_code')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-5">
                                        <label for="company_name">Company Name<span class="text-danger">*</span></label>
                                        <input id="company_name" type="text" class="form-control" name="company_name"
                                               value="{{ old('company_name', $insurance->company_name) }}" required
                                               autofocus>
                                        <div class="text-danger">{{$errors->first('company_name')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-5">
                                        <label for="product_id2">Account Group Name<span
                                                class="text-danger">*</span></label>
                                        {!! Form::select("account_group_id", [''=>'Select ']+$accountGroups, old("account_group_id", $insurance->account_group_id), ['class'=>'form-control' ,'id' => 'product_id2','disabled']  ) !!}
                                        <div class="text-danger">{{$errors->first('account_group_name')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-15">
                                        <label for="trn_number">TRN No.</label>
                                        <input id="trn_number" type="text" class="form-control" name="trn_number"
                                               value="{{ old('trn_number', $insurance->trn_number) }}"
                                               autofocus>
                                        <div class="text-danger">{{$errors->first('trn_number')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-15">
                                        <label for="land_line">Land Line</label>
                                        <input id="land_line" type="text" class="form-control number" name="land_line"
                                               value="{{ old('land_line', $insurance->land_line) }}" autofocus>
                                        <div class="text-danger">{{$errors->first('land_line')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-15">
                                        <label for="mobile_number">Mobile Number</label>
                                        <input id="mobile_number" type="text" class="form-control number"
                                               name="mobile_number"
                                               value="{{ old('mobile_number',$insurance->mobile_number) }}"
                                               autofocus>
                                        <div class="text-danger">{{$errors->first('mobile_number')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-15">
                                        <label for="contact_person">Contact Person</label>
                                        <input id="contact_person" type="text" class="form-control"
                                               name="contact_person"
                                               value="{{ old('contact_person', $insurance->contact_person) }}"
                                               autofocus>
                                        <div class="text-danger">{{$errors->first('contact_person')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-15">
                                        <label for="email">Email</label>
                                        <input id="email" type="email" class="form-control" name="email"
                                               value="{{ old('email', $insurance->email) }}" autofocus>
                                        <div class="text-danger">{{$errors->first('email')}}</div>
                                    </div>
                                    <div class="col-sm-4 col-12 m-t-15">
                                        <label for="start_date">Start Date<span class="text-danger">*</span></label>
                                        <input type="text" name="start_date" id="datepicker"
                                               value="{{old('start_date',date('d-m-Y',strtotime($insurance->start_date)))}}"
                                               class="form-control" required="" autocomplete="off">
                                        <div class="text-danger">{{$errors->first('start_date')}}</div>
                                    </div>
                                    <div class="col-sm-12 col-12 m-t-15">
                                        <label for="address">Address</label>
                                        <textarea class="form-control" name="address" rows="2"
                                        >{{ old('address', $insurance->address) }}</textarea>
                                        <div class="text-danger">{{$errors->first('address')}}</div>
                                    </div>
                                    <div class="form-group col-sm-4 col-12">
                                        <div class="m-t-10">
                                            <label for="vat_check">VAT Applicable </label>
                                            <input type="checkbox" name="vat_check" value="yes"
                                                {{$insurance->vat_check== 'yes' ? 'checked': ''}}>
                                        </div>
                                    </div>

                                </div>
                                <div class="form-group text-center">
                                    <div class="col-sm-12 col-12 m-t-10">
                                        <button type="submit"
                                                class="btn w-md btn-bordered btn-success waves-effect waves-light">
                                            Update
                                        </button>
                                    </div>
                                </div>
                                {!! Form::close() !!}
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection
@push('footerscript')
    <script src="{{asset('theme/plugins/moment/moment.js')}}"></script>
    <script src="{{asset('theme/plugins/bootstrap-datepicker/js/bootstrap-datepicker.min.js')}}"></script>
    <script>
        $("#datepicker").datepicker({
            format: 'dd-mm-yyyy',
            autoclose: true
        });

        $('.number').keyup(function (e) {
            if (/\D/g.test(this.value)) {
                this.value = this.value.replace(/\D/g, '');
            }
        });
    </script>
@endpush