@extends('layouts/contentLayoutMaster')

@section('title',  __('locale.Products.Health'))

@section('content')

@section('vendor-style')
    <!-- vendor css files -->
    <link rel="stylesheet" href="{{ asset(mix('vendors/css/forms/wizard/bs-stepper.min.css')) }}">
    <link rel="stylesheet" href="{{ asset(mix('vendors/css/forms/select/select2.min.css')) }}">
@endsection

@section('page-style')
    <!-- Page css files -->
    <link rel="stylesheet" href="{{ asset(mix('css/base/plugins/forms/form-validation.css')) }}">
    <link rel="stylesheet" href="{{ asset(mix('css/base/plugins/forms/form-wizard.css')) }}">
@endsection

<section id="multiple-column-form">
    <div class="row">
        <div class="col-12">
            <div class="card">
                {{-- <div class="card-header">
                    <h4 class="card-title">{{ __('locale.Pages.colab.Title') }}</h4>
                </div> --}}
                <div class="card-body">
                    <form class="form-add-health">
                        @csrf
                        <div class="card-header">
                            <h4 class="card-title">{{ __('locale.Table.suppliers.Column.Title') }}</h4>
                            <div class="btn-group">
                                <a href="{{ route('dashboard.conditions.health-products.edit', ['id' => $healths->id]) }}" class="btn btn-primary" id="btnEditar"><i data-feather='edit-3'></i></a>
                                <a href="{{ route('dashboard.conditions.health-products.show', ['id' => $healths->id]) }}" class="btn btn-info" id="btnVisualizar">
                                    <i data-feather="eye"></i>
                                </a>
                            </div>
                        </div>
                        <input type="hidden" name="id" id="id" value="{{ @$healths->id }}">
                        <div class="row">
                            <div class="col-md-6 mb-12">
                                <div class="mb-1">
                                    <div class="">
                                        <label class="form-label"
                                            for="contract_id">{{ __('locale.Pages.Health.Label.contract_id') }}</label>
                                            <select id="contract_id" value="{{ @$healths->contract_id }}" class="form-select"
                                            placeholder="{{ __('locale.Pages.Health.Label.contract_id') }}"name="contract_id"
                                            required disabled>
                                            @if ($contracts)
                                                @foreach ($contracts as $contract)
                                                    <option value="{{ $contract->id }}">{{ $contract->policy_number }}</option>
                                                @endforeach
                                            @endif
                                            </select>
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-6 mb-12">
                                <div class="mb-1">
                                    <div class="">
                                        <label class="form-label"
                                            for="product_id">{{ __('locale.Pages.Health.Label.product_id') }}</label>
                                            <select id="product_id" value="{{ @$healths->contract_id }}" class="form-select"
                                            placeholder="{{ __('locale.Pages.Health.Label.product_id') }}"name="product_id"
                                            required disabled>
                                            @if ($products)
                                                @foreach ($products as $product)
                                                    <option value="{{ $product->id }}">{{ $product->name }}</option>
                                                @endforeach
                                            @endif
                                            </select>
                                    </div>
                                </div>
                            </div>
                        </div>                  
                        <div class="row">
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label" for="company_currency_reward">{{ __('locale.Pages.Health.Label.company_currency_reward') }}</label>
                                    <input type="number" id="company_currency_reward" value="{{ @$healths->company_currency_reward }}" class="form-control" autocomplete="off" placeholder="{{ __('locale.Pages.Health.Label.company_currency_reward') }}"
                                        name="company_currency_reward" required disabled/>
                                </div>
                            </div>
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label" for="company_currency_refund">{{ __('locale.Pages.Health.Label.company_currency_refund') }}</label>
                                    <input type="number" id="company_currency_refund" value="{{ @$healths->company_currency_refund }}" class="form-control" autocomplete="off" placeholder="{{ __('locale.Pages.Health.Label.company_currency_refund') }}"
                                        name="company_currency_refund" required disabled/>
                                </div>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label" for="example_refund_value" autocomplete="off">{{ __('locale.Pages.Health.Label.example_refund_value') }}</label>
                                    <input type="text" id="example_refund_value" value="{{ @$healths->example_refund_value }}" class="form-control" placeholder="{{ __('locale.Pages.Health.Label.example_refund_value') }}"
                                        name="example_refund_value" required disabled/>
                                </div>
                            </div>
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label" for="negociation" autocomplete="off">{{ __('locale.Pages.Health.Label.negociation') }}</label>
                                    <input type="number" id="negociation" value="{{ @$healths->negociation }}" class="form-control" placeholder="{{ __('locale.Pages.Health.Label.negociation') }}"
                                        name="negociation" required disabled/>
                                </div>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-md-6 mb-12">
                                <div class="mb-1">
                                    <div class="">
                                        <label class="form-label"
                                            for="adt">{{ __('locale.Pages.Dental.Label.additional_coverage') }}</label>
                                            <select id="additional_coverage" value="{{ @$healths->additional_coverage }}" class="form-select"
                                            placeholder="{{ __('locale.Pages.Dental.Label.additional_coverage') }}"name="additional_coverage"
                                            required disabled>
                                                <option value="1">Check up para executivos</option>
                                                <option value="2">Seguro viagem</option>
                                                <option value="3">Vacina</option>
                                                <option value="4">Telemedicina</option>
                                                <option value="5">Remissão por morte</option>
                                                <option value="6">Outros</option>
                                            </select>
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label"
                                        for="customCheck1">{{ __('locale.Pages.Health.Label.has_copay') }}</label>
                                    <div class="row">
                                        <div class="col-md-2">
                                            <div class="form-check">
                                                <input type="radio" name="has_copay" value="0" {{$healths->has_copay == 0 ? 'checked' : ''}}
                                                    class="form-check-input" id="customCheck1" disabled>
                                                <label class="form-check-label"
                                                    for="customCheck1">{{ __('locale.Pages.Health.Value.No') }}</label>
                                            </div>
                                        </div>
                                        <div class="col-md-2">
                                            <div class="form-check">
                                                <input type="radio" name="has_copay" value="1" {{$healths->has_copay == 1 ? 'checked' : ''}}
                                                    class="form-check-input" id="customCheck2" disabled>
                                                <label class="form-check-label"
                                                    for="customCheck2">{{ __('locale.Pages.Health.Value.Yes') }}</label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-md-6 mb-12">
                                <div class="mb-1">
                                    <div class="">
                                        <label class="form-label"
                                            for="copay_id">{{ __('locale.Pages.Health.Label.copay_condition_id') }}</label>
                                            <select id="copay_id" value="{{ @$healths->copay_id }}" class="form-select"
                                            placeholder="{{ __('locale.Pages.Health.Label.copay_condition_id') }}"name="copay_id"
                                            required disabled>
                                            @if ($copays)
                                                @foreach ($copays as $copay)
                                                    <option value="{{ $copay->id }}">{{ $copay->description }}</option>
                                                @endforeach
                                            @endif
                                            </select>
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label"
                                        for="customCheck1">{{ __('locale.Pages.Health.Label.privation_inclusion') }}</label>
                                    <div class="row">
                                        <div class="col-md-2">
                                            <div class="form-check">
                                                <input type="radio" name="privation_inclusion" value="0" {{$healths->privation_inclusion == 0 ? 'checked' : ''}}
                                                    class="form-check-input" id="customCheck1" disabled>
                                                <label class="form-check-label"
                                                    for="customCheck1">{{ __('locale.Pages.Health.Value.No') }}</label>
                                            </div>
                                        </div>
                                        <div class="col-md-2">
                                            <div class="form-check">
                                                <input type="radio" name="privation_inclusion" value="1" {{$healths->privation_inclusion == 1 ? 'checked' : ''}}
                                                    class="form-check-input" id="customCheck2" disabled>
                                                <label class="form-check-label"
                                                    for="customCheck2">{{ __('locale.Pages.Health.Value.Yes') }}</label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label" for="holder_privation" autocomplete="off">{{ __('locale.Pages.Health.Label.holder_privation') }}</label>
                                    <input type="text" id="holder_privation" value="{{ @$healths->holder_privation }}" class="form-control" placeholder="{{ __('locale.Pages.Health.Label.holder_privation') }}"
                                        name="holder_privation" required disabled/>
                                </div>
                            </div>
                            <div class="col-md-6 col-12">
                                <div class="mb-1">
                                    <label class="form-label" for="dependent_privation" autocomplete="off">{{ __('locale.Pages.Health.Label.dependent_privation') }}</label>
                                    <input type="number" id="dependent_privation" value="{{ @$healths->dependent_privation }}" class="form-control" placeholder="{{ __('locale.Pages.Health.Label.dependent_privation') }}"
                                        name="dependent_privation" required disabled/>
                                </div>
                            </div>
                        </div>                     
                        <div class="row">
                            <div class="col-12">
                                
                                <button type="reset" class="btn btn-outline-secondary" id="btnReset">{{ __('locale.Pages.Health.Button.Back') }}</button>
                            </div>
                        </div>

                    </form>
                </div>
            </div>
        </div>
    </div>
</section>
@endsection

@section('vendor-script')
<!-- vendor files -->
<script src="{{ asset(mix('vendors/js/extensions/sweetalert2.all.min.js')) }}"></script>
<script src="{{ asset(mix('vendors/js/forms/wizard/bs-stepper.min.js')) }}"></script>
<script src="{{ asset(mix('vendors/js/forms/select/select2.full.min.js')) }}"></script>
<script src="{{ asset(mix('vendors/js/jquery-mask/jquery.mask.js')) }}"></script>
<script src="{{ asset(mix('vendors/js/forms/validation/jquery.validate.min.js')) }}"></script>
@endsection
@section('page-script')
<script>
    $(function() {
        'use strict';

        $(".money").mask("#.##0,00", {
            reverse: true
        });

        $('#btnReset').on('click', function() {
            window.location.href = `{{ route('dashboard.health_products.index') }}`;
        });


    });
</script>
@endsection