@include('headeruser')
@include('sweetalerts')

					<!--begin::Content-->
					<div class="content d-flex flex-column flex-column-fluid" id="kt_content">
						<!--begin::Subheader-->
						<div class="subheader py-2 py-lg-4 subheader-solid" id="kt_subheader">
							<div class="container-fluid d-flex align-items-center justify-content-between flex-wrap flex-sm-nowrap">
								<!--begin::Info-->
								<div class="d-flex align-items-center flex-wrap mr-2">
									<!--begin::Page Title-->
									<h5 class="text-dark font-weight-bold mt-2 mb-2 mr-5">{{ $page }}</h5>
									<!--end::Page Title-->
									<!--begin::Actions-->
									
									<div class="subheader-separator subheader-separator-ver mt-2 mb-2 mr-4 bg-gray-200"></div>
									<ul class="breadcrumb breadcrumb-transparent breadcrumb-dot font-weight-bold p-0 my-2 font-size-sm">
										<li class="breadcrumb-item text-muted">
											<a href="" class="text-muted">
												{{ $subpage }}
											</a>
										</li>
										<li class="breadcrumb-item text-muted">
											<a href="" class="text-muted">
												{{ $submenu }}
											</a>
										</li>
									</ul>
									<!--end::Actions-->
								</div>
								<!--end::Info-->
							</div>
						</div>
						<!--end::Subheader-->
						<!--begin::Entry-->
						<div class="d-flex flex-column-fluid">
							<!--begin::Container-->
							<div class="container">
                                <!--begin::Card-->
                                <div class="card card-custom gutter-b">
                                    <div class="card-header">
                                        <div class="card-title">
                                            <h3 class="card-label">{{ Str::upper($submenu) }} ({{ $data_clinic->name_clinic }})</h3>
                                        </div>
                                    </div>
                                    <div class="card-body">
                                        <form class="needs-validation" action="{{ route('ClinicUpdateMyAccount', $id_clinic) }}" method="POST">
                                            @method('PUT')
                                            @csrf

                                            <input type="hidden" name="user_level" value="{{ $data_clinic->user_level }}" />
                                            <input type="hidden" name="id_user_status" value="{{ $data_clinic->id_user_status }}" />

                                            <div class="row" style="margin-bottom: -10px;">
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>No ID Klinik</b> <small><font color="red">*</font></small></label>
                                                        <input type="text" class="form-control form-control-solid" placeholder="Sila Masukkan No ID Klinik" value="{{ $data_clinic->id }}" disabled />

                                                        @error('id')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Nama Klinik</b> <small><font color="red">*</font></small></label>
                                                        <select class="form-control form-control-solid SelectClinicRegisterPatient" data-width="100%" name="id_name_clinic" required>
                                                            <option value="">Pilih Nama Klinik</option>
                                                            @foreach ($query_name_clinic as $data_name_clinic)
                                                                <option value="{{ $data_name_clinic->id_name_clinic }}" {{ $data_clinic->id_name_clinic == $data_name_clinic->id_name_clinic ? "selected" : "" }}> {{ Str::upper($data_name_clinic->name_clinic) }}</option>
                                                            @endforeach
                                                        </select>

                                                        @error('id_name_clinic')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                            </div>

                                            <div class="row" style="margin-bottom: -10px;">
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Alamat 1</b> <small><font color="red">*</font></small></label>
                                                        <input type="text" class="form-control form-control-solid" name="add_1" placeholder="Sila Masukkan Alamat 1" value="{{ $data_clinic->add_1 }}" />

                                                        @error('add_1')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Alamat 2</b> <small><font color="red">*</font></small></label>
                                                        <input type="text" class="form-control form-control-solid" name="add_2" placeholder="Sila Masukkan Alamat 2" value="{{ $data_clinic->add_2 }}" />

                                                        @error('add_2')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                            </div>

                                            <div class="row" style="margin-bottom: -10px;">
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Alamat 3</b></label>
                                                        <input type="text" class="form-control form-control-solid" name="add_3" placeholder="Sila Masukkan Alamat 3" value="{{ $data_clinic->add_3 }}" />

                                                        @error('add_3')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Bandar</b> <small><font color="red">*</font></small></label>
                                                        <input type="text" class="form-control form-control-solid" name="city" placeholder="Sila Masukkan Bandar" value="{{ $data_clinic->city }}" />

                                                        @error('city')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                            </div>

                                            <div class="row" style="margin-bottom: -10px;">
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Poskod</b> <small><font color="red">*</font></small></label>
                                                        <select class="form-control form-control-solid SelectPostcodeAddPanelClinic" data-width="100%" name="id_postcode">
                                                            <option value="">Pilih Poskod</option>
                                                            @foreach ($query_postcode as $data_postcode)
                                                                <option value="{{ $data_postcode->id_postcode }}" {{ $data_clinic->id_postcode == $data_postcode->id_postcode ? "selected" : "" }}> {{ Str::upper($data_postcode->name_postcode) }}</option>
                                                            @endforeach
                                                        </select>

                                                        @error('id_postcode')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Negeri</b> <small><font color="red">*</font></small></label>
                                                        <select class="form-control form-control-solid SelectStateAddPanelClinic" data-width="100%" name="id_state">
                                                            <option value="">Pilih Negeri</option>
                                                            @foreach ($query_state as $data_state)
                                                                <option value="{{ $data_state->id_state }}" {{ $data_clinic->id_state == $data_state->id_state ? "selected" : "" }}> {{ Str::upper($data_state->name_state) }}</option>
                                                            @endforeach
                                                        </select>

                                                        @error('id_state')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                            </div>

                                            <div class="row" style="margin-bottom: -10px;">
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>No Telefon Klinik</b> <small><font color="red">*</font></small></label>
                                                        <input type="text" class="form-control form-control-solid" name="no_hp" placeholder="Sila Masukkan No Telefon Klinik" value="{{ $data_clinic->no_hp }}" />

                                                        @error('no_hp')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Email Klinik</b> <small><font color="red">*Wajib Masukkan Untuk Kegunaan Tetapan Kata Laluan Baru</font></small></label>
                                                        <input type="text" class="form-control form-control-solid" name="email" placeholder="Sila Masukkan Email Klinik" value="{{ $data_clinic->email }}" />

                                                        @error('email')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                            </div>

                                            <div class="row" style="margin-bottom: -10px;">
                                                <div class="col-12 col-md-6">
                                                    <label><b>Lokasi</b> <small><font color="red">*<a href="https://www.google.com/maps" target="_blank">Cari Klinik -> Klik Butang Share -> Klik Butang "Copy Link" -> Paste</a></font></small></label>
                                                    <input type="text" class="form-control form-control-solid" name="location" placeholder="Sila Masukkan Lokasi Klinik" value="{{ $data_clinic->location }}" />

                                                    @error('location')
                                                        <font color="#ff0000">{{ $message }}</font>
                                                    @enderror
                                                </div>
                                                <div class="col-12 col-md-6">
                                                    <div class="form-group">
                                                        <label><b>Kata Laluan</b> <small><font color="red">*Tinggalkan Kosong Jika Tidak Menukar Kata Laluan</font></small></label>
                                                        <input type="password" class="form-control form-control-solid" name="password" placeholder="Sila Masukkan Kata Laluan" />

                                                        @error('password')
                                                            <font color="#ff0000">{{ $message }}</font>
                                                        @enderror
                                                    </div>
                                                </div>
                                            </div>
                                            
                                            <center>
                                                <button type="submit" class="btn btn-danger mt-3">
                                                    <i class="fa-sharp-duotone fa-solid fa-floppy-disk fa-2xs"></i> Kemaskini Maklumat
                                                </button>
                                            </center>

                                        </form>

                                    </div>

                                </div>
                                <!--end::Card-->
							</div>
							<!--end::Container-->
							
						</div>
						<!--end::Entry-->
					</div>
                    <!--end::Content-->

                    @include('footer')