@extends('layout.master')
@section('content')
    <div class="right_col" role="main">
        <div class="">
            <div class="clearfix"></div>

            <div class="row" style="display: block;">
                <div class="col-md-12 col-sm-12 ">
                    <div class="x_panel">
                        <div class="x_title">
                            <h2>Customer <small>Create</small></h2>
                            <ul class="nav navbar-right panel_toolbox">
                                <li>
                                    <a href="{{ route('admin.customer.index') }}" class="closeBtn">
                                        <i class="fa fa-arrow-left"></i> Back
                                    </a>
                                </li>
                            </ul>
                            <div class="clearfix"></div>
                        </div>
                        <div class="x_content">
                            <form class="form-label-left input_mask" action="{{ route('admin.customer.store') }}"
                                method="POST" enctype="multipart/form-data">
                                @csrf

                                <span class="section">General Details</span>
                                <div class="row">

                                    <div class="col-md-4 col-sm-6 form-group">
                                        <label for="first_name">First name *:</label>
                                        <input type="text" class="form-control" name="first_name"
                                            value="{{ old('first_name') }}" placeholder="First name">
                                        @error('first_name')
                                            <label class="text-danger">{{ $message }}</label>
                                        @enderror
                                    </div>

                                    <div class="col-md-4 col-sm-6 form-group">
                                        <label for="last_name">Last name *:</label>
                                        <input type="text" class="form-control" name="last_name"
                                            value="{{ old('last_name') }}" placeholder="Last name">
                                        @error('last_name')
                                            <label class="text-danger">{{ $message }}</label>
                                        @enderror
                                    </div>

                                    <div class="col-md-4 col-sm-6 form-group">
                                        <label for="email">Email *:</label>
                                        <input type="text" class="form-control" name="email"
                                            value="{{ old('email') }}" placeholder="Email">
                                        @error('email')
                                            <label class="text-danger">{{ $message }}</label>
                                        @enderror
                                    </div>

                                    <div class="col-md-4 col-sm-6 form-group">
                                        <label for="phone">Phone *:</label>
                                        <input type="tel" class="form-control" name="phone"
                                            value="{{ old('phone') }}" placeholder="Phone">
                                        @error('phone')
                                            <label class="text-danger">{{ $message }}</label>
                                        @enderror
                                    </div>

                                    <div class="col-md-4 col-sm-6 form-group">
                                        <label for="alternative_phone">Alternative Phone:</label>
                                        <input type="tel" class="form-control" name="alternative_phone"
                                            value="{{ old('alternative_phone') }}" placeholder="Alternative Phone">
                                        @error('alternative_phone')
                                            <label class="text-danger">{{ $message }}</label>
                                        @enderror
                                    </div>

                                    <div class="col-md-4 col-sm-6 form-group">
                                        <label for="date_of_birth">Date of Birth *:</label>
                                        <input type="date" class="form-control" name="date_of_birth"
                                            value="{{ old('date_of_birth') }}">
                                        @error('date_of_birth')
                                            <label class="text-danger">{{ $message }}</label>
                                        @enderror
                                    </div>

                                    <div class="col-md-4 col-sm-6 form-group">
                                        <label for="gender">Gender *:</label>
                                        <select class="form-control" name="gender">
                                            <option value="" disabled
                                                {{ old('gender', $customer->gender ?? '') == '' ? 'selected' : '' }}>
                                                Select Gender
                                            </option>
                                            <option value="male"
                                                {{ old('gender', $customer->gender ?? '') == 'male' ? 'selected' : '' }}>
                                                Male
                                            </option>
                                            <option value="female"
                                                {{ old('gender', $customer->gender ?? '') == 'female' ? 'selected' : '' }}>
                                                Female
                                            </option>
                                            <option value="other"
                                                {{ old('gender', $customer->gender ?? '') == 'other' ? 'selected' : '' }}>
                                                Other
                                            </option>
                                        </select>
                                        @error('gender')
                                            <label class="text-danger">{{ $message }}</label>
                                        @enderror
                                    </div>
                                </div>

                                <div class="form-group row">
                                    <div class="col-md-12 col-sm-12 offset-md-10">
                                        <button class="btn btn-primary" type="reset">Reset</button>
                                        <button type="submit" class="btn btn-success">Submit</button>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection

@push('script')
@endpush