@extends('layouts.app')

@section('content')

@if (count($errors) > 0)
<div class="col-md-12">
    <div class="alert alert-danger">
        Para dar de alta al usuario, corrija los siguientes errores:
        <br>
        <ul>
            @foreach ($errors->all() as $error)
            <li>{{ $error }}</li>
            @endforeach
        </ul>
    </div>
</div>
@endif


@include('health.actions')

<div class="col-md-12">
    <div class="card">
        <div class="card-header bg-danger text-white">
            <b>Crear nuevo usuario</b>
        </div>

        <div class="card-body">
            {!! Form::open(array('route' => 'users.store','method'=>'POST', 'files' => true)) !!}
            <div class="row">
                <div class="col-xs-12 col-sm-12 col-md-12">
                    <div class="form-group">
                        <strong>*Nombre:</strong> <small>(obligatorio)</small>
                        {!! Form::text('name', request()->nombre, array('placeholder' => 'Nombre completo','class' => 'form-control', 'autocomplete' => 'off')) !!}
                    </div>
                </div>
                <div class="col-xs-12 col-sm-12 col-md-12">
                    <div class="form-group">
                        <strong>*DNI:</strong> <small>(obligatorio)</small>
                        {!! Form::text('dni', request()->identificador, array('placeholder' => 'DNI','class' => 'form-control', 'autocomplete' => 'off')) !!}
                    </div>
                </div>
                <div class="col-xs-12 col-sm-12 col-md-12">
                    <div class="form-group">
                        <strong>*Identificador:</strong> <small>(obligatorio)</small>
                        {!! Form::text('pacs_id', request()->identificador, array('placeholder' => 'Identificador','class' => 'form-control', 'autocomplete' => 'off')) !!}
                    </div>
                </div>
                <div class="col-xs-12 col-sm-12 col-md-12">
                    <div class="form-group">
                        <strong>Email:</strong>
                        {!! Form::text('email', null, array('placeholder' => 'Email','class' => 'form-control', 'autocomplete' => 'off')) !!}
                    </div>
                </div>
                <div class="col-xs-12 col-sm-12 col-md-12">
                    <div class="form-group">
                        <strong>Teléfono:</strong>
                        {!! Form::text('phone', null, array('placeholder' => 'Teléfono','class' => 'form-control', 'autocomplete' => 'off')) !!}
                    </div>
                </div>
                <div class="col-xs-12 col-sm-12 col-md-12">
                    <div class="form-group">
                        <strong>Dirección:</strong>
                        {!! Form::text('address', null, array('placeholder' => 'Dirección','class' => 'form-control', 'autocomplete' => 'off')) !!}
                    </div>
                </div>
                <div class="col-xs-12 col-sm-12 col-md-12">
                    <div class="form-group">
                        <strong>*Roles:</strong> <small>(obligatorio)</small>
                        {!! Form::select('roles[]', $roles, array( '0' => '4' ), array('class' => 'form-control','multiple', 'id' => 'rolesInput')) !!}
                    </div>
                </div>
                <div class="col-12">
                    <div class="form-group">
                        <label for="license"><strong>Matrícula:</strong> <small>(rol Médico obligatorio)</small></label>
                        <input type="text" class="form-control" name="license" id="license" autocomplete="off" value="{{ old('license') }}">
                    </div>
                </div>
                <div class="col-12 col-md-6">
                    <div class="form-group">
                        <label for="signature"><strong>Firma:</strong> <small>(rol Médico obligatorio)</small></label>
                        <input type="file" class="form-control" name="signature" id="signature" accept=".jpg,.jpeg,.png,.bmp,.gif,.svg,.webp">
                    </div>
                </div>
                <div class="col-12 col-md-6">
                    <div class="form-group">
                        <label for="stamp"><strong>Sello:</strong> <small>(rol Médico obligatorio)</small></label>
                        <input type="file" class="form-control" name="stamp" id="stamp" accept=".jpg,.jpeg,.png,.bmp,.gif,.svg,.webp">
                    </div>
                </div>
                <div class="col-xs-12 col-sm-12 col-md-12 text-right">
                    <button type="submit" class="btn btn-danger">Guardar</button>
                </div>
            </div>
            {!! Form::close() !!}
        </div>
    </div>
</div>
@endsection