@extends('layout.app')

@section('content')
    <div class="container-fluid">
        <div class="row">
            <div class="col-12">
                <div class="card shadow-sm">
                    <div class="card-header bg-white py-3">
                        <h4 class="card-title m-0 font-weight-bold text-primary">Create Confirm Line Request</h4>
                    </div>
                    <div class="card-body">
                        <form action="{{ route('new-line-request.store') }}" method="POST">
                            @csrf
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>Full Name <span class="text-danger">*</span></label>
                                        <input type="text" name="name"
                                            class="form-control @error('name') is-invalid @enderror"
                                            value="{{ old('name') }}" required>
                                        @error('name')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>Father's Name</label>
                                        <input type="text" name="father_name"
                                            class="form-control @error('father_name') is-invalid @enderror"
                                            value="{{ old('father_name') }}">
                                        @error('father_name')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>Mother's Name</label>
                                        <input type="text" name="mother_name"
                                            class="form-control @error('mother_name') is-invalid @enderror"
                                            value="{{ old('mother_name') }}">
                                        @error('mother_name')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>Phone Number <span class="text-danger">*</span></label>
                                        <input type="text" name="phone"
                                            class="form-control @error('phone') is-invalid @enderror"
                                            value="{{ old('phone') }}" required>
                                        @error('phone')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>Alternative Phone Number</label>
                                        <input type="text" name="alt_phone"
                                            class="form-control @error('alt_phone') is-invalid @enderror"
                                            value="{{ old('alt_phone') }}">
                                        @error('alt_phone')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label>Billing Date <span class="text-danger">*</span></label>
                                        <select name="billing_date"
                                            class="form-control @error('billing_date') is-invalid @enderror" required>
                                            <option value="">Select Billing Date</option>
                                            @foreach (explode(',', $confday) as $conf)
                                                <option value="{{ $conf }}">{{ $conf }}</option>
                                            @endforeach
                                        </select>
                                        @error('billing_date')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label>NID Number</label>
                                        <input type="text" name="nid"
                                            class="form-control @error('nid') is-invalid @enderror"
                                            value="{{ old('nid') }}">
                                        @error('nid')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label>Full Address <span class="text-danger">*</span></label>
                                        <textarea name="address" class="form-control @error('address') is-invalid @enderror" rows="3" required>{{ old('address') }}</textarea>
                                        @error('address')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        {{-- @dd($pops) --}}
                                        <label>POP <span class="text-danger">*</span></label>
                                        <select name="pop_id" id="pop_id"
                                            class="form-control select2 @error('pop_id') is-invalid @enderror" required>
                                            <option value="">Select POP</option>
                                            @foreach ($pops as $pop)
                                                <option value="{{ $pop->id }}"
                                                    {{ old('pop_id') == $pop->id ? 'selected' : '' }}>
                                                    {{ $pop->popname }}
                                                </option>
                                            @endforeach
                                        </select>
                                        @error('pop_id')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>

                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>Package <span class="text-danger">*</span></label>
                                        <select name="package_id" id="package"
                                            class="form-control select2 @error('package_id') is-invalid @enderror" required>
                                            <option value="">Select Package</option>

                                        </select>
                                        @error('package_id')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label>OTC Amount <span class="text-danger">*</span></label>
                                        <input type="number" name="otc"
                                            class="form-control @error('otc') is-invalid @enderror"
                                            value="{{ old('otc') }}" required>
                                        @error('otc')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label>Fiber Meter <span class="text-danger">*</span></label>
                                        <input type="number" name="fiber_meter"
                                            class="form-control @error('fiber_meter') is-invalid @enderror"
                                            value="{{ old('fiber_meter') }}" required>
                                        @error('fiber_meter')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label>Latitude</label>
                                        <input type="text" name="latitude"
                                            class="form-control @error('latitude') is-invalid @enderror"
                                            value="{{ old('latitude') }}">
                                        @error('latitude')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                                <div class="col-md-3">
                                    <div class="form-group">
                                        <label>Longitude</label>
                                        <input type="text" name="longitude"
                                            class="form-control @error('longitude') is-invalid @enderror"
                                            value="{{ old('longitude') }}">
                                        @error('longitude')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>

                                <div class="col-12">
                                    <div class="form-group">
                                        <label>Additional Notes</label>
                                        <textarea name="notes" class="form-control @error('notes') is-invalid @enderror" rows="3">{{ old('notes') }}</textarea>
                                        @error('notes')
                                            <span class="invalid-feedback">{{ $message }}</span>
                                        @enderror
                                    </div>
                                </div>
                            </div>
                            <div class="row mt-3">
                                <div class="col-12">
                                    <button type="submit" class="btn btn-primary">Submit Request</button>
                                    <a href="{{ route('new-line-request.index') }}" class="btn btn-secondary">Cancel</a>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection


@push('js')
    <script>
        $(document).ready(function() {
            $('#pop_id').on('change', function() {
                let pop_id = $(this).val();
                $.ajax({
                    url: "{{ route('getPackageForPop') }}",
                    type: "GET",
                    data: {
                        id: pop_id
                    },
                    success: function(response) {
                        $('#package').empty();
                        $('#package').append(response);
                    }
                });
            });
        });
    </script>
@endpush
