@extends('template.layoutAdmin', ['activeButton'=>'servicios'])

@section('title')
    {{  trans('misDomiciliarios.tituloCrearDomiciliario') }}
@endsection

@section('cabecera')
  <link href="https://cdnjs.cloudflare.com/ajax/libs/select2/4.0.6-rc.0/css/select2.min.css" rel="stylesheet"/>
  <div class="row">
    <div class="col-6">
      <h1 style="margin: 15px 0 10px 0;">
        <a href="{{ url()->previous() }}" class="btn btn-default btn-sm"> <i class="fa fa-arrow-left"></i> {{  trans('misDomiciliarios.regresar') }}</a>

      </h1>
    </div>
    <div class="col-6 text-right">
      <h1>
        <small> {{  trans('misDomiciliarios.tituloCrearDomiciliario') }}</small>
      </h1>
    </div>
  </div>
@endsection

@section('contenido')
  @if(Session::has('message'))
    <div class="row">
      <div class="col-12">
        <div class="alert alert-success alert-dismissible" role="alert">
            <button type="button" class="close" data-dismiss="alert" aria-label="Close"><span aria-hidden="true">&times;</span></button>
            😉 {{Session::get('message')}} 😉
        </div>
      </div>
    </div>
  @endif
  @if(Session::has('message_error'))
    <div class="row">
      <div class="col-12">
        <div class="alert alert-warning alert-dismissible" role="alert">
            <button type="button" class="close" data-dismiss="alert" aria-label="Close"><span aria-hidden="true">&times;</span></button>
            😓 {{Session::get('message_error')}} 😒
        </div>
      </div>
    </div>
  @endif
  @if(count($errors) > 0)
    <div class="row">
      <div class="col-12">
        <div class="alert alert-warning alert-dismissible" role="alert">
            <button type="button" class="close" data-dismiss="alert" aria-label="Close"><span aria-hidden="true">&times;</span></button>
            <p> {{  trans('restaurantes.corregirErrores') }} </p>
            <ul>
                @foreach ($errors->all() as $message)
                    <li>{{ $message }}</li>
                @endforeach
            </ul>
        </div>
      </div>
    </div>
  @endif
<div class="row">
        <div class="col-12">
          <div class="info-box">
            <form action="{{route('misDomiciliarios.store')}}" enctype="multipart/form-data" method="POST">
            @csrf
            <small class="small">{{ trans('template.camposcon') }} (<span class="text-danger">*</span>) {{ trans('template.obligatorios') }}</small>

            <div class="box-body">
                <div class="row">
                    <div class="col-md-6">
                    <div class="form-group {{ $errors->has('nombre') ? 'has-error' : '' }}">
                        <label for="nombre"> {{  trans('restaurantes.nombre') }}	 <span class="text-danger">*</span></label>
                        <input
                            type="text"
                            name="nombre"
                            onkeyup="validarNombres(1,this.value);"
                            class="form-control"
                            value="{{old('nombre')}}"
                            required
                            autocomplete="off"
                            placeholder=" {{  trans('restaurantes.nombre') }}	"
                            id="nombre"
                        >
                    </div>
                    </div>
                    <div class="col-md-6">
                    <div class="form-group {{ $errors->has('apellido') ? 'has-error' : '' }}">
                        <label for="apellido"> {{  trans('restaurantes.apellido') }}	 <span class="text-danger">*</span></label>
                        <input type="text" value="{{old('apellido')}}" onkeyup="validarNombres(2,this.value);" name="apellido" class="form-control" required autocomplete="off" placeholder=" {{  trans('restaurantes.apellido') }}	" id="apellidoUsuario">
                    </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-md">
                        <div class="form-group {{ $errors->has('tipoIdentificacion') ? 'has-error' : '' }}">
                            <label for="tipoIdentificacion"> {{  trans('restaurantes.tipoDocumento') }}<span class="text-danger">*</span></label>
                            <select name="tipoIdentificacion" id="tipoIdentificacion" class="form-control">
                                @foreach ($formulario->tipoIdentificacion as $idTipoDoc)
                                    @if (old('tipoIdentificacion') == $idTipoDoc->id)
                                        <option selected value="{{$idTipoDoc->id}}">{{$idTipoDoc->name}}</option>
                                    @else
                                        <option value="{{$idTipoDoc->id}}">{{$idTipoDoc->name}}</option>
                                    @endif
                                @endforeach
                            </select>
                        </div>
                    </div>
                    <div class="col-md">
                        <div class="form-group {{ $errors->has('identificacion') ? 'has-error' : '' }}">
                            <label for="identificacion"> {{  trans('restaurantes.numeroDocumento') }} <span class="text-danger">*</span></label>
                            <input
                                type="text"
                                name="identificacion"
                                onkeyup="validarSiNumero(this.value, 1);"
                                class="form-control"
                                value="{{old('identificacion')}}"
                                required
                                onkeypress="return event.charCode >= 48 && event.charCode <= 57"
                                maxlength="15"
                                autocomplete="off"
                                placeholder=" {{  trans('restaurantes.numeroDocumento') }} "
                                id="identificacion"
                            >
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group {{ $errors->has('celular') ? 'has-error' : '' }}">
                            <div class="row">
                            <div class="col-md-4">
                                <label for="codigo_pais"> {{  trans('restaurantes.prefijo') }}  <span class="text-danger">*</span></label>
                                <select name="codigo_pais" id="codigo_pais" class="form-control">
                                    <option value="+57">&nbsp;+57</option>
                                    <option value="+1">&nbsp;+1</option>
                                    <option value="+34">&nbsp;+34</option>

                                {{-- @foreach ($dataPais as $item)
                                    <option value="{{$item->codigo}}">&nbsp;+{{$item->codigo}}</option>
                                @endforeach --}}
                                </select>
                            </div>
                            <div class="col-md">
                                <label for="celular"> {{  trans('restaurantes.celular') }} <span class="text-danger">*</span></label>
                                <input
                                    type="text"
                                    name="celular"
                                    class="form-control"
                                    value="{{old('celular')}}"
                                    onkeyup="validarSiNumero(this.value, 3);"
                                    required
                                    onkeypress="return event.charCode >= 48 && event.charCode <= 57"
                                    maxlength="10"
                                    autocomplete="off"
                                    placeholder=" {{  trans('restaurantes.celular') }} "
                                    id="celular"
                                >
                            </div>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-md-4">
                    <div class="form-group {{ $errors->has('email') ? 'has-error' : '' }}">
                        <label for="email"> {{  trans('restaurantes.correo') }} <span class="text-danger">*</span></label>
                        <input
                            type="email"
                            name="email"
                            value="{{old('email')}}"
                            class="form-control"
                            required
                            autocomplete="off"
                            placeholder=" {{  trans('restaurantes.correo') }} "
                            id="email"
                        >
                    </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group {{ $errors->has('zipcode') ? 'has-error' : '' }}">
                            <label for="zipcode"> {{  trans('restaurantes.zipCode') }}</label>
                            <input
                                type="text"
                                name="zipcode"
                                value="{{old('zipcode')}}"
                                class="form-control"
                                autocomplete="off"
                                onkeypress="return event.charCode >= 48 && event.charCode <= 57"
                                placeholder=" {{  trans('restaurantes.zipCode') }} "
                                id="zipcode"
                            >
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group {{ $errors->has('tipoPago') ? 'has-error' : '' }}">
                            <label for="tipoPago"> {{  trans('misDomiciliarios.tipoPago') }} <span class="text-danger">*</span></label>
                            <select name="tipoPago" id="tipoPago" class="form-control">
                                <option selected disabled value=""> {{  trans('misDomiciliarios.seleccioneTipoPago') }} </option>
                                @foreach ($formulario->tipoPago as $idTipoDoc)
                                    @if (old('tipoPago') == $idTipoDoc->id)
                                        <option selected value="{{$idTipoDoc->id}}">{{$idTipoDoc->name}}</option>
                                    @else
                                        <option value="{{$idTipoDoc->id}}">{{$idTipoDoc->name}}</option>
                                    @endif
                                @endforeach
                            </select>
                        </div>
                    </div>
                </div>
                <hr>
                <div class="row">
                    <div class="col-12 text-center">
                    <input type="submit" class="btn btn-info margin-top-10" value=" {{  trans('misDomiciliarios.agregarDomiciliario') }} ">
                    </div>
                </div>
            </div>
            </form>
            <!-- /.box-body -->
          </div>
        </div>
      </div>
@endsection

@section('js')
  <script>

  </script>
@endsection