@extends('layouts.app')

@section('content')
	<div class="row justify-content-center" style="margin-top:1em">
		<div class="col-10">

			<div class="card shadow p-3 mb-5 bg-body rounded">
				<div class="row justify-content-center" style="margin-top:0em;margin-bottom:0em;padding:0em">
					<div class="col-12" align="center" style="color:#222222;font-family:Soho Std;font-size:2.2em">
						Edición de información del Médico
					</div>
				</div>
				<hr/>
				<div class="card-body" style="padding:0em 2em 2em 2em">
					<form method="POST" action="{{ route('updateInformationOfMedics') }}">
					@csrf
						<div class="row justify-content-center">
							<div class="col-12">
								<a href="{{route('dashboard')}}" style="cursor: pointer;text-decoration: none;color:darkslateblue;font-size:1.1em">
									<strong>
										<i class="fas fa-arrow-left"></i> Volver
									</strong>
								</a>
							</div>
						</div>
						<div class="row justify-content-center" style="margin-top:1em">
							<div class="col-4">
								<label for="name" class="form-label">Nombre(s)</label>
								<input id="name"  name="name" type="text" class="form-control" maxlength="255"
								value="{{ isset(auth()->user()->name) ? auth()->user()->name : '' }}">
							</div>
							<div class="col-4">
								<label for="first_lastname" class="form-label">Apellido Paterno</label>
								<input id="first_lastname" name="first_lastname" type="text" class="form-control" maxlength="255"
								value="{{ isset(auth()->user()->first_lastname) ? auth()->user()->first_lastname : '' }}">
							</div>
							<div class="col-4">
								<label for="second_lastname" class="form-label">Apellido Materno</label>
								<input id="second_lastname" name="second_lastname" type="text" class="form-control" maxlength="255"
								value="{{ isset(auth()->user()->second_lastname) ? auth()->user()->second_lastname : '' }}">
							</div>
						</div>
						<div class="row justify-content-center" style="margin-top:2em">
							<div class="col-4">
								<label for="title" class="form-label">Título del médico</label>
								<input id="title"  name="title" type="text" class="form-control" maxlength="255"
								value="{{ isset(auth()->user()->informationOfMedic->title) ? auth()->user()->informationOfMedic->title : old('title') }}">
							</div>
							<div class="col-4">
								<label for="profesional_license" class="form-label">Cédula profesional</label>
								<input id="profesional_license" name="profesional_license" type="text" class="form-control upper-case" maxlength="20"
								value="{{ isset(auth()->user()->informationOfMedic->profesional_license) ? auth()->user()->informationOfMedic->profesional_license : old('profesional_license') }}">
							</div>
							<div class="col-4">
								<label for="ssa_register" class="form-label">Registro S.S.A.</label>
								<input id="ssa_register" name="ssa_register" type="text" class="form-control upper-case" maxlength="20"
								value="{{ isset(auth()->user()->informationOfMedic->ssa_register) ? auth()->user()->informationOfMedic->ssa_register : old('ssa_register') }}">
							</div>
						</div>
						<div class="row justify-content-center" style="margin-top:2em">
							<div class="col-12">
								<label for="state_registry_of_experts" class="form-label">Registro Estatal de Peritos</label>
								<input id="state_registry_of_experts" name="state_registry_of_experts" type="text" class="form-control upper-case" maxlength="20"
								value="{{ isset(auth()->user()->informationOfMedic->state_registry_of_experts) ? auth()->user()->informationOfMedic->state_registry_of_experts : old('state_registry_of_experts') }}">
							</div>
						</div>
						<div class="row justify-content-center" style="margin-top:2em">
							<div class="col-6">
								<label for="password" class="form-label">Contraseña (si no desea cambiar la contraseña dejar en blanco)</label>
								<input id="password" name="password" type="password" class="form-control" minlength="8">
							</div>
							<div class="col-6">
								<label for="password_confirmation" class="form-label">Confirmar contraseña</label>
								<input id="password_confirmation" name="password_confirmation" type="password" class="form-control" minlength="8">
							</div>
						</div>
						<div class="row justify-content-center" style="margin-top:2em">
							<div class="col-12" align="right">
								<button type="submit" class="btn btn-primary btn-block">Actualizar</button>
							</div>
						</div>
					</form>
				</div>
			</div>

		</div>
	</div>
@endsection