@extends('admin.layout.index')

@section('content')


<div class="row">
    <div class="col-md-12">
        <div class="card">
            <div class="card-header">
                <h4 class="card-title">Book Appointment</h4>
            </div>
            <style>
              /* Only apply these styles if the select has the multiple attribute */
select.form-control[multiple] {
  height: auto;
}

.custom-select[multiple] {
  height: auto;
  padding-right: 0.75rem;
  background-image: none;
}

select.form-control:not([multiple]):not([size]) {
  height: auto;
}

            </style>
            <div class="card-body">
            <form method="POST" action="{{route('appointment.store')}}" enctype="multipart/form-data" >
            @csrf
                    <div class="row">
                        <div class="col-xl-9">
                            <h4 class="card-title">Appointment Details</h4>
                            <!-- <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Select Service</label>
                                <div class="col-lg-9">
                                    <select name="service[]"  data-toggle="select" class="custom-select" multiple>
                                    @if ($services->isNotEmpty())
                        @foreach ($services as $service)
                            <option value="{{$service->id}}">{{$service->name}} - GHC{{$service->price}}</option>
                        @endforeach
                    @endif
                                    </select>
                                </div>
                            </div> -->
                            <div class="form-group row">
    <label class="col-lg-3 col-form-label">Select Service</label>
    <div class="col-lg-9">
        @if ($services->isNotEmpty())
            @foreach ($services as $service)
                <div class="form-check">
                    <input class="form-check-input" type="checkbox" name="service[]" id="service-{{ $service->id }}" value="{{ $service->id }}">
                    <label class="form-check-label" for="service-{{ $service->id }}">
                        {{ $service->name }} - GHC{{ $service->price }}
                    </label>
                </div>
            @endforeach
        @else
            <p>No services available</p>
        @endif
    </div>
</div>
<div class="form-group row">
                                <label class="col-lg-3 col-form-label">Referral</label>
                                <div class="col-lg-9">
                                    <select name="service[]"  data-toggle="select" class="custom-select">
                                    @if ($med->isNotEmpty())
                                    <option value="">Select Referral</option>

                        @foreach ($med as $service)
                            <option value="{{$service->id}}">{{$service->name}}</option>
                        @endforeach
                    @endif
                                    </select>
                                </div>
                            </div>

                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Medical Request</label>
                                <div class="col-lg-9">

                                <input type="file" id="img" name="medForm">
    
                            </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Appointment Date	</label>
                                <div class="col-lg-9">
                                    <input type="date" class="form-control" name='appointment_date'>
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Appointment Time</label>
                                <div class="col-lg-9">
                                    <input type="time" class="form-control" name='appointment_time'>
                                </div>
                            </div>
                           
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Note</label>
                                <div class="col-lg-9">
                                    <textarea rows="4" cols="5" class="form-control" name='notes' placeholder="Enter message"></textarea>
                                </div>
                            </div>
                        </div>
                        <!-- <div class="col-xl-6">
                            <h4 class="card-title">Personal details</h4>
                            <div class="row">
                                <label class="col-lg-3 col-form-label">Name</label>
                                <div class="col-lg-9">
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <input type="text" placeholder="First Name" class="form-control">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <input type="text" placeholder="Last Name" class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Email</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control">
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Phone</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control">
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Address</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control m-b-20">
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <select class="custom-select">
                                                    <option>Select Country</option>
                                                    <option value="1">USA</option>
                                                    <option value="2">France</option>
                                                    <option value="3">India</option>
                                                    <option value="4">Spain</option>
                                                </select>
                                            </div>
                                            <div class="form-group">
                                                <input type="text" placeholder="ZIP code" class="form-control">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <div class="form-group">
                                                    <select class="custom-select">
                                                        <option>Select Country</option>
                                                        <option value="1">USA</option>
                                                        <option value="2">France</option>
                                                        <option value="3">India</option>
                                                        <option value="4">Spain</option>
                                                    </select>
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                <input type="text" placeholder="City" class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div> -->
                    </div>
                    <div class="text-right">
                        <button type="submit" class="btn btn-primary">Submit</button>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>


						</div>
					</div>
@endsection