@extends('layouts.admin')
@section('content')
<div class="hk-pg-wrapper">
   <div class="container-xxl">
      <!-- Page Header -->
      <!--<div class="hk-pg-header pt-3 pb-3">
         <h1 class="pg-title">Edit Profile</h1>
      </div>-->
      <!-- /Page Header -->
      <!-- Page Body -->
      <div class="form-body">
         <div class="row edit-profile-wrap add-cust form-alignment form-align-v">
            <div class="col-lg-10 col-sm-9 col-8">
               <div class="tab-content tab-create">
                  <div class="tab-pane fade show active" id="tab_block_1">
                     <form action="{{url('/app/profile/update')}}" method="post" id="updateProfileForm">
                     <div class="container-fluid">
                        @csrf
                        <h1 class="pg-title">Edit Profile</h1>
                           <div class="title title-xs title-wth-divider text-primary text-uppercase my-4 form-head"><span>Personal Info</span></div>
                           <div class="row gx-3">
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <input type="hidden" name="business_id" value="{{$user->hospital->id}}">
                                    <label class="form-label">First Name <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control ignoreFirstSpace" name="first_name" id="first_name" placeholder="First Name" value="{{$user->first_name}}">
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-first_name"></p>
                                 </div>
                              </div>
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Last Name</label>
                                    <input type="text" class="form-control ignoreFirstSpace" name="last_name" id="last_name" placeholder="Last Name" value="{{$user->last_name}}">
                                 </div>
                              </div>
                           </div>
                           <div class="title title-xs title-wth-divider text-primary text-uppercase my-4 form-head"><span>Hospital - Information</span></div>
                           <div class="row gx-3">
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Hospital Name <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control ignoreFirstSpace" name="hospital_name" id="hospital_name" placeholder="Hospital Name" value="{{$user->hospital->hospital_name}}">
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-hospital_name"></p>
                                 </div>
                              </div>
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Unit Code <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control onlyIgnoreFirstSpace" name="unit_code" placeholder="Unit Code" value="{{$user->hospital->unit_code}}">
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-unit_code"></p>
                                 </div>
                              </div>
                              <div class="col-sm-6">
                              <div class="form-group">
                                 <label class="form-label">Contact Person Name <span class="text-danger">*</span></label>
                                 <input type="text" class="form-control ignoreFirstSpace" name="contact_person_name" placeholder="Contact Person Name" value="{{$user->hospital->contact_person_name}}">
                                 <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-contact_person_name"></p>
                              </div>
                              </div>
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Contact Number <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control numberonly" name="contact_number" placeholder="Contact Number" value="{{$user->hospital->contact_number}}">
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-contact_number"></p>
                                 </div>
                              </div>
                              <div class="col-md-6">
                                 <div class="form-group">
                                    <label for="logoUpload">Logo  <i class="fa fa-info-circle" data-toggle="tooltip" data-original-title="Only .png,.jpg,.jpeg accepted "></i> <span class="text-danger">*</span></label>
                                    <input type="file" accept=".png,.jpg,.jpeg" id="logoUpload" name="logo" class="file error-control" />
                                 </div>
                                 <!-- row -->
                                 <div class="row">
                                    <div class="col-sm-12 logoPreview " style="min-height: 120px;">
                                       <div style="border:1px solid #ddd; width:220px; padding:20px; margin-top:15px; text-align:center" id="fileResult">
                                          <div class=''>
                                             <img src= "{{url('uploads/hospital-logo').'/'.$user->hospital->logo}}" id="logoimg" alt='Preview' style="height: 100px;width: 180px;">
                                          </div>
                                       </div>
                                       <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-logo"></p>
                                    </div>
                                 </div>
                                 <!-- ./row -->
                              </div>
                              <div class="col-md-12">
                                 <div class="form-group">
                                    <label class="form-label">Tags</label>
                                     <select class="js-example-basic-multiple form-control" name="tags[]" multiple="multiple">
                                       @if(count($tags) >0)
                                       @foreach($tags as $tag)
                                                                              <option value="{{$tag->id}}" @if((in_array($tag->id, $tagIds))) selected @endif>{{ucwords($tag->name)}}</option>
                                       @endforeach
                                       @endif
                                     </select>
                                 </div>
                              </div>
                           </div>
                           <div class="title title-xs title-wth-divider text-primary text-uppercase my-4 form-head"><span>Proof Details</span></div>
                           <div class="row gx-3">
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Id Type <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control id_type ignoreFirstSpace" name="id_type" id="id_type" placeholder="Id Type" value="@if(isset($user->attachAdminAttachment->id_type) && $user->attachAdminAttachment->id_type!=""){{ $user->attachAdminAttachment->id_type }}@endif">
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-id_type"></p>
                                 </div>
                              </div>
                              <div class="col-md-6">
                                 <div class="form-group">
                                    <label for="fileupload">Upload file   <i class="fa fa-info-circle" data-toggle="tooltip" data-original-title="Only .png,.jpg,.jpeg accepted "></i> <span class="text-danger">*</span></label>
                                    <input type="hidden" name="old_file" value="@if(isset($user->attachAdminAttachment->file_name) && $user->attachAdminAttachment->file_name!=""){{$user->attachAdminAttachment->file_name}}@endif">
                                    <input type="file" accept=".png,.jpg,.jpeg" id="fileupload" name="file" class="file error-control" />
                                 </div>
                                 <!-- row -->
                                 <div class="row">
                                    <div class="col-sm-6 logoPreview " style="min-height: 120px;">
                                       <div style="border:1px solid #ddd; width:220px; padding:20px; margin-top:15px; text-align:center" id="fileResult">
                                          <div class=''>
                                             <img src= "{{url('uploads/admin').'/'.$user->attachAdminAttachment->file_name}}" id="courseimg" name="courseimg"  alt='Preview' style="height: 100px;width: 180px;">
                                          </div>
                                       </div>
                                       <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-comp_logo"></p>
                                    </div>
                                 </div>
                                 <!-- ./row -->
                              </div>
                           </div>
                           <div class="title title-xs title-wth-divider text-primary text-uppercase my-4 form-head"><span>Contact Information</span></div>
                           <div class="row gx-3">
                              <div class="col-md-6">
                                <div class="form-group">
                                    <label>Phone Number <span class="text-danger">*</span></label>
                                    <div class="phone1">
                                        <div class="dropdown">
                                            <button class="btn btn-success dropdown-toggle setField flaginput" type="button"
                                            id="dropdownMenuButton"
                                            data-toggle="dropdown"
                                            aria-haspopup="true"
                                            aria-expanded="false">
                                            <img src="{{url('front/image').'/'.Helper::get_single_col('countries','phonecode',$user->phone_code,'flag')}}" width="20" height="15" class="flag12"> {{ '+'.$user->phone_code }}
                                            </button>
                                            <ul style="position: absolute; transform: translate3d(424px, 38px, 0px); top: 0px; left: 0px; will-change: transform;">
                                            </ul>
                                        </div>
                                        <input type="text" name="phone_number" class="form-control phoneflag numberonly" placeholder="Phone Number" value="{{ $user->phone }}" maxlength="{{Helper::get_single_col('countries','id',$user->country_id,'phone_length')}}">
                                     </div>
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-phone_number"></p>
                                </div>
                            </div>
                             <div class="col-md-6">
                                <div class="form-group">
                                    <label>Emergency Phone Number</label>
                                    <div class="phone1">
                                        <div class="dropdown">
                                            <button class="btn btn-success dropdown-toggle setField flaginput" type="button"
                                            id="dropdownMenuButton"
                                            data-toggle="dropdown"
                                            aria-haspopup="true"
                                            aria-expanded="false">
                                            @if($user->contact != '')
                                            <img src="{{url('front/image').'/'.Helper::get_single_col('countries','phonecode',$user->contact->phone_code2,'flag')}}" width="20" height="15" class="flag12"> {{ '+'.$user->contact->phone_code2 }}
                                            @else
                                            <img src="{{url('front/image').'/'.Helper::get_single_col('countries','phonecode',$user->phone_code,'flag')}}" width="20" height="15" class="flag12"> {{ '+'.$user->phone_code }}
                                            @endif
                                            </button>
                                            <ul style="position: absolute; transform: translate3d(424px, 38px, 0px); top: 0px; left: 0px; will-change: transform;">
                                            </ul>
                                        </div>
                                        <input type="text" name="emergency_phone" class="form-control phoneflag numberonly" maxlength="{{Helper::get_single_col('countries','id',$user->country_id,'phone_length')}}" value="@if($user->contact != ''){{ $user->contact->emergency_phone }}@endif">
                                     </div>
                                      <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-emergency_phone"></p>
                                </div>
                            </div>
                           </div>
                           <div class="title title-xs title-wth-divider text-primary text-uppercase my-4 form-head"><span>Banking Information</span></div>
                           <div class="row gx-3">
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Account Number <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control numberonly" name="account_number" value="{{ $user->bankInformation->account_number }}" placeholder="0000xxxxxx">
                                   <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-account_number"></p>
                                 </div>
                               </div>
                               <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">IBAN Number <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control onlyIgnoreFirstSpace" name="iban_number" value="{{ $user->bankInformation->iban_number }}" placeholder="IBAN number">
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-iban_number"></p>
                                 </div>
                                 </div>
                                 <div class="col-sm-6">
                                    <div class="form-group">
                                       <label class="form-label">SWIFT Code <span class="text-danger">*</span></label>
                                       <input type="text" class="form-control onlyIgnoreFirstSpace" name="swift_code" placeholder="Swift code" value="{{ $user->bankInformation->swift_code }}">
                                       <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-swift_code"></p>
                                    </div>
                                 </div>
                                 <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Account Holder Name <span class="text-danger">*</span></label>
                                    <input type="text" class="form-control onlyIgnoreFirstSpace" name="account_holder_name" value="{{ $user->bankInformation->account_holder_name }}" placeholder="Account Holder Name">
                                   <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-account_holder_name"></p>
                                 </div>
                                 </div>
                                <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Account Type <span class="text-danger">*</span></label>
                                    <select class="form-control" name="account_type">
                                       <option value="">Select</option>
                                       <option @if($user->bankInformation->account_type == 1) selected @endif value="1">Saving</option>
                                       <option @if($user->bankInformation->account_type == 2) selected @endif value="2">Current</option>
                                    </select>
                                   <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-account_type"></p>
                                 </div>
                               </div>
                           </div>
                           <div class="title title-xs title-wth-divider text-primary text-uppercase my-4 form-head"><span>Account Info <small> (Login Credential)</small></span></div>
                           <div class="row gx-3">
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Email</label>
                                    <input type="text" class="form-control emptyonly" name="email" id="email" placeholder="Email" value="{{ $user->email }}" readonly>
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-email"></p>
                                 </div>
                              </div>
                           </div>
                           <div class="title title-xs title-wth-divider text-primary text-uppercase my-4 form-head"><span>Address</span></div>
                           <div class="row gx-3">
                              <div class="col-md-6">
                                <div class="form-group">
                                    <label>Country <span class="text-danger">*</span></label>
                                    <select class="form-control countryId" name="country">
                                        <option value="{{$user->address->country_id}}">{{ucwords($user->address->country_name)}}</option>
                                    </select>
                                    <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-country"></p>
                                </div>
                              </div>
                              @if($user->address->region != '')
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Region <span class="text-danger">*</span></label>
                                    <select class="form-control regionId" name="region">
                                       <option value="">Select Region</option>
                                       @if(count($regions) > 0)
                                       @foreach($regions as $reg)
                                       <option value="{{$reg->id}}" @if($reg->id == $user->address->region_id) selected @endif>{{ucwords($reg->name)}}</option>
                                       @endforeach
                                       @endif
                                    </select>
                                   <p style="margin-bottom: 2px;" class="text-danger error_container" id="error-region"></p>
                                 </div>
                              </div>
                              <div class="col-sm-6">
                                 <div class="form-group">
                                    <label class="form-label">Division <span class="text-danger">*</span></label>
                                    <select class="form-control divisionId" name="division">
                                       <option value="">Select Division</option>