@include('components.theme.pages.header')

<section>
    <!-- basic table -->
    <div class="row">
        <div class="col-12">
            <div class="card">
                <div class="card-body">
                    {{ Form::open(['route' => 'penyakit.store']) }}
                    @csrf
                    @if(session()->has('success'))
                        <div class="alert alert-success">
                            {{ session()->get('success') }}
                        </div>
                    @else
                        @if(session()->has('error'))
                            <div class="alert alert-danger">
                                {{ session()->get('error') }}
                            </div>
                        @endif
                    @endif
                        <div class="row">
                            <div class="col-md-12 form-group mb-3">
                                <label for="exampleEmail1">Nama Penyakit</label>
                                <input type="text" class="form-control form-control-user {{ $errors->has('penyakit') ? 'is-invalid' : '' }}" id="email" name="penyakit" aria-describedby="emailHelp" placeholder="Enter Penyakit." value="<?= old('penyakit') ?>">
                                @if($errors->has('penyakit'))<span class="small text-danger mt-2">{{ $errors->first('penyakit') }}</span>@endif
                            </div>
                            <!-- <div class="col-md-6 form-group mb-3">
                                <label for="exampleEmail1">Jenis Gejala</label>
                                <select class="form-control form-control-user {{ $errors->has('gejala') ? 'is-invalid' : '' }}" id="exampleFormControlSelect1" name="gejala">
                                    <option value="">-- Pilih Gejala --</option>
                                    @foreach($gejala as $gejalas)
                                        <option value="{{ $gejalas->gejala }}">{{ $gejalas->gejala }}</option>
                                    @endforeach
                                </select>
                            </div> -->
                            <input type="hidden" name="gejala" value="-">
                        </div>
                        <div class="form-group mb-3">
                            <label for="exampleEmail1">Kode Penyakit</label>
                            <input type="text" class="form-control form-control-user {{ $errors->has('kode_penyakit') ? 'is-invalid' : '' }}" id="email" name="kode_penyakit" aria-describedby="emailHelp" placeholder="Enter Kode Penyakit." value="<?= old('kode_penyakit') ?>">
                            @if($errors->has('kode_penyakit'))<span class="small text-danger mt-2">{{ $errors->first('kode_penyakit') }}</span>@endif
                        </div>
                        <div class="form-group mb-3">
                            <label for="exampleEmail1">Penjelasan</label>
                            <textarea class="form-control {{ $errors->has('penjelasan') ? 'is-invalid' : '' }}" id="email" name="penjelasan">{{ old('penjelasan') }}</textarea>
                            @if($errors->has('penjelasan'))<span class="small text-danger mt-2">{{ $errors->first('penjelasan') }}</span>@endif
                        </div>
                        <div class="form-group mb-3">
                            <label for="exampleEmail1">Penanganan</label>
                            <textarea class="form-control {{ $errors->has('penanganan') ? 'is-invalid' : '' }}" id="email" name="penanganan">{{ old('penanganan') }}</textarea>
                            @if($errors->has('penanganan'))<span class="small text-danger mt-2">{{ $errors->first('penanganan') }}</span>@endif
                        </div>
                        <div class="form-group mb-3">
                            <label for="exampleEmail1">Link Youtube</label>
                            <textarea class="form-control {{ $errors->has('youtube') ? 'is-invalid' : '' }}" id="email" name="youtube">{{ old('youtube') }}</textarea>
                            @if($errors->has('youtube'))<span class="small text-danger mt-2">{{ $errors->first('youtube') }}</span>@endif
                        </div>
                        <div class="form-group mb-0">
                            <button type="submit" class="btn btn-primary">Simpan</button>
                            <a href="{{ route('penyakit') }}" class="btn btn-light btn-light">Kembali</a>
                        </div>
                    {{ Form::close() }}
                </div>
            </div>
        </div>
    </div>
</section>

@include('components.theme.pages.footer')