@extends('layouts.adminapp')

@section('content')


   {{-- Member Registration --}}
   <x-app-flash />

   <form method="POST" action="{{ route('DeathRegistration.update', $DeathRegistration->id) }}" enctype='multipart/form-data'>
      @csrf
      @method('patch')
      <div class="card">
         <div class="card-header">
            <div class="d-flex align-items-center">
               <div class="p-2  flex-fill bd-highlight">
                  <h4>{{ __('lng.EditDeathRegistration') }}</h4>
               </div>
            </div>
         </div>
         <div class="card-body"><h6 class="my-3 mx-0 font-weight-bold text-primary">{{__('lng.RegisterMemberDetails')}}</h6>
            <div class="row">
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.Authority') }}</label>
                    <input type="text" class="form-control" value="{{$Author}}" name="contact" id="txtContact" disabled/>
                </div>
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.HouseName') }}</label>
                    <input type="text" class="form-control" value="{{$House->name}}" name="contact" id="txtContact" disabled/>
                </div>
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.RegisterNumber') }}</label>
                    <input type="text" class="form-control" value="{{$House->registernumber}}" name="contact" id="txtContact" disabled/>
                </div>
                <div class="col-sm-4 form-group">
                <label for="txtName">{{__('lng.RegisterMember')}} *</label>
                    <select class="form-control" id="member_id" name="member_id" required>
                        <option value=""  disabled selected>{{__('lng.Select')}}</option>
                        @foreach ($House->members->where('isCancelled',0) as $Member)
                            <option value="{{$Member->id}}" {{$Member->id == $DeathRegistration->member_id ? 'selected' : ''}}>{{$Member->name}}</option>
                        @endforeach
                    </select>
                </div>
            
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.Place') }}</label>
                    <input type="text" class="form-control" value="{{$House->place}}" id="txtContact" disabled/>
                </div>
            
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.District') }}</label>
                    <input type="text" class="form-control" value="{{$House->district}}" id="txtContact" disabled/>
                </div>
            
            </div>
            
            
            <h6 class="my-3 mx-0 font-weight-bold text-primary">{{__('lng.DetailsOfTheDeceasedMember')}}</h6>
            <div class="row">
            
            
                {{-- <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.Name') }} *</label>
                    <select class="form-control" id="member_id" name="death_member_id" required>
                        <option value=""  disabled selected>Select</option>
                        @foreach ($House->members as $Member)
                            <option value="{{$Member->id}}" {{$Member->id == $DeathCertificate->death_member_id ? 'selected' : ''}}>{{$Member->name}}</option>
                        @endforeach
                    </select>
                </div> --}}
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.Name') }} *</label>
                    <input type="text" value="{{$DeathRegistration->DeathMember->name}}" class="form-control" name="death_member_id" id="txtContact" disabled/>
                </div>

                <div class="col-sm-4 form-group">
                    <label for="txtRegisterNumber">{{ __('lng.RegisterNumber') }} *</label>
                    <input type="text" value="{{$DeathRegistration->register_number}}"  class="form-control" name="register_number" id="txtRegisterNumber" required />
                </div>

                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.DateOfDeath') }} *</label>
                    <input type="date" value="{{$DeathRegistration->date_of_death}}" class="form-control" name="date_of_death" id="txtContact" required/>
                </div>
            
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.PlaceOfDeath') }} *</label>
                    <input type="text" value="{{$DeathRegistration->place_of_death}}" class="form-control" name="place_of_death" id="txtContact" required/>
                </div>
            
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.Thaluk') }} *</label>
                    <input type="text" value="{{$DeathRegistration->thaluk}}" class="form-control" name="thaluk" id="txtContact" required/>
                </div>
            
                <div class="col-sm-4 form-group">
                    <label for="txtContact">{{ __('lng.Village') }} *</label>
                    <input type="text" value="{{$DeathRegistration->village}}" class="form-control" name="village" id="txtContact" required/>
                </div>
            </div>
         </div>
         <div class="card-footer">
            <div class="d-flex  justify-content-start p-2" style="width:50%;float:left;">
               <a class="btn btn-primary btn-icon-split" href="{{ route('DeathRegistration.index') }}">
                  <span class="icon text-white-50">
                     <i class="fas fa-arrow-left"></i>
                  </span>
                  <span class="text">{{ __('lng.Back') }}</span>
               </a>
            </div>
            <div class="d-flex  justify-content-end p-2">
               <button type="reset" class="btn btn-secondary btn-icon-split mr-2" name="btnSave">
                  <span class="icon text-white-50">
                     <i class="fas fa-trash"></i>
                  </span>
                  <span class="text">{{ __('lng.Clear') }}</span>
               </button>
               <button type="submit" class="btn btn-success btn-icon-split">
                  <span class="icon text-white-50">
                     <i class="fas fa-check"></i>
                  </span>
                  <span class="text">{{ __('lng.Update') }}</span>
               </button>
            </div>
         </div>
      </div>
   </form>


@endsection