@extends('adminlte::page')

@section('title','Hospital')

@section('content_header')
    <h1>Novo Hospital</h1>
@endsection

@section('content')

        @if ($errors->any())
            <div class="alert alert-danger">
                <ul>
                    <h5> <i class="icon fas fa-ban"></i>Ocorreu um erro</h5>
                    @foreach ($errors->all() as $error)
                        <li>{{$error}}</li>
                    @endforeach
                </ul>
            </div>
        @endif
        <div class="card">
            <div class="card-body">
                <form action="{{route('hp.store')}}" method="POST" class="form-horizontal">
                    @csrf
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">Nome</label>
                        <div class="col-sm-10">
                            <input type="text" name="hp_nome" class="form-control @error('hp_nome') is-invalid @enderror" value="{{old('hp_nome')}}">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">CNPJ</label>
                        <div class="col-sm-10">
                            <input type="text" name="hp_cnpj" class="form-control @error('hp_cnpj') is-invalid @enderror" value="{{old('hp_cnpj')}}">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">Endereco</label>
                        <div class="col-sm-10">
                            <input type="text" name="hp_endereco" class="form-control @error('hp_endereco') is-invalid @enderror" value="{{old('hp_endereco')}}">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">Telefone 1</label>
                        <div class="col-sm-10">
                            <input required type="number" name="hp_telefone1" class="form-control @error('hp_telefone1') is-invalid @enderror" value="{{old('hp_telefone1')}}">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">Telefone 2</label>
                        <div class="col-sm-10">
                            <input type="number" name="hp_telefone2" class="form-control @error('hp_telefone2') is-invalid @enderror" value="{{old('hp_telefone2')}}">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">Telefone 3</label>
                        <div class="col-sm-10">
                            <input type="number" name="hp_telefone3" class="form-control @error('hp_telefone3') is-invalid @enderror" value="{{old('hp_telefone3')}}">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">Email</label>
                        <div class="col-sm-10">
                            <input type="text" name="hp_email" class="form-control @error('hp_email') is-invalid @enderror" value="{{old('hp_email')}}">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-2 col-form-label">Observação</label>
                        <div class="col-sm-10">
                            <textarea name="hp_observacao" id="hp_observacao" style="width: 100%;"></textarea>
                        </div>
                    </div>
                    {{-- <div class="form-group row">
                        <label  class="col-sm-2 col-form-label">Status</label>
                        <div class="col-sm-10">
                            <select class="col-sm-10 form-control"  name="emp_status">
                                    <option value="1" selected>Ativado</option>
                                    <option value="0">Desativado</option>
                            </select>
                        </div>
                    </div> --}}
                    <div class="form-group row">
                        <label  class="col-sm-2 col-form-label"></label>
                        <div class="col-sm-10">
                            <input type="submit" class="btn btn-success" value="Cadastrar">
                        </div>
                    </div>

                </form>


            </div>
        </div>



@endsection