@section('optional_js')
    <script src="{{ asset('plugins/fileinput/fileinput.min.js') }}"></script>

    <!-- Bootstrap Switch -->
    <script src="{{ asset('plugins/bootstrap-switch/js/bootstrap-switch.min.js') }}"></script>
    <script>
        $(document).ready(function () {
            $("input[data-bootstrap-switch]").each(function(){
                $(this).bootstrapSwitch('state', $(this).prop('checked'));
            });
        })
    </script>
@endsection
<x-app-layout>
    <x-slot name="header">
        <div class="row mb-2">
            <div class="col-sm-6">
                <h1 class="m-0">{{ __('Company') }}</h1>
            </div><!-- /.col -->
            <div class="col-sm-6">
                <ol class="breadcrumb float-sm-right">
                <li class="breadcrumb-item"><a href="#">Home</a></li>
                <li class="breadcrumb-item active">Dashboard v1</li>
                </ol>
            </div><!-- /.col -->
        </div><!-- /.row -->
    </x-slot>

    <form class="form-horizontal" action="{{ route('admin.company.store') }}" method="POST" enctype="multipart/form-data">
        <x-card class="col-sm-12">
            <x-slot name="title">{{ __('Create') }} {{ __('Company') }}</x-slot>
            @csrf
            <div class="form-group row">
                <h3>Login Perusahaan</h3>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Code') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('code') ? 'is-invalid' : '' }}" type="text" name="code" :value="old('code')"/>
                    @if ($errors->has('code'))
                        <small class="error invalid-feedback">{{ $errors->first('code') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Password') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('password') ? 'is-invalid' : '' }}" type="password" name="password" :value="old('password')"/>
                    @if ($errors->has('password'))
                        <small class="error invalid-feedback">{{ $errors->first('password') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <h3>Info Perusahaan</h3>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Name') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('name') ? 'is-invalid' : '' }}" type="text" name="name" :value="old('name')"/>
                    @if ($errors->has('name'))
                        <small class="error invalid-feedback">{{ $errors->first('name') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Photo') }}</x-label>
                <div class="col-sm-10">
                    <div class="fileinput fileinput-new {{ $errors->has('photo') ? 'is-invalid' : '' }}" data-provides="fileinput">
                        <div class="fileinput-preview img-thumbnail text-center mb-2" data-trigger="fileinput">
                        </div>
                        <div>
                            <span class="btn btn-info btn-file">
                                <span class="fileinput-new">Select Image</span>
                                <input type="file" name="photo">
                            </span>
                            <a href="#" class="btn btn-danger fileinput-exists" data-dismiss="fileinput">Remove</a>
                        </div>
                        <p style="margin-top: 15px"><em>Upload photo if add photo</em></p>
                    </div>
                    @if ($errors->has('photo'))
                        <small class="error invalid-feedback">{{ $errors->first('photo') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('No WA PIC') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('phone') ? 'is-invalid' : '' }}" type="text" name="phone" :value="old('phone')"/>
                    @if ($errors->has('phone'))
                        <small class="error invalid-feedback">{{ $errors->first('phone') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Kirim Wa') }}</x-label>
                <div class="col-sm-10">
                    <input type="checkbox" name="kirim_wa" {{ (old('kirim_wa'))?'checked':'' }} data-bootstrap-switch>
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Kirim Pasien') }}</x-label>
                <div class="col-sm-10">
                    <input type="checkbox" name="kirim_pasien" {{ (old('kirim_pasien'))?'checked':'' }} data-bootstrap-switch>
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Email') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('email') ? 'is-invalid' : '' }}" type="email" name="email" :value="old('email')"/>
                    @if ($errors->has('email'))
                        <small class="error invalid-feedback">{{ $errors->first('email') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('NPWP') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('npwp') ? 'is-invalid' : '' }}" type="text" name="npwp" :value="old('npwp')"/>
                    @if ($errors->has('npwp'))
                        <small class="error invalid-feedback">{{ $errors->first('npwp') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Nama Admin') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('admin') ? 'is-invalid' : '' }}" type="text" name="admin" :value="old('admin')"/>
                    @if ($errors->has('admin'))
                        <small class="error invalid-feedback">{{ $errors->first('admin') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Tanda Tangan') }}</x-label>
                <div class="col-sm-10">
                    <div class="fileinput fileinput-new {{ $errors->has('tanda_tangan') ? 'is-invalid' : '' }}" data-provides="fileinput">
                        <div class="fileinput-preview img-thumbnail text-center mb-2" data-trigger="fileinput">
                            
                        </div>
                        <div>
                            <span class="btn btn-info btn-file">
                                <span class="fileinput-new">Select Image</span>
                                <input type="file" name="tanda_tangan">
                            </span>
                            <a href="#" class="btn btn-danger fileinput-exists" data-dismiss="fileinput">Remove</a>
                        </div>
                        <p style="margin-top: 15px"><em>Upload tanda_tangan if add tanda_tangan</em></p>
                    </div>
                    @if ($errors->has('tanda_tangan'))
                        <small class="error invalid-feedback">{{ $errors->first('tanda_tangan') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Address') }}</x-label>
                <div class="col-sm-10">
                    <textarea class="form-control" name="address">{{ old('address') }}</textarea>
                    @if ($errors->has('address'))
                        <small class="error invalid-feedback">{{ $errors->first('address') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('City') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('city') ? 'is-invalid' : '' }}" type="text" name="city" :value="old('city')"/>
                    @if ($errors->has('city'))
                        <small class="error invalid-feedback">{{ $errors->first('city') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Country') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('country') ? 'is-invalid' : '' }}" type="text" name="country" :value="old('country')"/>
                    @if ($errors->has('country'))
                        <small class="error invalid-feedback">{{ $errors->first('country') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Zip') }}</x-label>
                <div class="col-sm-10">
                    <x-input class="{{ $errors->has('zip') ? 'is-invalid' : '' }}" type="text" name="zip" :value="old('zip')"/>
                    @if ($errors->has('zip'))
                        <small class="error invalid-feedback">{{ $errors->first('zip') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Description') }}</x-label>
                <div class="col-sm-10">
                    <textarea class="form-control" name="description">{{ old('description') }}</textarea>
                    @if ($errors->has('description'))
                        <small class="error invalid-feedback">{{ $errors->first('description') }}</small>
                    @endif
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Bisa Invoice') }}</x-label>
                <div class="col-sm-10">
                    <input type="checkbox" name="bisa_invoice" {{ (old('bisa_invoice'))?'checked':'' }} data-bootstrap-switch>
                </div>
            </div>
            <div class="form-group row">
                <x-label class="col-sm-2">{{ __('Status') }}</x-label>
                <div class="col-sm-10">
                    <input type="checkbox" name="status" {{ (old('status'))?'checked':'' }} data-bootstrap-switch>
                </div>
            </div>
            <x-slot name="footer">
                <x-button class="float-right">{{ __('Save') }}</x-button>
            </x-slot>
        </x-card>
    </form>
</x-app-layout>