@extends('layouts.base')
@section('content')

    <!--begin::پایه info-->
    <div class="card mb-5 mb-xl-10">
        <!--begin::کارت header-->
        <div class="card-header border-0 cursor-pointer" role="button" data-bs-toggle="collapse" data-bs-target="#kt_account_profile_details" aria-expanded="true" aria-controls="kt_account_profile_details">
            <!--begin::کارت title-->
            <div class="card-title m-0">
                <h3 class="fw-bold m-0">اطلاعات فرد جدید</h3>
            </div>
            <!--end::کارت title-->
        </div>
        <!--begin::کارت header-->
        <!--begin::Content-->
        <div id="kt_account_settings_profile_details" class="collapse show">
            <!--begin::form-->
            <form id="kt_account_profile_details_form" class="form" action="{{$action}}" method="post" enctype="multipart/form-data">
                @csrf
                <!--begin::کارت body-->
                <div class="card-body border-top p-9">
                    <!--begin::Input group-->
                    <div class="row mb-6">
                        <!--begin::Tags-->
                        <label class="col-lg-4 col-form-label fw-semibold fs-6">عکس</label>
                        <!--end::Tags-->
                        <!--begin::Col-->
                        <div class="col-lg-8">
                            <!--begin::Image input-->
                            <div class="image-input image-input-outline" data-kt-image-input="true" style="background-image: url('assets/media/svg/avatars/blank.svg')">
                                <!--begin::نمایش existing avatar-->
                                <div class="image-input-wrapper w-125px h-125px" style="background-image: url({{url('storage/'.@$patient->image)}})"></div>
                                <!--end::نمایش existing avatar-->
                                <!--begin::Tags-->
                                <label class="btn btn-icon btn-circle btn-active-color-primary w-25px h-25px bg-body shadow" data-kt-image-input-action="change" data-bs-toggle="tooltip" title="تعویض آواتار">
                                    <i class="ki-duotone ki-pencil fs-7">
                                        <span class="path1"></span>
                                        <span class="path2"></span>
                                    </i>
                                    <!--begin::Inputs-->
                                    <input type="file" name="image" accept=".png, .jpg, .jpeg" />
                                    <input type="hidden" name="avatar_remove" />
                                    <!--end::Inputs-->
                                </label>
                                <!--end::Tags-->
                                <!--begin::انصراف-->
                                <span class="btn btn-icon btn-circle btn-active-color-primary w-25px h-25px bg-body shadow" data-kt-image-input-action="cancel" data-bs-toggle="tooltip" title="انصراف avatar">
                                    <i class="ki-duotone ki-cross fs-2">
                                        <span class="path1"></span>
                                        <span class="path2"></span>
                                    </i>
                                </span>
                                <!--end::انصراف-->
                                <!--begin::حذف-->
                                <span class="btn btn-icon btn-circle btn-active-color-primary w-25px h-25px bg-body shadow" data-kt-image-input-action="remove" data-bs-toggle="tooltip" title="حذف آواتار">
                                    <i class="ki-duotone ki-cross fs-2">
                                        <span class="path1"></span>
                                        <span class="path2"></span>
                                    </i>
                                </span>
                                <!--end::حذف-->
                            </div>
                            <!--end::Image input-->
                            <!--begin::Hint-->
                            <div class="form-text">همه بدهکار هستیم file types: png, jpg, jpeg.</div>
                            <!--end::Hint-->
                        </div>
                        <!--end::Col-->
                    </div>
                    <!--end::Input group-->
                    <!--begin::Input group-->
                    <div class="row mb-6">
                        <!--begin::Tags-->
                        <label class="col-lg-4 col-form-label required fw-semibold fs-6">نام کامل</label>
                        <!--end::Tags-->
                        <!--begin::Col-->
                        <div class="col-lg-8">
                            <!--begin::Row-->
                            <div class="row">
                                <!--begin::Col-->
                                <div class="col-lg-6 fv-row">
                                    <input type="text" name="firstname" class="form-control form-control-lg form-control-solid mb-3 mb-lg-0" placeholder="نام" value="{{@$patient->firstname}}" />
                                </div>
                                <!--end::Col-->
                                <!--begin::Col-->
                                <div class="col-lg-6 fv-row">
                                    <input type="text" name="lastname" class="form-control form-control-lg form-control-solid" placeholder="نام خانوادگی" value="{{@$patient->lastname}}" />
                                </div>
                                <!--end::Col-->
                            </div>
                            <!--end::Row-->
                        </div>
                        <!--end::Col-->
                    </div>
                    <!--end::Input group-->
                    <!--begin::Input group-->
                    <div class="row mb-6">
                        <!--begin::Tags-->
                        <label class="col-lg-4 col-form-label required fw-semibold fs-6">کشور</label>
                        <!--end::Tags-->
                        <!--begin::Col-->
                        <div class="col-lg-8 fv-row">
                            <input type="text" name="country" class="form-control form-control-lg form-control-solid" placeholder="کشور" value="{{@$patient->country}}" />
                        </div>
                        <!--end::Col-->
                    </div>
                    <!--end::Input group-->
                    <!--begin::Input group-->
                    <div class="row mb-6">
                        <!--begin::Tags-->
                        <label class="col-lg-4 col-form-label required fw-semibold fs-6">شهر</label>
                        <!--end::Tags-->
                        <!--begin::Col-->
                        <div class="col-lg-8 fv-row">
                            <input type="text" name="city" class="form-control form-control-lg form-control-solid" placeholder="شهر" value="{{@$patient->city}}" />
                        </div>
                        <!--end::Col-->
                    </div>
                    <!--end::Input group-->
{{--                    <!--begin::Input group-->--}}
{{--                    <div class="row mb-6">--}}
{{--                        <!--begin::Tags-->--}}
{{--                        <label class="col-lg-4 col-form-label required fw-semibold fs-6">موقعیت جغرافیایی</label>--}}
{{--                        <!--end::Tags-->--}}
{{--                        <!--begin::Col-->--}}
{{--                        <div class="col-lg-8 fv-row">--}}
{{--                            <input type="text" name="company" class="form-control form-control-lg form-control-solid" placeholder="" value="{{@$user->location}}" />--}}
{{--                        </div>--}}
{{--                        <!--end::Col-->--}}
{{--                    </div>--}}
{{--                    <!--end::Input group-->--}}
                </div>
                <!--end::کارت body-->
                <!--begin::Actions-->
                <div class="card-footer d-flex justify-content-end py-6 px-9">
                    <button type="reset" class="btn btn-light btn-active-light-primary me-2">لغو</button>
                    <button type="submit" class="btn btn-primary" id="kt_account_profile_details_submit">ذخیره تغییرات</button>
                </div>
                <!--end::Actions-->
            </form>
            <!--end::form-->
        </div>
        <!--end::Content-->
    </div>
    <!--end::پایه info-->
@endsection