@extends('admin.layouts.app')

@section('content')

<div class="col-12 grid-margin stretch-card">
    <div class="card">
        <div class="card-body">
            <h4 class="card-title">Near Labs Edit</h4>
            <p class="card-description">
            </p>
            <form id="add_permission" class="ajax-form forms-sample" method="post"  action="{{ route('admin.near_labs_edit', ['id' => request()->route('id')]) }}"  data-redirect="{{ route('admin.near_labs') }}"> 
                @csrf
                <div class="row"> 
                    <div class="col-md-6">
                        <div class="form-group">
                            <label for="first_name" class="form-label required">Name</label>
                            <input type="text" class="form-control @error('name') is-invalid @enderror" name="name" value="{{ old('name', $nearlabs->name ?? '') }}">
                            @error('first_name')
                            <span class="text-danger">{{ $message }}</span>
                            @enderror
                        </div> 
                        
                         <div class="form-group">
                            <label for="email" class="form-label required">Email</label>
                            <input type="email" class="form-control @error('name') is-invalid @enderror" name="email" value="{{ old('email', $nearlabs->email ?? '') }}">
                            @error('email')
                            <span class="text-danger">{{ $message }}</span>
                            @enderror
                        </div>
                         <div class="form-group">
                            <label for="phone" class="form-label required">Phone</label>
                            <input type="text" class="form-control @error('name') is-invalid @enderror" name="phone" value="{{ old('phone', $nearlabs->phone ?? '') }}">
                            @error('phone')
                            <span class="text-danger">{{ $message }}</span>
                            @enderror
                        </div>
                         <div class="form-group">
                            <label for="address" class="form-label required">Address</label>
                            <input type="text" class="form-control @error('address') is-invalid @enderror" name="address" value="{{ old('address', $nearlabs->address ?? '') }}">
                            @error('address')
                            <span class="text-danger">{{ $message }}</span>
                            @enderror
                        </div> 
                         <div class="form-group">
                            <label for="latitude" class="form-label required">Latitude</label>
                            <input type="text" class="form-control @error('latitude') is-invalid @enderror" name="latitude" value="{{ old('latitude', $nearlabs->latitude ?? '') }}">
                            @error('latitude')
                            <span class="text-danger">{{ $message }}</span>
                            @enderror
                        </div> 
                         <div class="form-group">
                            <label for="longitude" class="form-label required">Longitude</label>
                            <input type="text" class="form-control @error('address') is-invalid @enderror" name="longitude" value="{{ old('longitude', $nearlabs->longitude ?? '') }}">
                            @error('longitude')
                            <span class="text-danger">{{ $message }}</span>
                            @enderror 
                        </div> 
                        
                        <div class="form-group">
                            <label for="icon_url" class="form-label required">Map Icon</label>
                            <input type="file" class="form-control " name="icon_url" accept="image/*" value="">
                        </div>
                        
                        <img src="{{ asset('storage/mapicon/' . $nearlabs->icon_url) }}" alt="Lab Icon" width="100">

                        
                       
                  </div>
                 </div>
                <button type="submit" class="btn btn-primary me-2">Submit</button>
                <a href="{{ route('admin.patient') }}" class="btn btn-light">Cancel</a>
            </form>
        </div> 
    </div>
</div>
   
@endsection;