@extends('layouts.app')

@section('title', 'Edit Surat')

@push('style')
    <!-- CSS Libraries -->
    <link rel="stylesheet"
        href="{{ asset('library/bootstrap-daterangepicker/daterangepicker.css') }}">
    <link rel="stylesheet"
        href="{{ asset('library/select2/dist/css/select2.min.css') }}">
    <link rel="stylesheet"
        href="{{ asset('library/selectric/public/selectric.css') }}">
@endpush


@section('main')
    <div class="main-content">
        <section class="section">
            <div class="section-header">
                <h1>Edit Surat</h1>
                <div class="section-header-breadcrumb">
                    <div class="breadcrumb-item active"><a href="#">Dashboard</a></div>
                    <div class="breadcrumb-item"><a href="{{ url('surat/menu/pembuatan-kk-baru') }}">Surat</a></div>
                    <div class="breadcrumb-item">Edit</div>
                </div>
            </div>
            <div class="section-body">
                <div class="row">
                    <div class="col-12">
                        <div class="card">
                            <div class="card-body">
                                <form action="{{ route('surat.update', $surat->slug) }}" method="post" class="custom-validation" enctype="multipart/form-data">
                                    @csrf
                                    @method('POST')
                                <div class="form-row">
                                    <input type="hidden" class="form-control" name="id" id="id" value="{{ $data->id }}" />
                                    <div class="form-group col-md-6">
                                        <label>NIK (Kepala Keluarga / Anggota 1)</label>
                                        <select name="penduduk_id" class="form-control select2" required>
                                            <option value="" selected disabled>--- Pilih ---</option>
                                            @foreach ($penduduk as $item )
                                            <option value="{{ $item['id'] }}" {{ $item['id'] == $data->penduduk_id ? 'selected' : '' }}>{{ $item['nik'] }} - {{ $item['nama'] }}</option>
                                            @endforeach
                                        </select>
                                    </div>
                                    <div class="form-group col-md-3">
                                        <label>Tanggal Surat</label>
                                        <input type="text" name="tgl_surat" value="{{ $data->tgl_surat }}" class="form-control datepicker" required>
                                    </div>
                                </div>
                                <b>Data Kepala Keluarga</b>
                                <div class="row">
                                    <div class="col-md-12">
                                        <div class="form-group">
                                            <label>Alamat Sebelumnya</label>
                                            <textarea class="form-control" name="alamat_sebelumnya_kk" placeholder="Alamat Sebelumnya">{{ $data_surat->alamat_sebelumnya_kk ?? '' }}</textarea>
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-md-6">
                                        <div class="form-group">
                                            <label>Kode Pos</label>
                                            <input type="text" class="form-control" name="kode_pos_kk" value="{{ $data_surat->kode_pos_kk ?? '' }}" required placeholder="Kode Pos">
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="form-group">
                                            <label>No. Telpon</label>
                                            <input type="text" class="form-control" name="no_telpon_kk" value="{{ $data_surat->no_telpon_kk ?? '' }}" required placeholder="No. Telpon">
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="form-group">
                                            <label>Tanggal Berakhir Paspor</label>
                                            <input type="date" class="form-control" name="tgl_akhir_paspor_kk" value="{{ $data_surat->tgl_akhir_paspor_kk ?? '' }}" placeholder="Tanggal Berakhir Paspor">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-md-2">
                                        <div class="form-group">
                                            <label>Gol. Darah</label>
                                            <input type="text" class="form-control" name="gol_darah_kk" value="{{ $data_surat->gol_darah_kk ?? '' }}" placeholder="Gol. Darah">
                                        </div>
                                    </div>
                                    <div class="col-md-5">
                                        <div class="form-group">
                                            <label>Nama Lengkap Ayah</label>
                                            <input type="text" class="form-control" name="nama_ayah_kk" value="{{ $data_surat->nama_ayah_kk ?? '' }}" required placeholder="Nama Lengkap Ayah">
                                        </div>
                                    </div>
                                    <div class="col-md-5">
                                        <div class="form-group">
                                            <label>Nama Lengkap Ibu</label>
                                            <input type="text" class="form-control" name="nama_ibu_kk" value="{{ $data_surat->nama_ibu_kk ?? '' }}" required placeholder="Nama Lengkap Ibu">
                                        </div>
                                    </div>
                                </div>
                                <hr>
                                <div class="form-row">
                                    <div class="form-group col-md-3">
                                        <label>Jumlah Anggota Keluarga</label>
                                        @if(isset($data_surat->jumlah_anggota_keluarga)) 
                                        <input type="number" value="{{ $data_surat->jumlah_anggota_keluarga ?? '' }}" name="jumlah_anggota_keluarga" placeholder="Jumlah Anggota Keluarga" class="form-control" required>
                                        @else
                                        <input type="number" value="" name="jumlah_anggota_keluarga" placeholder="Jumlah Anggota Keluarga" class="form-control" required>
                                        @endif
                                    </div>
                                </div>
                                <hr>
                                @if(isset($data_surat->jumlah_anggota_keluarga) && $data_surat->jumlah_anggota_keluarga > 1)

                                @for($k = 2; $k <= $data_surat->jumlah_anggota_keluarga; $k++)
                                    <b>Data Anggota Keluarga Ke-{{ $k }}</b>                                
                                    <br>
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Nama Lengkap</label>
                                                <input type="text" class="form-control" name="nama_{{ $k }}" value="{{ $data_surat_array['nama_'.$k] ?? '' }}" required placeholder="Nama Lengkap">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>NIK</label>
                                                <input type="text" class="form-control" name="nik_{{ $k }}" value="{{ $data_surat_array['nik_'.$k] ?? '' }}" required placeholder="NIK">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Tanggal Berakhir Paspor</label>
                                                <input type="date" class="form-control" name="tgl_akhir_paspor_{{ $k }}" value="{{ $data_surat_array['tgl_akhir_paspor_'.$k] ?? '' }}">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Jenis Kelamin</label>
                                                <select name="jk_{{ $k }}" class='form-control'>
                                                    @if(isset($data_surat_array['jk_'.$k]))
                                                    <option value="L" @if($data_surat_array['jk_'.$k] == "L") selected @endif>Laki - laki</option>
                                                    <option value="P" @if($data_surat_array['jk_'.$k] == "P") selected @endif>Perempuan</option>
                                                    @else
                                                    <option value="L">Laki - laki</option>
                                                    <option value="P">Perempuan</option>
                                                    @endif
                                                </select>
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Tempat Lahir</label>
                                                <input type="text" class="form-control" name="tempat_lahir_{{ $k }}" value="{{ $data_surat_array['tempat_lahir_'.$k] ?? '' }}" required placeholder="Tempat Lahir">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Tanggal Lahir</label>
                                                <input type="date" class="form-control" name="tgl_lahir_{{ $k }}" value="{{ $data_surat_array['tgl_lahir_'.$k] ?? '' }}" required>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-12">
                                            <div class="form-group">
                                                <label>Alamat Sebelumnya</label>
                                                <textarea class="form-control" name="alamat_sebelumnya_{{ $k }}" placeholder="Alamat Sebelumnya" required>{{ $data_surat_array['alamat_sebelumnya_'.$k] ?? '' }}</textarea>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>Akte/Surat Lahir</label>
                                                <input type="text" class="form-control" name="akte_lahir_{{ $k }}" value="{{ $data_surat_array['akte_lahir_'.$k] ?? '' }}" required placeholder="Akte/Surat Lahir">
                                            </div>
                                        </div>
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>No. Akte Kelahiran Surat Kenal Lahir</label>
                                                <input type="text" class="form-control" name="no_akte_lahir_{{ $k }}" value="{{ $data_surat_array['akte_lahir_'.$k] ?? '' }}" required placeholder="No. Akte Kelahiran Surat Kenal Lahir">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>Gol. Darah</label>
                                                <input type="text" class="form-control" name="gol_darah_{{ $k }}" value="{{ $data_surat_array['gol_darah_'.$k] ?? '' }}" required placeholder="Gol. Darah">
                                            </div>
                                        </div>
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label>Agama/Kepercayaan</label>
                                                <input type="text" class="form-control" name="agama_{{ $k }}" value="{{ $data_surat_array['agama_'.$k] ?? '' }}" required placeholder="Agama">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Status Perkawinan</label>
                                                <input type="text" class="form-control" name="status_kawin_{{ $k }}" value="{{ $data_surat_array['status_kawin_'.$k] ?? '' }}" required placeholder="Status Perkawinan">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Akte Perkawinan/Buku Nikah</label>
                                                <input type="text" class="form-control" name="akte_kawin_{{ $k }}" value="{{ $data_surat_array['akte_kawin_'.$k] ?? '' }}" placeholder="Akte Perkawinan/Buku Nikah">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>No. Akte Perkawinan/Buku Nikah</label>
                                                <input type="text" class="form-control" name="no_akte_kawin_{{ $k }}" value="{{ $data_surat_array['no_akte_kawin_'.$k] ?? '' }}" placeholder="No. Akte Perkawinan/Buku Nikah">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Tanggal Perkawinan</label>
                                                <input type="date" class="form-control" name="tgl_kawin_{{ $k }}" value="{{ $data_surat_array['tgl_kawin_'.$k] ?? '' }}" placeholder="Tanggal Perkawinan">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Akte Cerai/Surat Cerai</label>
                                                <input type="text" class="form-control" name="akte_cerai_{{ $k }}" value="{{ $data_surat_array['akte_cerai_'.$k] ?? '' }}" placeholder="Akte Cerai/Surat Cerai">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>No. Akte Perceraian/Surat Cerai</label>
                                                <input type="text" class="form-control" name="no_akte_cerai_{{ $k }}" value="{{ $data_surat_array['no_akte_cerai_'.$k] ?? '' }}" placeholder="No. Akte Perceraian/Surat Cerai">
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Tanggal Perceraian</label>
                                                <input type="date" class="form-control" name="tgl_cerai_{{ $k }}" value="{{ $data_surat_array['tgl_cerai_'.$k] ?? '' }}" placeholder="Tanggal Perceraian">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Hubungan Kepkel</label>
                                                <input type="text" class="form-control" name="hub_kepkel_{{ $k }}" value="{{ $data_surat_array['hub_kepkel_'.$k] ?? '' }}" placeholder="Hubungan Kepkel" required>
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Pendidikan</label>
                                                <input type="text" class="form-control" name="pendidikan_{{ $k }}" value="{{ $data_surat_array['pendidikan_'.$k] ?? '' }}" placeholder="Pendidikan" required>
                                            </div>
                                        </div>
                                        <div class="col-md-3">
                                            <div class="form-group">
                                                <label>Pekerjaan</label>
                                                <input type="text" class="form-control" name="pekerjaan_{{ $k }}" value="{{ $data_surat_array['pekerjaan_'.$k] ?? '' }}" placeholder="Pekerjaan" required>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Nama Lengkap Ayah</label>
                                                <input type="text" class="form-control" name="nama_ayah_{{ $k }}" value="{{ $data_surat_array['nama_ayah_'.$k] ?? '' }}" placeholder="Nama Lengkap Ayah" required>
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label>Nama Lengkap Ibu</label>
                                                <input type="text" class="form-control" name="nama_ibu_{{ $k }}" value="{{ $data_surat_array['nama_ibu_'.$k] ?? '' }}" placeholder="Nama Lengkap Ibu" required>
                                            </div>
                                        </div>
                                    </div>
                                @endfor
                                @endif
                            </div>
                            <div class="card-footer">
                                <button type="submit" class="btn btn-primary">Simpan</button>
                                <a href="{{ url()->previous() }}" class="btn btn-danger">Batal</a>
                            </div>
                        </form>
                        </div>
                    </div>
                </div>
            </div>
        </section>
    </div>
@endsection

@push('scripts')
    <!-- JS Libraies -->
    <script src="{{ asset('library/bootstrap-daterangepicker/daterangepicker.js') }}"></script>
    <script src="{{ asset('library/select2/dist/js/select2.full.min.js') }}"></script>
    <script src="{{ asset('library/selectric/public/jquery.selectric.min.js') }}"></script>

    <!-- Page Specific JS File -->
    <script src="{{ asset('js/page/forms-advanced-forms.js') }}"></script>
@endpush