@extends('pages.panel.surat.template_surat')

@section("content")
<h4 class='mt-5 mb-3'>Buat {{ $surat->jenis_surat }}</h4>
<hr>
<form method='post' action="{{ url('/panel/letter/add') }}">
@csrf
<input type="hidden" name="desa_id" value="{{ $desa->id }}">
<input type="hidden" name="jenis_surat" value="{{ $surat->id }}">
<input type="hidden" name="db_table" value="{{ $surat->db_table }}">
<div class="row">
    <div class="col-sm mb-4">
        <label class='form-label'>NIK</label>
        <input type="text" name='nik' id="nik" required placeholder="Masukkan NIK" class='form-control use-keyboard-input'>
    </div>
    <div class="col-sm mb-4">
        <label class='form-label'>Nama</label>
        <input  type="text" id="nama" name='nama' placeholder="Silahkan Masukan NIK" required class='form-control' disabled>
    </div>
</div>
<hr>
@for($d = 1; $d <= 5; $d++)
<div class='row mb-4'>
    <div class="col-md-6">
        <label class="form-label">Berkas Benar ({{ $d }})</label>
        <input  type="text" name='berkas_benar_{{ $d }}' placeholder="Berkas Benar ({{ $d }})" class='form-control'>
        <span class='form-text'>Contoh : KTP NIK 32091213123XXXXX / KK NO.321092310312XXX</span>
    </div>
    <div class="col-md-6">
        <label class="form-label">Data Benar ({{ $d }})</label>
        <input  type="text" name='data_benar_{{ $d }}' placeholder="Data Benar ({{ $d }})" class='form-control'>
        <span class='form-text'>Nama Ahmad Fulan / Tanggal Lahir 20-07-1990</span>
    </div>
</div>
@endfor
<hr>
@for($d = 1; $d <= 5; $d++)
<div class='row mb-4'>
    <div class="col-md-6">
        <label class="form-label">Berkas Salah ({{ $d }})</label>
        <input  type="text" name='berkas_salah_{{ $d }}' placeholder="Berkas Salah ({{ $d }})" class='form-control'>
        <span class='form-text'>Contoh : KTP NIK 32091213123XXXXX / KK NO.321092310312XXX</span>
    </div>
    <div class="col-md-6">
        <label class="form-label">Data Salah ({{ $d }})</label>
        <input  type="text" name='data_salah_{{ $d }}' placeholder="Data Salah ({{ $d }})" class='form-control'>
        <span class='form-text'>Nama Ahmad Fulan / Tanggal Lahir 20-07-1990</span>
    </div>
</div>
@endfor
<div class="d-grid gap-2 d-md-flex justify-content-md-end mb-5">
    <button type="submit" class="btn btn-primary rounded btn-lg">
        Buat Surat
    </button>
    <a href="{{ url('panel/'.$desa->id) }}" class='btn btn-danger rounded btn-lg'>
        Kembali
    </a>
</div>
</form>
@endsection