@extends('layouts.app')
@section('title', 'تعديل التأمين الطبي')
@section('content')
<div class="page-header">
    <div>
        <h1 class="page-title">تعديل التأمين الطبي</h1>
        <p class="page-subtitle">{{ $medical_insurance->employee->full_name ?? '' }}</p>
    </div>
    <div class="page-actions">
        <a href="{{ route('medical-insurance.show', $medical_insurance) }}" class="btn btn-ghost"><i class="fas fa-arrow-right"></i> رجوع</a>
    </div>
</div>
<div class="card" style="max-width:900px">
    <div class="card-body">
        <form method="POST" action="{{ route('medical-insurance.update', $medical_insurance) }}" enctype="multipart/form-data">
            @csrf @method('PUT')
            <div class="form-grid cols-2">
                <div class="form-group">
                    <label class="form-label required">الموظف</label>
                    <select name="employee_id" class="form-select" required>
                        @foreach($employees as $emp)
                        <option value="{{ $emp->id }}" {{ old('employee_id',$medical_insurance->employee_id)==$emp->id?'selected':'' }}>{{ $emp->full_name }}</option>
                        @endforeach
                    </select>
                </div>
                <div class="form-group">
                    <label class="form-label required">مقدم الخدمة</label>
                    <input type="text" name="provider" value="{{ old('provider',$medical_insurance->provider) }}" class="form-input" required>
                </div>
            </div>
            <div class="form-grid cols-3">
                <div class="form-group">
                    <label class="form-label">رقم الوثيقة</label>
                    <input type="text" name="policy_number" value="{{ old('policy_number',$medical_insurance->policy_number) }}" class="form-input">
                </div>
                <div class="form-group">
                    <label class="form-label required">الفئة</label>
                    <select name="insurance_class" class="form-select" required>
                        @foreach(['A','B','C','VIP'] as $cls)
                        <option value="{{ $cls }}" {{ old('insurance_class',$medical_insurance->insurance_class)==$cls?'selected':'' }}>{{ $cls }}</option>
                        @endforeach
                    </select>
                </div>
                <div class="form-group">
                    <label class="form-label required">التغطية</label>
                    <select name="coverage_type" class="form-select" required>
                        <option value="individual" {{ old('coverage_type',$medical_insurance->coverage_type)=='individual'?'selected':'' }}>فردي</option>
                        <option value="family" {{ old('coverage_type',$medical_insurance->coverage_type)=='family'?'selected':'' }}>عائلي</option>
                    </select>
                </div>
            </div>
            <div class="form-grid cols-3">
                <div class="form-group">
                    <label class="form-label required">البداية</label>
                    <input type="date" name="start_date" value="{{ old('start_date',$medical_insurance->start_date->format('Y-m-d')) }}" class="form-input" required>
                </div>
                <div class="form-group">
                    <label class="form-label required">النهاية</label>
                    <input type="date" name="end_date" value="{{ old('end_date',$medical_insurance->end_date->format('Y-m-d')) }}" class="form-input" required>
                </div>
                <div class="form-group">
                    <label class="form-label required">القسط (ر.س)</label>
                    <input type="number" name="premium_amount" value="{{ old('premium_amount',$medical_insurance->premium_amount) }}" class="form-input" step="0.01" required>
                </div>
            </div>
            <div class="form-grid cols-2">
                <div class="form-group">
                    <label class="form-label">المعالين</label>
                    <input type="number" name="dependents_count" value="{{ old('dependents_count',$medical_insurance->dependents_count) }}" class="form-input" min="0">
                </div>
                <div class="form-group">
                    <label class="form-label required">الحالة</label>
                    <select name="status" class="form-select" required>
                        @foreach(['active'=>'ساري','pending_renewal'=>'بانتظار التجديد','expired'=>'منتهي','cancelled'=>'ملغي'] as $k=>$l)
                        <option value="{{ $k }}" {{ old('status',$medical_insurance->status)==$k?'selected':'' }}>{{ $l }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="form-group">
                <label class="form-label">ملاحظات</label>
                <textarea name="notes" class="form-textarea" rows="3">{{ old('notes',$medical_insurance->notes) }}</textarea>
            </div>
            <div class="form-group">
                <label class="form-label">مرفق</label>
                <input type="file" name="attachment" class="form-input" accept=".pdf,.jpg,.jpeg,.png">
                @if($medical_insurance->attachment)<small class="form-hint">يوجد مرفق حالي</small>@endif
            </div>
            <div class="form-actions">
                <button type="submit" class="btn btn-primary btn-lg"><i class="fas fa-save"></i> تحديث</button>
                <a href="{{ route('medical-insurance.show', $medical_insurance) }}" class="btn btn-ghost btn-lg">إلغاء</a>
            </div>
        </form>
    </div>
</div>
@endsection