@extends('admin.main')
@section('content')
            <div class="row">
                <div class="col-md-12">
                    <div class="card">
                        <div class="card-header">
                          <h4 class="">Vitals / Edit<a href="{{ route('booking.index') }}?page={{$page}}" class="btn btn-primary float-right">Back</a></h4>
                        </div>
                        <div class="card-body">
                            @include('admin.msg')
                            @php
                                $bp1 = "";
                                $bp2 = "";
                                if(isset($vitals->bp) && $vitals->bp){
                                    $bp_array = explode("/",$vitals->bp);

                                    $bp1 = isset($bp_array[0])?$bp_array[0]:"";
                                    $bp2 = isset($bp_array[1])?$bp_array[1]:"";
                                }
                            @endphp
                           <form method="POST" action="{{ route('vitals.store', ['id' => $app_id]) }}" enctype="multipart/form-data">
                               @csrf
                               @method('POST')
                               <div class="border p-3 mb-3 mt-3">
                                  <div class="row">
                                     <div class="col-md-12">
                                        <div class="row">
                                            <div class="form-group col-md-4">
                                                <label for="bp"> BP(mmHg)</label>
                                                <div class="row">
                                                    <div class="col-md-5">
                                                        <input type="text" class="form-control" id="bp1" name="bp1" value="{{ old('bp1', isset($bp1)?$bp1: '') }}">
                                                    </div>
                                                    <div class="col-md-2">/</div>
                                                    <div class="col-md-5">
                                                        <input type="text" class="form-control" id="bp2" name="bp2" value="{{ old('bp2', isset($bp2)?$bp2: '') }}">
                                                    </div>
                                                </div>
                                                @error('bp')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="pulse">Pulse(bpm)</label>
                                                <input type="text" class="form-control" id="pulse" name="pulse" value="{{ old('pulse', isset($vitals->pulse)?$vitals->pulse: '') }}">
                                                @error('pulse')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="height">Height(cm)</label>
                                                <input type="text" class="form-control" id="height" name="height" value="{{ old('height', isset($vitals->height)?$vitals->height: '') }}">
                                                @error('height')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="weight">Weight(kg)</label>
                                                <input type="text" class="form-control" id="weight" name="weight" value="{{ old('weight', isset($vitals->weight)?$vitals->weight: '') }}">
                                                @error('weight')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="temperature">Temperature(F)</label>
                                                <input type="text" class="form-control" id="temperature" name="temperature" value="{{ old('temperature', isset($vitals->temperature)?$vitals->temperature: '') }}">
                                                @error('temperature')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="BMI">BMI(kg/m2)</label>
                                                <input type="text" class="form-control" id="BMI" name="BMI" value="{{ old('BMI', isset($vitals->BMI)?$vitals->BMI: '') }}">
                                                @error('BMI')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="waist">Waist/Hip</label>
                                                <input type="text" class="form-control" id="waist" name="waist" value="{{ old('waist', isset($vitals->waist)?$vitals->waist: '') }}">
                                                @error('waist')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="swelling">Swelling()</label>
                                                <input type="text" class="form-control" id="swelling" name="swelling" value="{{ old('swelling', isset($vitals->swelling)?$vitals->swelling: '') }}">
                                                @error('swelling')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="gait">Gait()</label>
                                                <input type="text" class="form-control" id="gait" name="gait" value="{{ old('gait', isset($vitals->gait)?$vitals->gait: '') }}">
                                                @error('gait')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="list">List()</label>
                                                <input type="text" class="form-control" id="list" name="list" value="{{ old('list', isset($vitals->list)?$vitals->list: '') }}">
                                                @error('list')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="step_sign">Step Sign()</label>
                                                <input type="text" class="form-control" id="step_sign" name="step_sign" value="{{ old('step_sign', isset($vitals->step_sign)?$vitals->step_sign: '') }}">
                                                @error('step_sign')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="toe_walking">Toe Walking()</label>
                                                <input type="text" class="form-control" id="toe_walking" name="toe_walking" value="{{ old('toe_walking', isset($vitals->toe_walking)?$vitals->toe_walking: '') }}">
                                                @error('toe_walking')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="heel_walking">Heel Walking()</label>
                                                <input type="text" class="form-control" id="heel_walking" name="heel_walking" value="{{ old('heel_walking', isset($vitals->heel_walking)?$vitals->heel_walking: '') }}">
                                                @error('heel_walking')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="deformity">Deformity()</label>
                                                <input type="text" class="form-control" id="deformity" name="deformity" value="{{ old('deformity', isset($vitals->deformity)?$vitals->deformity: '') }}">
                                                @error('deformity')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="tenderness">Tenderness()</label>
                                                <input type="text" class="form-control" id="tenderness" name="tenderness" value="{{ old('tenderness', isset($vitals->tenderness)?$vitals->tenderness: '') }}">
                                                @error('tenderness')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="ROM">ROM()</label>
                                                <input type="text" class="form-control" id="ROM" name="ROM" value="{{ old('ROM', isset($vitals->ROM)?$vitals->ROM: '') }}">
                                                @error('ROM')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="centralization">Centralization()</label>
                                                <input type="text" class="form-control" id="centralization" name="centralization" value="{{ old('centralization', isset($vitals->centralization)?$vitals->centralization: '') }}">
                                                @error('centralization')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="peripheralization">Peripheralization()</label>
                                                <input type="text" class="form-control" id="peripheralization" name="peripheralization" value="{{ old('peripheralization', isset($vitals->peripheralization)?$vitals->peripheralization: '') }}">
                                                @error('peripheralization')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="SLR">SLR()</label>
                                                <input type="text" class="form-control" id="SLR" name="SLR" value="{{ old('SLR', isset($vitals->SLR)?$vitals->SLR: '') }}">
                                                @error('SLR')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="cross_SLR">Cross SLR()</label>
                                                <input type="text" class="form-control" id="cross_SLR" name="cross_SLR" value="{{ old('cross_SLR', isset($vitals->cross_SLR)?$vitals->cross_SLR: '') }}">
                                                @error('cross_SLR')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="nerve_sign">Nerve Sign()</label>
                                                <input type="text" class="form-control" id="nerve_sign" name="nerve_sign" value="{{ old('nerve_sign', isset($vitals->nerve_sign)?$vitals->nerve_sign: '') }}">
                                                @error('nerve_sign')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="FST">FST()</label>
                                                <input type="text" class="form-control" id="FST" name="FST" value="{{ old('FST', isset($vitals->FST)?$vitals->FST: '') }}">
                                                @error('FST')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                            <div class="form-group col-md-4">
                                                <label for="FABER">FABER()</label>
                                                <input type="text" class="form-control" id="FABER" name="FABER" value="{{ old('FABER', isset($vitals->FABER)?$vitals->FABER: '') }}">
                                                @error('FABER')
                                                <p class="errors-msg text-danger">{{ $message }}</p>
                                                @enderror
                                            </div>
                                        </div>
                                    </div>
                                  </div>
                               </div>
                               
                               <button type="submit" class="btn btn-primary mt-3">Update</button>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
        </div>

@endsection