@extends('admin::index')

@section('content')
    <section class="content-header">
        <h1>
            {{ $header or trans('admin.title') }}
            <small>{{ $description or trans('admin.description') }}</small>
        </h1>

        <!-- breadcrumb start -->
    @include('partials.breadcrumb')
    <!-- breadcrumb end -->

    </section>

    <section class="content">

        @include('partials.error')
        @include('admin::partials.exception')
        @include('admin::partials.toastr')

        {{-- MAIN CONTENT --}}
        {{ Form::open(array('route' => 'customers.store', 'method' => 'POST', 'class'=>'', 'enctype'=>'multipart/form-data' )) }}
        <div class="row">
            <div class="col-md-8 col-md-offset-2">
                <div class="box">
                    <div class="box-body p-20">

                        <div class="form-group">
                            <label>{{ __("Tên khách hàng *") }}</label>
                            <input type="text" name="fullname" class="form-control" required value="{{ old('fullname') }}">
                        </div>
                        <div class="row">
                            <div class="col-sm-6">
                                <div class="form-group">
                                    <label>{{ __("SĐT *") }}</label>
                                    <input type="text" name="phone" class="form-control" required value="{{ old('phone') }}">
                                </div>
                            </div>
                            <div class="col-sm-6">
                                <div class="form-group">
                                    <label>{{ __("Email") }}</label>
                                    <input type="email" name="email" class="form-control" value="{{ old('email') }}">
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label>{{ __("Địa chỉ") }}</label>
                            <input type="text" name="address" class="form-control" value="{{ old('address') }}">
                        </div>
                        <div class="row">
                            <div class="col-sm-6">
                                <div class="form-group">
                                    <label>{{ __("Giới tính") }}</label>
                                    {{ \Form::select('gender', ['male'=>'Nam','female'=>'Nữ','other'=>'Khác'], old('gender'), ['class'=>'form-control']) }}
                                </div>
                            </div>
                            <div class="col-sm-6">
                                <div class="form-group">
                                    <label>{{ __("Năm sinh") }}</label>
                                    {{ \Form::selectRange('birthday', \Carbon\Carbon::now()->format('Y'), 1960, old('birthday'), ['class'=>'form-control']) }}
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label>{{ __("Người thân") }}</label>
                            <input type="text" name="dependant" class="form-control"  value="{{ old('dependant') }}">
                        </div>




                    </div>
                </div>
                <div class="text-center">
                    <a type="submit" class="btn btn-lg btn-default" href="{{ route('customers.index') }}">{{ __('Huỷ bỏ') }}</a>
                    <button type="submit" class="btn btn-warning btn-lg p-l-40 p-r-40 m-l-5"><i
                                class="fa fa-save"></i> {{ __('Thêm') }}</button>
                </div>

            </div>

        </div>
        {{ Form::close() }}


    </section>
@endsection

@php

        @endphp