@extends('layouts.template')

@section('title')
Tambah PPAB | SIMRS
@endsection

@section('pagetitle')
Tambah 
@endsection

@section('breadcumb')
<nav aria-label="breadcrumb" role="navigation" class="breadcrumb">
    <ol class="breadcrumb">
        <li class="breadcrumb-item"><a href="#">Beranda</a></li>
        <li class="breadcrumb-item"><a href="#">Data</a></li>
        <li class="breadcrumb-item active" aria-current="page">Tambah Data PPAB </li>
    </ol>
</nav>
@endsection

@section('content')
<div class="container-fluid">
    <div class="row">
        <div class="col-md-10">
            <div class="card">
                <form action="{{route('ppab.store')}}" method="POST" enctype="multipart/form-data" class="form-horizontal">
                @csrf
                @if (count($errors) > 0)
                    <div class="alert alert-danger">
                        <strong>Whoops!</strong> There were some problems with your input.
                        <ul>
                            @foreach ($errors->all() as $error)
                                <li>{{ $error }}</li>
                            @endforeach
                        </ul>
                    </div>
                @endif
                    <div class="card-header">
                        <h4 class="card-title">
                            <strong>FORM</strong>
                        </h4>
                    </div>
                    <br>
                    <div class="card-content">
                        <div class="form-group">
                        <label class="col-md-3 control-label" for="tanggal_dokumen">Tanggal Dokumen<star>*</star></label>    
                            <div class="col-md-3">
                               
                                <input type="text" class="form-control datepicker" name="doc_date">
                                @error('doc_date')
                                    <div class="alert alert-danger">{{ $message }}</div>
                                @enderror
                            </div>

                        </div>
                        <div class="form-group">
                            <label class="col-md-3 control-label" for="kode">Nomor Dokumen <star>*</star></label>
                            <input type="hidden" class="form-control" name="doc_prefix" value="{{$prefix}}">
                            <input type="hidden" class="form-control" name="doc_urutan" value="{{$urutan}}">
                            <input type="hidden" class="form-control" name="doc_month" value="{{$month}}">
                            <input type="hidden" class="form-control" name="doc_year" value="{{$year}}">
                            
                            <div class="col-md-5">
                            <input type="text" class="form-control" name="doc_no" value="{{$no_doc}}" readonly>
                            </div>
                           
                        </div>

                        <div class="form-group">
                            <label class="col-md-3 control-label" for="kode">Jenis Dokumen</label>
                            <div class="col-md-5">
                                <select class="form-control" id="jenis_dokumen" name="jenis_dokumen" required>
                                    <option value="obat">Obat & BMHP</option>
                                    <option value="alkes">Alkes, Investasi, Eksploitasi</option>
                                    <option value="UMUM">UMUM</option>
                                    <option value="TEKNIK">TEKNIK</option>
                                    <option value="IT">IT</option>
                                </select>
                            </div>
                        </div>

                        
                        <div style="display: flex; justify-content: flex-end">
                        <button type="submit" class="btn btn-fill btn-info" title="Simpan"><i class="fa fa-save" style="font-size:24px"></i></button>
                        </div>
                    </div>
                </form>
            </div> <!-- end card -->
        </div> <!--  end col-md-6  -->
    </div>
</div>
<script>
   // $('.dropify').dropify();
</script>


@endsection
@section('script')

@endsection