@extends('layouts.app')

@section('content')
    <section class="section">
        <div class="section-header">
            <h3 class="page__heading" style="color: #0e25f8;">Nuevo Paciente</h3>
        </div>

        @if ($errors->any())
            <div class="alert alert-danger">
                <ul>
                    @foreach ($errors->all() as $error)
                        <li>{{ $error }}</li>
                    @endforeach
                </ul>
            </div>
        @endif

        <div class="section-body">
            <div class="row">
                <div class="col-lg-12">
                    <div class="card">
                        <div class="card-body">
                            <form action="{{ route('pacientes.store') }}" method="POST">
                                @csrf
                                <div class="form-group">
                                    <label>Nombre</label>
                                    <input type="text" class="form-control" name="nombre" required>
                                </div>
                                <div class="form-group">
                                    <label>Apellido</label>
                                    <input type="text" class="form-control" name="apellido" required>
                                </div>
                                <div class="form-group">
                                    <label>Email</label>
                                    <input type="email" class="form-control" name="email" required>
                                </div>
                                <div class="form-group">
                                    <label>Contraseña</label>
                                    <input type="password" class="form-control" name="password" required>
                                </div>
                                <div class="form-group">
                                    <label>Fecha de Nacimiento</label>
                                    <input type="date" class="form-control" name="fecha_nacimiento" required>
                                </div>
                                <div class="form-group">
                                    <label>Teléfono</label>
                                    <input type="text" class="form-control" name="telefono">
                                </div>
                                <div class="form-group">
                                    <label>Dirección</label>
                                    <input type="text" class="form-control" name="direccion">
                                </div>
                                <div class="form-group">
                                    <label>Transtorno</label>
                                    <textarea class="form-control" name="transtorno"></textarea>
                                </div>
                                <div class="form-group">
                                    <button type="submit" class="btn btn-success">Crear Paciente</button>
                                    <a href="{{ route('pacientes.index') }}" class="btn btn-secondary">Cancelar</a>
                                </div>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </section>
@endsection