{% extends 'html/base.html' %}

{% load static %}

{% block title %} Ajouter un patient {% endblock %}

{% block content %}
    <!-- Page Title -->
    <div class="page-title">
        <h1> Ajouter un patient </h1>
        <nav>
            <ol class="breadcrumb">
                <li class="breadcrumb-item"> <a href="{% url 'home' %}">Accueil</a> / <a href="{% url 'list_patients_view' %}"> Liste des Patients à suivre </a> / Ajouter </li>
            </ol>
        </nav>
    </div>
    <!-- End Page Title -->

    <!-- START Main Content -->
    <div class="col-lg-12">
        <div class="row">
            <div class="col-12">
                <div class="card top-selling overflow-auto p-5">
                    <form action="" method="post">
                        {% csrf_token %}
                        <div class="card-body">
                            <div class="row">
                                <div class="col-sm-4 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.first_name.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.first_name }} </p>
                                </div>
                                <div class="col-sm-4 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.last_name.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.last_name }} </p>
                                </div>
                                <div class="col-sm-4 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.age.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.age }} </p>
                                </div>
                                <div class="col-sm-4 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.gender.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.gender }} </p>
                                </div>
                                <div class="col-sm-4 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.phone_number.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.phone_number }} </p>
                                </div>
                                <div class="col-sm-4 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.address.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.address }} </p>
                                </div>
                                <div class="col-sm-12 mt-2 mb-2">
                                    <label> Date de Consultation : <span class="principal-color fw-bold"> {{ patient.consultation_date }} </span>
                                        <input type="datetime-local" id="consultation_date" name="consultation_date" class="form-control principal-color" />
                                        <!-- <p class="principal-color mb-0" id="consultation_date" name="consultation_date"> {{ form.consultation_date }} </p> -->
                                    </label>
                                </div>
                                <div class="col-sm-6 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.diagnosis.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.diagnosis }} </p>
                                </div>
                                <div class="col-sm-6 mt-2 mb-2">
                                    <p class="mb-0"> {{ form.recommendations.label }} : </p>
                                    <p class="text-muted mb-0"> {{ form.recommendations }} </p>
                                </div>
                            </div>
                        </div>
                        <div class="d-flex justify-content-start">
                            <button type="button" class="btn btn-secondary btn-sm mt-3 mx-2" onclick="window.location.href='{% url "list_patients_view" %}'">Retour</button>
                            <button type="submit" class="btn btn-primary btn-custom btn-sm mt-3 mx-2">Enregistrer</button>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
    <!-- END Main Content -->
    
    <script>
        function confirmDeletion(url) {
            // Show confirmation dialog
            var userConfirmed = confirm('Êtes-vous sûr de vouloir supprimer ? Cette action ne peut être annulée.');
            
            // Redirect to the URL only if the user confirmed
            if (userConfirmed) {
                window.location.href = url;
            }
        }
    </script>
        
    {% if messages %}
        <!-- Toast Container code -->
        <div class="toast-container position-fixed top-0 mt-5 end-0 p-3">
            <div id="liveToast" class="toast" role="alert" aria-live="assertive" aria-atomic="true">
                <div class="toast-header">
                    <img src="{% static 'childrenSunTheme/assets/img/ZAM_LOGO.png' %}" class="img-fluid rounded me-2 h-2" alt="Icon image" style="height: 1.2rem;">
                    <strong class="me-auto">Ziguinchor Assistance Médicale</strong>
                    <small>{% now "Y-m-d G:i:s" %}</small>
                    <button type="button" class="btn-close" data-bs-dismiss="toast" aria-label="Close"></button>
                </div>
                <div class="toast-body">
                    {% for message in messages %}
                        {% if message.tags == "success" %}
                            <div class="alert alert-success alert-dismissible fade show" role="alert">
                                {{ message }}
                                <button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close"></button>
                            </div>
                        {% elif message.tags == "info" %}
                            <div class="alert alert-info alert-dismissible fade show" role="alert">
                                {{ message }}
                                <button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close"></button>
                            </div>
                        {% elif message.tags == "warning" %}
                            <div class="alert alert-warning alert-dismissible fade show" role="alert">
                                {{ message }}
                                <button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close"></button>
                            </div>
                        {% elif message.tags == "error" %}
                            <div class="alert alert-danger alert-dismissible fade show" role="alert">
                                {{ message }}
                                <button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close"></button>
                            </div>
                        {% endif %}
                    {% endfor %}
                </div>
            </div>
        </div>
    {% endif %}

{% endblock %}