@extends('agent.layout.app')
@section('content')
    <link href="https://fonts.googleapis.com/css2?family=Noto+Naskh+Arabic:wght@400;700&display=swap" rel="stylesheet">

    <div id="header">
        <header class="w-100 float-start">
            <div class="main-header w-100 float-start">
                <div class="container-fluid">
                    <div class="row align-items-center">
                        <div class="col-lg-2 col-6 p-0">
                            <div class="main-header-logo">
                                <a href="#">
                                    <img src="{{asset('images/logo.png')}}" class="img-fluid" alt="logo">
                                </a>
                            </div>
                        </div>
                    </div>
                </div>
            </div>

        </header>
    </div>

    <div class="main-innerpage w-100 float-start">
        <div class="container">
            <div class="innerpages">
                <h2>Referral Agent {{ $formattedData['first_name'] ?? '' }} Dashboard</h2>
                <span>Home > <span class="font-color-pink">Dashboard</span></span>
            </div>
        </div>
    </div>
    <div class="blog-page pt-5 pb-5 w-100 float-start">
        <div class="container">
            <div class="row">
                @include('agent.layout.sidebar')

                <div class="col-lg-8 col-md-12 col-12">
                    <div class="my-profile">
                        <div class="heading">
                            <h2>Basic <strong>Info</strong></h2>
                        </div>
                        <br>

                        <!-- Form to update profile -->
                        <form action="{{ route('referral.agent.profile.update') }}" method="POST">
                            @csrf
                            <input type="hidden" value="{{$entryId}}" name="entry_id">
                            <div class="input-info-box">
                                <div class="header">
                                    About your Profile
                                </div>
                                <div class="content">
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>First Name</label>
                                                <input type="text" name="first_name" placeholder="First Name" value="{{ $formattedData['first_name'] ?? '' }}">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>Last Name</label>
                                                <input type="text" name="last_name" placeholder="Last Name" value="{{ $formattedData['last_name'] ?? '' }}">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>Email</label>
                                                <input type="email" placeholder="Email" value="{{ $formattedData['email'] ?? '' }}" readonly>
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="my-input-box">
                                                <label>Address</label>
                                                <textarea name="address" placeholder="Address">{{ $formattedData['address'] ?? '' }}</textarea>
                                            </div>
                                        </div>

                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>City</label>
                                                <input type="text" name="city" placeholder="City" value="{{ $formattedData['city'] ?? '' }}">
                                            </div>
                                        </div>   <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>State</label>
                                                <input type="text" name="state" placeholder="State" value="{{ $formattedData['state'] ?? '' }}">
                                            </div>
                                        </div>
                                        <div class="col-md-12">
                                            <div class="my-input-box">
                                                <label>Zip Code</label>
                                                <input type="number" name="zip_code" placeholder="Zip Code" value="{{ $formattedData['zip_code'] ?? '' }}">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>License Number</label>
                                                <input type="number" name="license_number" placeholder="License Number" value="{{ $formattedData['license_number'] ?? '' }}">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>License Expiry Date</label>
                                                <input type="date" name="license_expiration" placeholder="License Expiry Date" value="{{ $formattedData['license_expiration'] ?? '' }}">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>Member Ship Joining Date</label>
                                                <input type="date" name="membership_join_date" placeholder="Member Ship Joining Date" value="{{ $formattedData['membership_join_date'] ?? '' }}">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="my-input-box">
                                                <label>Member Ship Expiry Date</label>
                                                <input type="date" name="expiration_date_of_membership" placeholder="Member Ship Expiry Date" value="{{ $formattedData['expiration_date_of_membership'] ?? '' }}">
                                            </div>
                                        </div>
                                    </div>

                                    <!-- Submit Button -->
                                    <div class="col-md-12">
                                        <button type="submit" class="btn btn-success">Update Profile</button>
                                    </div>

                                </div>
                            </div>
                        </form>

                    </div>
                </div>

            </div>
        </div>
    </div>

@endsection