@extends('layouts.app')

@section('title', 'Admit Patient (IPD Admission)')

@section('content')
<div class="max-w-4xl mx-auto">
    <div class="mb-6 flex items-center justify-between">
        <div>
            <h1 class="text-2xl font-bold text-slate-800">Inpatient (IPD) Admission</h1>
            <p class="text-sm text-slate-500">Formal ward admission, bed assignment, attendant registration & financial categorization</p>
        </div>
        <a href="{{ route('ipd.index') }}" class="inline-flex items-center text-sm font-semibold text-hospital-600 hover:text-hospital-700">
            <i class="fa-solid fa-arrow-left mr-2"></i> Back to IPD
        </a>
    </div>

    @if($errors->any())
        <div class="mb-6 p-4 bg-rose-50 border-l-4 border-rose-500 text-rose-700 rounded-r-lg">
            <div class="font-bold text-xs uppercase mb-1">Please correct the following errors:</div>
            <ul class="list-disc list-inside text-xs space-y-1">
                @foreach($errors->all() as $err)
                    <li>{{ $err }}</li>
                @endforeach
            </ul>
        </div>
    @endif

    <div class="bg-white rounded-xl shadow-sm border border-slate-200 overflow-hidden">
        <form action="{{ route('ipd.store') }}" method="POST" class="p-6 md:p-8 space-y-6">
            @csrf

            <!-- Patient Information Banner -->
            <div>
                <label class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-2">Patient Details</label>
                @if($patient)
                    <input type="hidden" name="patient_id" value="{{ $patient->id }}">
                    <div class="p-4 bg-sky-50 border border-sky-200 rounded-lg flex items-center justify-between">
                        <div class="flex items-center space-x-4">
                            <div class="w-12 h-12 rounded-full bg-sky-700 text-white font-bold text-lg flex items-center justify-center">
                                {{ substr($patient->first_name, 0, 1) }}{{ substr($patient->last_name, 0, 1) }}
                            </div>
                            <div>
                                <div class="font-bold text-slate-900 text-base flex items-center space-x-2">
                                    <span>{{ $patient->full_name }}</span>
                                    <span class="text-xs px-2 py-0.5 rounded-full bg-sky-200 text-sky-800 font-semibold">{{ $patient->patient_id }}</span>
                                    <span class="text-xs px-2 py-0.5 rounded-full bg-slate-200 text-slate-700 font-semibold">UHID: {{ $patient->uhid }}</span>
                                </div>
                                <div class="text-xs text-slate-600 mt-0.5">
                                    <span>{{ $patient->age_formatted }}</span> • 
                                    <span>{{ ucfirst($patient->gender) }}</span> • 
                                    <span>Blood: {{ $patient->blood_group ?? 'Unknown' }}</span> • 
                                    <span>Mobile: {{ $patient->mobile }}</span>
                                </div>
                            </div>
                        </div>
                        <a href="{{ route('patients.index') }}" class="text-xs text-hospital-600 hover:underline">Change Patient</a>
                    </div>
                @else
                    <div class="p-6 border-2 border-dashed border-slate-300 rounded-lg text-center bg-slate-50">
                        <i class="fa-solid fa-user-plus text-3xl text-slate-400 mb-2"></i>
                        <p class="text-sm font-semibold text-slate-700">No Patient Selected for Admission</p>
                        <p class="text-xs text-slate-500 mb-4">Please choose a registered patient from the registry.</p>
                        <a href="{{ route('patients.index') }}" class="px-4 py-2 bg-hospital-600 hover:bg-hospital-700 text-white rounded-lg text-xs font-semibold shadow-xs">
                            <i class="fa-solid fa-users mr-1.5"></i> Select Patient from Registry
                        </a>
                    </div>
                @endif
            </div>

            @if($patient)
            <!-- Clinical Assignment -->
            <div class="grid grid-cols-1 md:grid-cols-2 gap-6 pt-4 border-t border-slate-200">
                <!-- Department -->
                <div>
                    <label for="department_id" class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-2">
                        Admitting Department <span class="text-rose-500">*</span>
                    </label>
                    <select name="department_id" id="department_id" required class="w-full px-3.5 py-2.5 bg-slate-50 border border-slate-300 rounded-lg text-sm focus:ring-2 focus:ring-hospital-500 focus:bg-white">
                        <option value="">-- Choose Department --</option>
                        @foreach($departments as $dept)
                            <option value="{{ $dept->id }}" {{ old('department_id') == $dept->id ? 'selected' : '' }}>
                                {{ $dept->name }} ({{ $dept->code }})
                            </option>
                        @endforeach
                    </select>
                </div>

                <!-- Primary Doctor -->
                <div>
                    <label for="primary_doctor_id" class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-2">
                        Primary Admitting Consultant <span class="text-rose-500">*</span>
                    </label>
                    <select name="primary_doctor_id" id="primary_doctor_id" required class="w-full px-3.5 py-2.5 bg-slate-50 border border-slate-300 rounded-lg text-sm focus:ring-2 focus:ring-hospital-500 focus:bg-white">
                        <option value="">-- Choose Consultant --</option>
                        @foreach($doctors as $doc)
                            <option value="{{ $doc->id }}" {{ old('primary_doctor_id') == $doc->id ? 'selected' : '' }}>
                                {{ $doc->full_name }} — {{ $doc->designation }}
                            </option>
                        @endforeach
                    </select>
                </div>
            </div>

            <!-- Ward & Bed Selection -->
            <div class="grid grid-cols-1 md:grid-cols-2 gap-6">
                <div>
                    <label for="bed_id" class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-2">
                        Assigned Bed <span class="text-rose-500">*</span>
                    </label>
                    <select name="bed_id" id="bed_id" required class="w-full px-3.5 py-2.5 bg-slate-50 border border-slate-300 rounded-lg text-sm focus:ring-2 focus:ring-hospital-500 focus:bg-white">
                        <option value="">-- Choose Available Bed --</option>
                        @foreach($availableBeds as $b)
                            <option value="{{ $b->id }}" {{ (old('bed_id', request('bed_id')) == $b->id) ? 'selected' : '' }}>
                                Bed {{ $b->bed_number }} — {{ $b->ward->name }} (Room {{ $b->room->room_number ?? 'Gen' }} • ₹{{ number_format($b->daily_rate, 2) }}/day)
                            </option>
                        @endforeach
                    </select>
                </div>

                <!-- Admission Type -->
                <div>
                    <label class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-2">
                        Admission Type <span class="text-rose-500">*</span>
                    </label>
                    <select name="admission_type" required class="w-full px-3.5 py-2.5 bg-slate-50 border border-slate-300 rounded-lg text-sm focus:ring-2 focus:ring-hospital-500 focus:bg-white">
                        <option value="emergency">Emergency Admission</option>
                        <option value="planned" selected>Elective / Planned Admission</option>
                        <option value="maternity">Maternity / Labour Admission</option>
                        <option value="transfer">Hospital Transfer</option>
                        <option value="day_care">Day Care Procedure</option>
                    </select>
                </div>
            </div>

            <!-- Clinical Diagnosis & Reason -->
            <div class="space-y-4">
                <div>
                    <label class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-1">
                        Provisional Diagnosis <span class="text-rose-500">*</span>
                    </label>
                    <input type="text" name="provisional_diagnosis" required placeholder="e.g., Acute Appendicitis / Dengue with Thrombocytopenia" class="w-full px-3.5 py-2.5 bg-slate-50 border border-slate-300 rounded-lg text-sm font-semibold focus:ring-2 focus:ring-hospital-500 focus:bg-white" value="{{ old('provisional_diagnosis') }}">
                </div>

                <div class="grid grid-cols-1 md:grid-cols-2 gap-4">
                    <div>
                        <label class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-1">
                            Reason for Admission
                        </label>
                        <textarea name="admission_reason" rows="2" placeholder="Indications, severe dehydration, surgical preparation..." class="w-full px-3 py-2 bg-slate-50 border border-slate-300 rounded-lg text-xs">{{ old('admission_reason') }}</textarea>
                    </div>
                    <div>
                        <label class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-1">
                            Initial Clinical Assessment
                        </label>
                        <textarea name="initial_assessment" rows="2" placeholder="General condition, Glasgow Coma Scale, systemic findings..." class="w-full px-3 py-2 bg-slate-50 border border-slate-300 rounded-lg text-xs">{{ old('initial_assessment') }}</textarea>
                    </div>
                </div>
            </div>

            <!-- Attendant Details -->
            <div class="p-4 bg-slate-50 rounded-xl border border-slate-200 space-y-4">
                <div class="text-xs font-bold uppercase tracking-wider text-slate-700 flex items-center">
                    <i class="fa-solid fa-person-breastfeeding mr-2 text-hospital-600"></i> Next of Kin / Attendant Information
                </div>
                <div class="grid grid-cols-1 sm:grid-cols-3 gap-4">
                    <div>
                        <label class="block text-[11px] font-bold text-slate-600 mb-1">Attendant Name</label>
                        <input type="text" name="attendant_name" placeholder="Full name of guardian/relative" class="w-full px-3 py-1.5 bg-white border border-slate-300 rounded text-xs" value="{{ old('attendant_name') }}">
                    </div>
                    <div>
                        <label class="block text-[11px] font-bold text-slate-600 mb-1">Relationship</label>
                        <input type="text" name="attendant_relation" placeholder="Spouse / Father / Son..." class="w-full px-3 py-1.5 bg-white border border-slate-300 rounded text-xs" value="{{ old('attendant_relation') }}">
                    </div>
                    <div>
                        <label class="block text-[11px] font-bold text-slate-600 mb-1">Attendant Contact Mobile</label>
                        <input type="text" name="attendant_phone" placeholder="10-digit mobile number" class="w-full px-3 py-1.5 bg-white border border-slate-300 rounded text-xs" value="{{ old('attendant_phone') }}">
                    </div>
                </div>
            </div>

            <!-- Billing Category & MLC -->
            <div class="grid grid-cols-1 md:grid-cols-3 gap-4">
                <div>
                    <label class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-1">Billing Scheme <span class="text-rose-500">*</span></label>
                    <select name="billing_category" required class="w-full px-3 py-2 bg-slate-50 border border-slate-300 rounded-lg text-xs font-bold">
                        <option value="cash" selected>Self Pay / Cash Patient</option>
                        <option value="tpa_insurance">TPA / Private Health Insurance</option>
                        <option value="swasthya_sathi">Swasthya Sathi (West Bengal Govt)</option>
                        <option value="ayushman_bharat">Ayushman Bharat (PM-JAY Scheme)</option>
                        <option value="corporate">Corporate Empanelment</option>
                    </select>
                </div>

                <div>
                    <label class="block text-xs font-bold uppercase tracking-wider text-slate-600 mb-1">Admission Advance (₹)</label>
                    <input type="number" step="0.01" name="advance_amount" min="0" placeholder="0.00" class="w-full px-3 py-2 bg-slate-50 border border-slate-300 rounded-lg text-xs font-mono font-bold" value="{{ old('advance_amount', 0) }}">
                </div>

                <!-- MLC Checkbox -->
                <div class="flex items-center pt-5">
                    <label class="flex items-center cursor-pointer">
                        <input type="checkbox" name="is_mlc" value="1" class="rounded text-rose-600 focus:ring-rose-500">
                        <span class="ml-2 text-xs font-bold text-rose-700">Medico-Legal Case (MLC)</span>
                    </label>
                </div>
            </div>

            <!-- Action Buttons -->
            <div class="pt-4 border-t border-slate-200 flex items-center justify-end space-x-3">
                <a href="{{ route('ipd.index') }}" class="px-5 py-2.5 border border-slate-300 rounded-lg text-xs font-semibold text-slate-700 hover:bg-slate-100">
                    Cancel
                </a>
                <button type="submit" class="px-6 py-2.5 bg-hospital-600 hover:bg-hospital-700 text-white rounded-lg text-xs font-bold shadow-xs flex items-center">
                    <i class="fa-solid fa-bed mr-2"></i> Confirm IPD Admission
                </button>
            </div>
            @endif
        </form>
    </div>
</div>
@endsection