@extends('layouts.app')
@section('title') {{ config('app.name', 'Laravel') }} | {{ __('common.city_label') }} @endsection
@section('heading') {{ __('common.city_label') }} @endsection
@section('heading-icon')<i class="nav-icon material-icons">admin_panel_settings</i>@endsection
{{--@section('page-breadcrumbs'){{ Breadcrumbs::render($options['route_name']  ?? '') }}@endsection--}}
@section('content')
    <style>
        .label{
            display: inline-block;
            color: white;
            padding: 0.5rem;
            font-family: sans-serif;
            border-radius: 0.3rem;
            cursor: pointer;
            margin-top: 1rem;
            background: {{config('custom.btn-back')}};
            background: {{config('custom.btn-back')}};
            border: 0;
            -webkit-transition: opacity 0.3s ease;
            transition: opacity 0.3s ease;
        }
        label{
            font-family: 'Nunito', sans-serif;
            font-weight: bold;
            font-size: 15px;
        }
    </style>

    <div class="card card-secondary">
        <div class="card-header" style="background-color: {{config('custom.background')}}">
            <h3 class="card-title p-2">
                @if(optional($form)->id)
                    {{ __('common.show') }} - {{ optional($form)->name }}
                @endif
            </h3>
            <a
                href="{{ route('vendor.pickupaddress.index') }}"
                class="btn float-right" style="background-color: {{config('custom.btn-back')}}">
                <i class="material-icons">reply_all</i>&nbsp;
                {{ __('common.go_back') }}
            </a>
        </div>
        <div class="card-body">
            <div class="row">
                <div class="col-12">
                @csrf
                @if(optional($form)->id) @method('PUT') @else @method('POST')  @endif
                <!-- User Information -->
                    <div class="card">
                        <div class="card-header">
                            <h3 class="card-title">
                                {{ __('common.coupon') }}
                            </h3>
                        </div>
                        <div class="card-body">
                            <div class="row">
                                <div class="col-md-6 col-sm-12">
                                    <div class="form-group input-group-sm ">
                                        <label class="mb-0 font-weight-normal"
                                               for="name">{{__('Name')}}</label>
                                        <input disabled
                                            type="text"
                                            id="name"
                                            name="name"
                                            class="form-control @error('name') is-invalid @enderror"
                                            placeholder="{{ __('Address Name') }}"
                                            value="{{ old('name', $form->name??"") }}"
                                            maxlength="191"
                                        >
                                        @include('includes.invalid', ['field'=> 'name'])
                                    </div>
                                </div>

                                <div class="col-md-6 col-sm-12">
                                    <div class="form-group input-group-sm ">
                                        <label class="mb-0 font-weight-normal"
                                               for="name">{{__('Mobile')}}</label>
                                        <input disabled
                                            type="text"
                                            id="mobile"
                                            name="mobile"
                                            class="form-control @error('mobile') is-invalid @enderror"
                                            placeholder="{{ __('Enter Business Mobile') }}"
                                            value="{{ old('mobile', $form->mobile??"") }}"
                                            maxlength="254"
                                        >
                                        @include('includes.invalid', ['field'=> 'mobile'])
                                    </div>
                                </div>

                                <div class="col-md-6 col-sm-12">
                                    <div class="form-group input-group-sm ">
                                        <label class="mb-0 font-weight-normal"
                                               for="name">{{__('Pincode')}}</label>
                                        <input disabled
                                            type="text"
                                            id="pincode"
                                            name="pincode"
                                            class="form-control @error('pincode') is-invalid @enderror"
                                            placeholder="{{ __('Address') }}"
                                            value="{{ old('pincode', $form->pincode??"") }}"
                                            maxlength="254"
                                        >
                                        @include('includes.invalid', ['field'=> 'pincode'])
                                    </div>
                                </div>
                                <div class="col-md-6 col-sm-12">
                                    <div class="form-group input-group-sm ">
                                        <label class="mb-0 font-weight-normal"
                                               for="name">{{__('Address')}}</label>
                                        <input disabled
                                            type="text"
                                            id="address"
                                            name="address"
                                            class="form-control @error('address') is-invalid @enderror"
                                            placeholder="{{ __('Address') }}"
                                            value="{{ old('address', $form->address??"") }}"
                                            maxlength="254"
                                        >
                                        @include('includes.invalid', ['field'=> 'address'])
                                    </div>
                                </div>
                                <div class="col-md-6 col-sm-12">
                                    <div class="form-group input-group-sm ">
                                        <label class="mb-0 font-weight-normal"
                                               for="name">{{__('Landmark')}}</label>
                                        <input disabled
                                            type="text"
                                            id="landmark"
                                            name="landmark"
                                            class="form-control @error('landmark') is-invalid @enderror"
                                            placeholder="{{ __('Enter landmark') }}"
                                            value="{{ old('landmark', $form->landmark??"") }}"
                                            maxlength="254"
                                        >
                                        @include('includes.invalid', ['field'=> 'address'])
                                    </div>
                                </div>

                                <div class="col-md-6 col-sm-12">
                                    <div class="form-group input-group-sm ">
                                        <label class="mb-0 font-weight-normal"
                                               for="name">{{__('City')}}</label>
                                        <input disabled
                                            type="text"
                                            id="city"
                                            name="city"
                                            class="form-control @error('city') is-invalid @enderror"
                                            placeholder="{{ __('Enter City Name') }}"
                                            value="{{ old('city', $form->city??"") }}"
                                            maxlength="254"
                                        >
                                        @include('includes.invalid', ['field'=> 'city'])
                                    </div>
                                </div>

                                <div class="col-md-6 col-sm-12">
                                    <div class="form-group input-group-sm ">
                                        <label class="mb-0 font-weight-normal"
                                               for="name">{{__('State')}}</label>
                                        <input disabled
                                            type="text"
                                            id="state"
                                            name="state"
                                            class="form-control @error('state') is-invalid @enderror"
                                            placeholder="{{ __('Enter State Name') }}"
                                            value="{{ old('state', $form->state??"") }}"
                                            maxlength="254"
                                        >
                                        @include('includes.invalid', ['field'=> 'state'])
                                    </div>
                                </div>

                                <div class="col-md-6 col-sm-12">
                                    <div style="    margin-top: 30px;" class="form-group input-group-sm ">
                                               <input disabled style="" type="checkbox" id="1" @if ($form->default ?? '' == 1) checked @endif class="vh"
                                               name="default" value="1">
                                           <label class="checkbox" for="1">{{ __('Default') }}</label>
                                        @include('includes.invalid', ['field'=> 'default'])
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection
@push('head.start')
@endpush
@push('body.end')
@endpush