@extends('layouts.backend.template')

@section('content')
    <div class="title-block">
        <div class="float-left">
            <h3 class="title"> Confirma Autorización </h3>
            <p class="title-description"> Confirmación de la información antes de guardar </p>
        </div>
        <div class="float-right animated fadeInRight">
            <a href="{{ route('authorization.create') }}" class="btn btn-pill-left btn-secondary btn-lg">
                <i class="fas fa-pencil-alt"></i>
                Regresar
            </a>
        </div>
    </div>

    {!! Form::open(['route' => 'authorization.store', 'method' => 'POST', 'id' => 'myForm']) !!}
    <section class="section">
        <div class="row">
            <div class="col-md-6">
                <div class="card">
                    <div class="card-block">
                        <div class="card-title-block">
                            <h3 class="title"> Información de la Autorización </h3>
                        </div>
                        @include('authorization.fields')
                    </div>
                </div>
            </div>
            <div class="col-md-6">
                <div class="card">
                    <div class="card-block">
                        <div class="card-title-block">
                            <h3 class="title"> Fecha de validez </h3>
                        </div>
                        @include('authorization.fields2')
                    </div>
                </div>
            </div>
            <div class="col-md-12" id="companionsDiv">
                <div class="card">
                    <div class="card-block">
                        @include('authorization.fields3')
                    </div>
                </div>
            </div>            
            <div class="col-12">
                <div class="card">
                    <div class="card-block">
                        <div class="card-title-block">
                            <h3 class="title"> Usuario al que pertenece esta autorización
                            </h3>
                        </div>
                        {!! Form::hidden('patient_id', $patient->id) !!}
                        @include('patient.fields')
                    </div>
                </div>
            </div>
            <div class="col-md-12">
                <div class="text-center">
                    {!! Form::submit('Guardar', ['class' => 'btn btn-oval btn-primary']) !!}
                </div>
            </div>
        </div>
    </section>
    {!! Form::close() !!}
@endsection