@extends('layouts.master')
@section('main_content')
<div class="container-fluid">
  <div class="row page-title"><div class="col-sm-6"><h3>Add Travel Rate</h3></div></div>
  <div class="card"><div class="card-body">
    <form method="POST" action="{{ route('admin.travel.rates.store') }}">@csrf
      <div class="row">
        <div class="col-md-4 mb-3">
          <label class="form-label">Provider</label>
          <select name="travel_provider_id" class="form-select" required>
            <option value="">Select provider</option>
            @foreach($providers as $p)
              <option value="{{ $p->id }}" {{ old('travel_provider_id')==$p->id?'selected':'' }}>{{ $p->display_name ?? $p->name }}</option>
            @endforeach
          </select>
        </div>
        <div class="col-md-4 mb-3">
          <label class="form-label">Benefit Amount</label>
          <input class="form-control" name="benefit_amount" type="number" step="0.01" value="{{ old('benefit_amount') }}">
        </div>
        <div class="col-md-4 mb-3">
          <label class="form-label">Rate</label>
          <input class="form-control" name="rate" type="number" step="0.0001" value="{{ old('rate') }}" required>
        </div>
      </div>
      <div class="row">
        <div class="col-md-3 mb-3">
          <label class="form-label">Age From</label>
          <input class="form-control" name="age_from" type="number" min="0" max="120" value="{{ old('age_from') }}">
        </div>
        <div class="col-md-3 mb-3">
          <label class="form-label">Age To</label>
          <input class="form-control" name="age_to" type="number" min="0" max="120" value="{{ old('age_to') }}">
        </div>
        <div class="col-md-3 mb-3">
          <label class="form-label">Family Type</label>
          <select name="family_type" class="form-select">
            <option value="single" {{ old('family_type')=='single'?'selected':'' }}>Single</option>
            <option value="family" {{ old('family_type')=='family'?'selected':'' }}>Family</option>
          </select>
        </div>
        <div class="col-md-3 mb-3">
          <label class="form-label">Pre-existing Condition</label>
          <select name="pre_existing" class="form-select">
            <option value="0" {{ old('pre_existing','0')=='0'?'selected':'' }}>No</option>
            <option value="1" {{ old('pre_existing')=='1'?'selected':'' }}>Yes</option>
          </select>
        </div>
      </div>
      <div class="mb-3">
        <label class="form-label">Comments</label>
        <textarea class="form-control" name="comments" rows="2">{{ old('comments') }}</textarea>
      </div>
      <div class="form-check form-switch mb-3">
        <input class="form-check-input" type="checkbox" name="is_enabled" value="1" {{ old('is_enabled',1)?'checked':'' }}> 
        <label class="form-check-label">Enabled</label>
      </div>
      <div class="text-end"><button class="btn btn-primary">Save</button></div>
    </form>
  </div></div>
</div>
@endsection