{% extends 'manager/base.html' %}
{% load static %}
{% load i18n %}

{% block content %}
    <div class="content">
        <div class="row">
            <div class="col-sm-8">
                <h4 class="page-title">{% trans "Edit Hospital" %}</h4>
            </div>
            <div class="col-sm-4 text-right m-b-30">
                <a href="{% url 'panel-manager-hospitals' %}" class="btn btn-primary btn-rounded"><i class="fa fa-arrow-left"></i> {% trans "Back to Hospitals" %}</a>
            </div>
        </div>
        
        <div class="row">
            <div class="col-md-12">
                <div class="card">
                    <div class="card-body">
                        <form method="post" action="{% url 'panel-manager-edit-hospital' hospital.id %}">
                            {% csrf_token %}
                            
                            <h4 class="card-title">{% trans "Hospital Information" %}</h4>
                            
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>{% trans "Hospital Name" %} *</label>
                                        <input type="text" class="form-control" name="name" value="{{ hospital.name }}" required>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>{% trans "Hospital Code" %}</label>
                                        <input type="text" class="form-control" value="{{ hospital.hospital_code }}" readonly>
                                        <small class="form-text text-muted">{% trans "Hospital code cannot be changed" %}</small>
                                    </div>
                                </div>
                            </div>
                            
                            <h4 class="card-title mt-4">{% trans "Contact Information" %}</h4>
                            
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>{% trans "Contact Email" %} *</label>
                                        <input type="email" class="form-control" name="contact_email" value="{{ hospital.contact_email }}" required>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label>{% trans "Contact Phone" %} *</label>
                                        <input type="text" class="form-control" name="contact_phone" value="{{ hospital.contact_phone }}" required>
                                    </div>
                                </div>
                            </div>
                            
                            <div class="row">
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label>{% trans "Contact Person" %}</label>
                                        <input type="text" class="form-control" name="contact_person" value="{{ hospital.contact_person }}">
                                    </div>
                                </div>
                            </div>
                            
                            <div class="row">
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label>{% trans "Address" %}</label>
                                        <textarea class="form-control" name="address" rows="3">{{ hospital.address }}</textarea>
                                    </div>
                                </div>
                            </div>
                            
                            <div class="row">
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label>{% trans "Description" %}</label>
                                        <textarea class="form-control" name="description" rows="3">{{ hospital.description }}</textarea>
                                    </div>
                                </div>
                            </div>
                            
                            <h4 class="card-title mt-4">{% trans "Status" %}</h4>
                            
                            <div class="row">
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <label class="custom-control custom-checkbox">
                                            <input type="checkbox" class="custom-control-input" name="is_active" {% if hospital.is_active %}checked{% endif %}>
                                            <span class="custom-control-label">{% trans "Active" %}</span>
                                        </label>
                                    </div>
                                </div>
                            </div>
                            
                            <h4 class="card-title mt-4">{% trans "API Credentials" %}</h4>
                            
                            <div class="row">
                                <div class="col-md-12">
                                    <div class="alert alert-info">
                                        <i class="fa fa-key"></i> {% trans "API Key" %}: <code>{{ hospital.api_key }}</code>
                                    </div>
                                </div>
                            </div>
                            
                            <div class="text-right mt-4">
                                <button type="submit" class="btn btn-primary">{% trans "Update Hospital" %}</button>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
{% endblock %}