@extends('layouts.app')

@section('content')
<div class="container">
    <div class="row justify-content-center">
        <div class="col-md-12">
		@if (session('status'))
			<div class="alert alert-success">
				{{ session('status') }}
			</div>
		@endif
		
            <div class="card">
                <div class="card-header">Add Testkit Manually</div>

                <div class="card-body">
                    <form action="{{ route('acAddTestkitManualRoute') }}" method="post">
					@csrf
						<div class="form-group">
							<label for="order_id">Order ID</label>
							<input name="testkit_order_number" class="form-control" type="text" placeholder="Order ID">
						</div>
						<div class="form-group">
							<label style="display: block;" for="customer_first_name">Name</label>
							<input name="customer_first_name" style="width: 48%; float: left; margin-right: 4%;" class="form-control" type="text" placeholder="Firstname">
							<input name="customer_last_name" style="width: 48%; float: left;" class="form-control" type="text" placeholder="Lastname">
							<div style="clear: both"></div>
						</div>
											
						<div class="form-group">
							<label for="firstname">Results Email</label>
							<input name="customer_email_address" class="form-control" type="email" placeholder="Email" oncopy="return false" onpaste="return false">
						</div>
						
						<div class="form-group">
							<label for="firstname">Confirm Results Email</label>
							<input name="customer_email_address_confirm" class="form-control" type="email" placeholder="Email" oncopy="return false" onpaste="return false">
						</div>
						
						<div class="form-group">
							<label for="firstname">Choose Test</label>
							<select required="" id="product_name" class="form-control" name="product_id">
								<option default value="">---- Choose a Domain -----</option>
								@foreach($products AS $d)
								<option value="{{$d['product_id']}}">{{$d['domain_name']}} - {{$d['product_description']}} - {{$d['product_sku']}}</option>
								@endforeach
							</select>
						</div>
						
						<div class="form-group">
							<label for="firstname">Quantity</label>
							<input name="product_quantity" class="form-control" type="number" value="1">
						</div>
						
						<input type="submit" name="add" class="btn btn-primary" value="Add Testkit" />
						
						
					</form>

                </div>
            </div>
        </div>
    </div>
</div>
@endsection