@extends('layouts.app')
@section('title', __('prescriptions.prescription'))
@section('content')
<h5 class="fw-bold mb-3">{{ __('prescriptions.prescription') }} — {{ $customer->name }}</h5>
<div class="card" style="max-width:860px"><div class="card-body">
<form method="POST" action="{{ $prescription->exists ? route('prescriptions.update', $prescription) : route('prescriptions.store', $customer) }}" class="row g-3">
  @csrf @if($prescription->exists) @method('PUT') @endif

  <div class="col-12 fw-bold text-secondary">{{ __('prescriptions.od') }}</div>
  <div class="col"><label class="form-label small">Sphere</label><input type="number" step="0.25" name="od_sphere" value="{{ old('od_sphere', $prescription->od_sphere) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Cylinder</label><input type="number" step="0.25" name="od_cylinder" value="{{ old('od_cylinder', $prescription->od_cylinder) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Axis</label><input type="number" name="od_axis" value="{{ old('od_axis', $prescription->od_axis) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Prism</label><input type="number" step="0.25" name="od_prism" value="{{ old('od_prism', $prescription->od_prism) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Add</label><input type="number" step="0.25" name="od_add" value="{{ old('od_add', $prescription->od_add) }}" class="form-control"></div>

  <div class="col-12 fw-bold text-secondary">{{ __('prescriptions.os') }}</div>
  <div class="col"><label class="form-label small">Sphere</label><input type="number" step="0.25" name="os_sphere" value="{{ old('os_sphere', $prescription->os_sphere) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Cylinder</label><input type="number" step="0.25" name="os_cylinder" value="{{ old('os_cylinder', $prescription->os_cylinder) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Axis</label><input type="number" name="os_axis" value="{{ old('os_axis', $prescription->os_axis) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Prism</label><input type="number" step="0.25" name="os_prism" value="{{ old('os_prism', $prescription->os_prism) }}" class="form-control"></div>
  <div class="col"><label class="form-label small">Add</label><input type="number" step="0.25" name="os_add" value="{{ old('os_add', $prescription->os_add) }}" class="form-control"></div>

  <div class="col-md-3"><label class="form-label">{{ __('prescriptions.pd_distance') }}</label><input type="number" step="0.5" name="pd_distance" value="{{ old('pd_distance', $prescription->pd_distance) }}" class="form-control"></div>
  <div class="col-md-3"><label class="form-label">{{ __('prescriptions.pd_near') }}</label><input type="number" step="0.5" name="pd_near" value="{{ old('pd_near', $prescription->pd_near) }}" class="form-control"></div>
  <div class="col-md-3"><label class="form-label">{{ __('prescriptions.lens_type') }}</label><input name="lens_type" value="{{ old('lens_type', $prescription->lens_type) }}" class="form-control"></div>
  <div class="col-md-3"><label class="form-label">{{ __('prescriptions.frame_type') }}</label><input name="frame_type" value="{{ old('frame_type', $prescription->frame_type) }}" class="form-control"></div>
  <div class="col-md-3"><label class="form-label">{{ __('prescriptions.doctor') }}</label><input name="doctor" value="{{ old('doctor', $prescription->doctor) }}" class="form-control"></div>
  <div class="col-md-3"><label class="form-label">{{ __('app.date') }} *</label><input type="date" name="date" value="{{ old('date', $prescription->date?->format('Y-m-d') ?? now()->toDateString()) }}" class="form-control" required></div>
  <div class="col-md-6"><label class="form-label">{{ __('app.notes') }}</label><input name="notes" value="{{ old('notes', $prescription->notes) }}" class="form-control"></div>

  <div class="col-12">
    <button class="btn btn-primary px-4">{{ __('app.save') }}</button>
    <a href="{{ route('customers.show', $customer) }}" class="btn btn-outline-secondary">{{ __('app.back') }}</a>
  </div>
</form>
</div></div>
@endsection