@php
use Request as Input; 
@endphp

<div class="modal fade" id="createContactModel" tabindex="-1" aria-hidden="true">

    <div class="modal-dialog" role="document">
        <div class="modal-content">
            {!! Form::open([
                'route' => 'admin.contact.store',
                'id' => 'contact_create_form',
                'name' => 'contact_create_form',
            ]) !!}
            <div class="modal-header">
                <h5 class="modal-title" id="exampleModalLabel1">Create Contact</h5>
                <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
            </div>
            <div class="modal-body">
                <div class="row">
                    <div class="col mb-3">
                        {!! Form::label('label_id', 'Select Label', ['class' => 'form-label', 'for' => 'name']) !!}
                        <span class="error">*</span>
                        <select class="select2 form-select" id="label_id" name="label_id" data-allow-clear="true">
                            <option value="">Select Contact</option>
                            @foreach ($labels as $key => $label)
                                <option value="{{ $label->id }}"
                                    {{ isset($ticket) && $ticket->contact_id == $label->id ? 'selected' : '' }}>
                                    {{ $label->label_name }}</option>
                            @endforeach
                        </select>
                    </div>
                </div>
                <div class="row">
                    <div class="col mb-3">
                        {!! Form::label('first_name', 'First Name', ['class' => 'form-label', 'for' => 'name']) !!}
                        <span class="error">*</span>
                        {!! Form::text(
                            'first_name',
                            Input::old('first_name', isset($contact) ? $contact->getRawOriginal('first_name') : ''),
                            [
                                'id' => 'name',
                                'class' => 'form-control',
                                'placeholder' => 'Enter First Name',
                            ],
                        ) !!}
                    </div>
                </div>
                <div class="row">
                    <div class="col mb-3">
                        {!! Form::label('last_name', 'Last Name', ['class' => 'form-label', 'for' => 'name']) !!}
                        <span class="error">*</span>
                        {!! Form::text(
                            'last_name',
                            Input::old('last_name', isset($contact) ? $contact->getRawOriginal('last_name') : ''),
                            [
                                'id' => 'last_name',
                                'class' => 'form-control',
                                'placeholder' => 'Enter Last Name',
                            ],
                        ) !!}
                    </div>
                </div>
                <div class="row">
                    <div class="col mb-3">
                        {!! Form::label('phone_number', 'Contact Number', ['class' => 'form-label', 'for' => 'phone_number']) !!}
                        <span class="error">*</span>
                        {!! Form::text(
                        'phone_number',
                            Input::old('phone_number', isset($contact) ? $contact->getRawOriginal('phone_number') : ''),
                            [
                                'id' => 'phone_number',
                                'class' => 'form-control phone_number',
                                'placeholder' => 'Enter Contact Number',
                            ],
                        ) !!}
                    </div>
                </div>
                <div class="row">
                    <div class="col mb-3">
                        {!! Form::label('secondary_contact_no', 'Secondary Contact (Optional)', ['class' => 'form-label', 'for' => 'secondary_contact_no']) !!}
                        {!! Form::text(
                            'secondary_contact_no',
                            Input::old('secondary_contact_no', isset($contact) ? $contact->getRawOriginal('secondary_contact_no') : ''),
                            [
                                'id' => 'secondary_contact_no',
                                'class' => 'form-control secondary_contact_no phone_number',
                                'placeholder' => 'Enter Secondary Contact',
                            ],
                        ) !!}
                    </div>
                </div>
                <div class="row">
                    <div class="col mb-3">
                        {!! Form::label('email', 'Email', ['class' => 'form-label', 'for' => 'email']) !!}
                        {!! Form::text('email', Input::old('email', isset($contact) ? $contact->getRawOriginal('email') : ''), [
                            'id' => 'email',
                            'class' => 'form-control',
                            'placeholder' => 'Enter Email',
                        ]) !!}
                    </div>
                </div>
                <div class="row">
                    <div class="mb-3">
                        <div class="form-group">
                            <label for="status" class='form-label'>Status</label>
                            <span class="error">*</span>
                            <select class="form-select" id="status" name="status">
                                @foreach ($statuses as $key => $status)
                                    <option value="{{ $key }}">{{ $status }}</option>
                                @endforeach
                            </select>
                        </div>
                    </div>
                </div>
            </div>
            <div class="modal-footer">
                <button type="submit" class="btn btn-primary">Create</button>
                <button type="button" class="btn btn-label-secondary" data-bs-dismiss="modal">
                    Close
                </button>

            </div>
            {!! Form::close() !!}
        </div>
    </div>
</div>