@extends('admin.layouts.layout')
@section('content')
    <div class="row match-height">
        <div class="col-md-12 col-12">
            <div class="card">
                <div class="card-header">
                    <h4 class="card-title text-primary">Cadastrando Boletins do Covid-19</h4>
                    <p class="text-muted">Cadastrando Boletins do Covid-19 no Sistema</p>
                    <a class="btn btn-outline-primary w-100" type="button" href="{{ route('covid.index') }}" role="button">Ver
                        todos</a>
                </div>
                <div class="card">
                    <div class="card-body">
                        <form action="{{ route('covid.store') }}" method="POST" class="form-horizontal">
                            @csrf
                            <div class="box box-info">
                                <div class="row">
                                    <div class="form-group col-md-2">
                                        <label class="col-form-label">Data<span>*</span></label>
                                        <input type="date" name="data" value="{{ old('data') }}"
                                            class="form-control @error('data') is-invalid @enderror">
                                    </div>
                                    <div class="form-group col-md-2">
                                        <label class="col-form-label">Hora<span>*</span></label>
                                        <input type="time" name="hora" value="{{ old('hora') }}"
                                            class="form-control @error('hora') is-invalid @enderror">
                                    </div>
                                    <div class="form-group col-md-2">
                                        <label class="col-form-label">Confirmados<span>*</span></label>
                                        <input type="text" name="confirmados" value="{{ old('confirmados') }}"
                                            class="form-control @error('confirmados') is-invalid @enderror">
                                    </div>
                                    <div class="form-group col-md-2">
                                        <label class="col-form-label">Descartados<span>*</span></label>
                                        <input type="text" name="descartados" value="{{ old('descartados') }}"
                                            class="form-control @error('descartados') is-invalid @enderror">
                                    </div>
                                    <div class="form-group col-md-1">
                                        <label class="col-form-label">Recuperados<span>*</span></label>
                                        <input type="text" name="recuperados" value="{{ old('recuperados') }}"
                                            class="form-control @error('recuperados') is-invalid @enderror">
                                    </div>
                                    <div class="form-group col-md-2">
                                        <label class="col-form-label">Casos Ativos<span>*</span></label>
                                        <input type="text" name="monitorados" value="{{ old('monitorados') }}"
                                            class="form-control @error('monitorados') is-invalid @enderror">
                                    </div>
                                    <div class="form-group col-md-1">
                                        <label class="col-form-label">Óbitos<span>*</span></label>
                                        <input type="text" name="obitos" value="{{ old('obitos') }}"
                                            class="form-control @error('obitos') is-invalid @enderror">
                                    </div>
                                </div>
                                <br>
                                <div class="form-group">
                                    <button type="submit" class="btn btn-outline-success btn-sm w-100"
                                        name="form1">Gravar</button>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection