@extends('layouts.app')
@section('title', 'PF10 Medical Screening')
@section('content')
<div class="container-fluid">
    <h3 class="fw-bold mb-3"><i class="fas fa-notes-medical me-2"></i>PF10 — Medical Screening: {{ $prisoner->name }} ({{ $prisoner->prisoner_number }})</h3>
    @if(session('success'))<div class="alert alert-success">{{ session('success') }}</div>@endif
    @if($errors->any())<div class="alert alert-danger"><ul class="mb-0">@foreach($errors->all() as $e)<li>{{ $e }}</li>@endforeach</ul></div>@endif
    <form method="POST" action="{{ route('prison.intake.pf10.store') }}">
        @csrf
        <input type="hidden" name="prisoner_id" value="{{ $prisoner->id }}">
        <div class="card"><div class="card-body row g-3">
            <div class="col-md-3"><label class="form-label">Screening date</label><input type="date" name="screening_date" class="form-control" value="{{ old('screening_date', date('Y-m-d')) }}" required></div>
            <div class="col-md-3"><label class="form-label">Fitness status</label>
                <select name="fitness_status" class="form-select" required>
                    <option value="Fit">Fit</option><option value="Requires Attention">Requires Attention</option><option value="Unfit">Unfit</option>
                </select></div>
            <div class="col-md-3"><label class="form-label">Temperature</label><input name="temperature" class="form-control" value="{{ old('temperature') }}"></div>
            <div class="col-md-3"><label class="form-label">Blood pressure</label><input name="blood_pressure" class="form-control" value="{{ old('blood_pressure') }}"></div>
            <div class="col-12"><label class="form-label">Observations</label><textarea name="observations" rows="2" class="form-control">{{ old('observations') }}</textarea></div>
            <div class="col-12"><label class="form-label">Findings</label><textarea name="findings" rows="2" class="form-control">{{ old('findings') }}</textarea></div>
            <div class="col-12"><div class="form-check"><input type="checkbox" name="referred_to_medical_officer" value="1" class="form-check-input" id="ref"><label class="form-check-label" for="ref">Refer to Medical Officer (auto-notify)</label></div></div>
            <div class="col-12"><button class="btn btn-primary"><i class="fas fa-save"></i> Save PF10</button></div>
        </div></div>
    </form>
</div>
@endsection