@section('title',$data->name)
@section('parentPageTitle', 'Users')
<form id="basic-form" method="post" wire:submit.prevent="save">
    <div class="row clearfix">
        <div class="col-md-5">
            <div class="card">
                <div class="body">
                    <div class="form-group">
                        <label>{{ __('Bisnis') }}</label>
                        <select class="form-control" wire:model="bisnis_id">
                            <option value="">{{__('--- Bisnis --- ')}} </option>
                            @foreach(\App\Models\Bisnis::get() as $item)
                                <option value="{{$item->id}}">{{$item->nama}}</option>
                            @endforeach
                        </select>
                        @error('password')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label>{{ __('Name') }}</label>
                        <input type="text" class="form-control" wire:model="name" >
                        @error('name')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label>{{ __('Email') }}</label>
                        <input type="text" class="form-control"  wire:model="email" >
                        @error('email')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label>{{ __('Telepon') }}</label>
                        <input type="text" class="form-control"  wire:model="telepon" >
                        @error('telepon')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label>{{ __('Address') }}</label>
                        <textarea class="form-control" wire:model="address"></textarea>
                        @error('address')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label>{{ __('User Access') }}</label>
                        <select class="form-control" wire:model="user_access_id">
                            <option value="">{{__('--- User Access --- ')}} </option>
                            @foreach($access as $item)
                                <option value="{{$item->id}}">{{$item->name}}</option>
                            @endforeach
                        </select>
                        @error('password')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <hr />
                    <a href="{{route('users.index')}}"><i class="fa fa-arrow-left"></i> {{ __('Back') }}</a>
                    <button type="submit" class="btn btn-primary ml-3"><i class="fa fa-save"></i> {{ __('Save') }}</button>
                </div>
            </div>
        </div>
        <!-- <div class="col-md-7">
            <div class="card">
                <div class="body">
                    <div class="table-responsive">
                        <table class="table table-striped table-hover m-b-0 c_list">
                            <thead>
                                <tr>
                                    <th style="width: 50px;">No</th>
                                    <th>No Polis</th>                                    
                                    <th>Polis</th>
                                    <th></th>
                                </tr>
                            </thead>
                            <tbody>
                                @foreach($polis_arr as $k => $item)
                                    <tr>
                                        <td>{{$k+1}}</td>
                                        <td>{{$item['no_polis']}}</td>
                                        <td>{{$item['nama']}}</td>
                                        <td>
                                            <a href="javascript:void(0)" class="text-danger" wire:click="delete_polis({{$k}})"><i class="fa fa-trash"></i></a>
                                        </td>
                                    </tr>
                                @endforeach
                                <tr>
                                    <td>
                                        <a href="javascript:void(0)" wire:click="add_polis" class="btn btn-info"><i class="fa fa-plus"></i></a>
                                    </td>
                                    <td colspan="3">
                                        <select class="form-control" wire:model="polis_id">
                                            <option value="">{{__('--- Polis --- ')}} </option>
                                            @foreach(\App\Models\Polis::get() as $item)
                                                <option value="{{$item->id}}">{{ $item->no_polis}} / {{$item->nama}}</option>
                                            @endforeach
                                        </select>
                                        @error('polis_id')
                                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                                        @enderror
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                </div>
            </div>
        </div> -->
    </div>
</form>