@extends('layouts.vertical', ['title' => 'Crear Aseguradora'])

@section('content')
    <!-- Start Content-->
    <div class="container-fluid">

        @include('layouts.shared.page-title', [
            'breadcrumbs' => [
                ['title' => 'CRM', 'url' => url('/dashabord')],
                ['title' => 'Aseguradoras', 'url' => url('/insurances/list')],
                ['title' => 'Crear Aseguradora'],
            ]
        ])
        
        <div class="row">
            <div class="col-12">
                <div class="card">
                    <div class="card-body">

                        <h4 class="header-title">Crear Aseguradora</h4>
                        <p class="text-muted font-13 mb-4">
                            Complete el siguiente formulario para crear una aseguradora.
                        </p>

                        <!-- Formulario -->
                        <form action="{{url('/insurances/create/')}}" method="POST" enctype="multipart/form-data">
                            @csrf
                                
                            <!-- Configuracion General -->
                            <div class="row">
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="" required required class="form-control" name="name" id="name" >
                                        <label for="name" class="form-label">Nombre</label>
                                    </div>
                                </div>
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="" required type="text" class="form-control" name="rtn" id="rtn">
                                        <label for="rtn">RTN</label>
                                    </div>
                                </div>
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="" required type="text" class="form-control" name="phone" id="phone">
                                        <label for="phone">Teléfono</label>
                                    </div>
                                </div>
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <div class="form-floating">
                                        <input value="" required type="email" class="form-control" name="email" id="email">
                                        <label for="email">Correo electronico</label>
                                    </div>
                                </div>
                                <div class="col-lg-4 col-md-6 col-sm-12 mb-3">
                                    <label for="avatar">Logo</label>
                                    <input type="file" class="form-control" id="avatar"  name="avatar">
                                </div>
                            </div>

                            <button class="btn btn-success mt-3" type="submit">
                                <i class="bi bi-check-circle"></i> Crear Aseguradora
                            </button>
                            
                        </form>

                    </div> <!-- end card body-->
                </div> <!-- end card -->
            </div><!-- end col-->
        </div>
        <!-- end row-->

    </div> <!-- container -->
@endsection