@extends('layouts.master')

@section('title')
    {{ __('students') }}
@endsection

@section('content')
    <div class="content-wrapper">
        <div class="page-header">
            <h3 class="page-title">
                {{ __('manage') . ' ' . __('students') }}
            </h3>
        </div>
        <div class="row">
            <div class="col-lg-12 grid-margin stretch-card">
                <div class="card">
                    <div class="card-body">
                        <h4 class="card-title">
                            {{ __('create') . ' ' . __('students') }}
                        </h4>
                        <form class="pt-3 student-registration-form" id="student-registration-form"
                            enctype="multipart/form-data" action="{{ route('students.store') }}" method="POST" novalidate="novalidate">
                            @csrf
                            <div class="row">
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('first_name') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('first_name', null, ['placeholder' => __('first_name'), 'class' => 'form-control']) !!}

                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('last_name') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('last_name', null, ['placeholder' => __('last_name'), 'class' => 'form-control']) !!}

                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('mobile') }}</label>
                                    {!! Form::number('mobile', null, ['placeholder' => __('mobile'), 'class' => 'form-control mobile', 'min' => 10]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('gender') }} <span class="text-danger">*</span></label><br>
                                    <div class="d-flex">
                                        <div class="form-check form-check-inline">
                                            <label class="form-check-label">
                                                {!! Form::radio('gender', 'male') !!}
                                                {{ __('male') }}
                                            </label>
                                        </div>
                                        <div class="form-check form-check-inline">
                                            <label class="form-check-label">
                                                {!! Form::radio('gender', 'female') !!}
                                                {{ __('female') }}
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('image') }} <span class="text-danger">*</span></label>
                                    <input type="file" name="image" class="file-upload-default" accept="image/*" />
                                    <div class="input-group col-xs-12">
                                        <input type="text" class="form-control file-upload-info" disabled=""
                                            placeholder="{{ __('image') }}" required="required" />
                                        <span class="input-group-append">
                                            <button class="file-upload-browse btn btn-theme"
                                                type="button">{{ __('upload') }}</button>
                                        </span>
                                    </div>
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('dob') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('dob', null, ['placeholder' => __('dob'), 'class' => 'datepicker-popup-no-future form-control']) !!}
                                    <span class="input-group-addon input-group-append">
                                    </span>
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('class') . ' ' . __('section') }} <span
                                            class="text-danger">*</span></label>
                                    <select name="class_section_id" id="class_section" class="form-control select2">
                                        <option value="">{{ __('select') . ' ' . __('class') . ' ' . __('section') }}
                                        </option>
                                        @foreach ($class_section as $section)
                                            <option value="{{ $section->id }}">{{ $section->class->name }} -
                                                {{ $section->section->name }} {{ $section->class->medium->name }}
                                                {{ $section->class->streams->name ?? ' ' }}</option>
                                        @endforeach
                                    </select>
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label> {{ __('category') }} <span class="text-danger">*</span></label>
                                    <select name="category_id" class="form-control">
                                        <option value="">{{ __('select') . ' ' . __('category') }}</option>
                                        @foreach ($category as $cat)
                                            <option value="{{ $cat->id }}">{{ $cat->name }}</option>
                                        @endforeach
                                    </select>
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('gr_number') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('admission_no', $admission_no, [
                                        'readonly' => true,
                                        'placeholder' => __('gr_number'),
                                        'class' => 'form-control',
                                    ]) !!}
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('caste') }}</label>
                                    {!! Form::text('caste', null, ['placeholder' => __('caste'), 'class' => 'form-control']) !!}

                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('religion') }}</label>
                                    {!! Form::text('religion', null, ['placeholder' => __('religion'), 'class' => 'form-control']) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('admission_date') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('admission_date',  $admission_date, ['placeholder' => __('admission_date'), 'class' => 'datepicker-popup-no-future form-control']) !!}
                                    <span class="input-group-addon input-group-append">
                                    </span>
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('blood_group') }} <span class="text-danger">*</span></label>
                                    <select name="blood_group" class="form-control">
                                        <option value="">{{ __('select') . ' ' . __('blood_group') }}</option>
                                        <option value="A+">A+</option>
                                        <option value="A-">A-</option>
                                        <option value="B+">B+</option>
                                        <option value="B-">B-</option>
                                        <option value="O+">O+</option>
                                        <option value="O-">O-</option>
                                        <option value="AB+">AB+</option>
                                        <option value="AB-">AB-</option>
                                    </select>
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('height') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('height', null, ['placeholder' => __('height'), 'class' => 'form-control']) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('weight') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('weight', null, ['placeholder' => __('weight'), 'class' => 'form-control']) !!}
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-12">
                                    <label>{{ __('current_address') }} <span class="text-danger">*</span></label>
                                    {!! Form::textarea('current_address', null, [
                                        'placeholder' => __('current_address'),
                                        'class' => 'form-control',
                                        'id' => 'current_address',
                                        'rows' => 2,
                                    ]) !!}
                                </div>
                            </div>
                            <div class="row">
                                <div class="form-group col-12">
                                    <label>{{ __('permanent_address') }} <span class="text-danger">*</span></label>
                                    {!! Form::textarea('permanent_address', null, [
                                        'placeholder' => __('permanent_address'),
                                        'class' => 'form-control',
                                        'id' => 'permanent_address',
                                        'rows' => 2,
                                    ]) !!}
                                </div>
                            </div>
                            <div class="row">
                                @foreach ($studentFields as $row)
                                    @if ($row->type === 'text' || $row->type === 'number')
                                        <div class="form-group col-sm-12 col-md-4">
                                            <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                            <input type="{{ $row->type }}" name="{{ $row->name }}"
                                                placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                class="form-control" {{ $row->is_required === 1 ? 'required' : '' }}>
                                        </div>
                                    @endif
                                    @if ($row->type === 'dropdown')
                                        <div class="form-group col-sm-12 col-md-4">
                                            <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                            <select name="{{ $row->name }}" class="form-control"
                                                {{ $row->is_required === 1 ? 'required' : '' }}>
                                                <option value="">Please Select</option>
                                                @foreach (json_decode($row->default_values) as $options)
                                                    @if ($options != null)
                                                        <option value="{{ $options }}">
                                                            {{ ucfirst(str_replace('_', ' ', $options)) }}</option>
                                                    @endif
                                                @endforeach
                                            </select>
                                        </div>
                                    @endif
                                    @if ($row->type === 'radio')
                                        <div class="form-group col-sm-12 col-md-4">
                                            <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                            <br>
                                            <div class="d-flex">
                                                @foreach (json_decode($row->default_values) as $options)
                                                    @if ($options != null)
                                                        <div class="form-check form-check-inline">
                                                            <label class="form-check-label">
                                                                <input type="radio" name="{{ $row->name }}"
                                                                    value="{{ $options }}"
                                                                    {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                {{ ucfirst($options) }}
                                                            </label>
                                                        </div>
                                                    @endif
                                                @endforeach
                                            </div>
                                        </div>
                                    @endif
                                    @if ($row->type === 'checkbox')
                                        <div class="form-group col-sm-12 col-md-4">
                                            <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                            <br>
                                            <div class="col-md-10" id="{{ $row->name }}">
                                                @foreach (json_decode($row->default_values) as $options)
                                                    @if ($options != null)
                                                        <div class="checkbox form-check form-check-inline">
                                                            <label class="form-check-label">
                                                                <input type="checkbox"
                                                                    name="{{ 'checkbox[' . $row->name . '][]' }}"
                                                                    value="{{ $options }}"
                                                                    {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                {{ ucfirst(str_replace('_', ' ', $options)) }}
                                                            </label>
                                                        </div>
                                                    @endif
                                                @endforeach
                                            </div>
                                        </div>
                                    @endif
                                    @if ($row->type === 'textarea')
                                        <div class="form-group col-sm-12 col-md-4">
                                            <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                            <textarea name="{{ $row->name }}" cols="10" rows="3"
                                                placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}" class="form-control"
                                                {{ $row->is_required === 1 ? 'required' : '' }}></textarea>
                                        </div>
                                    @endif
                                    @if ($row->type === 'file')
                                        <div class="form-group col-sm-12 col-md-4">
                                            <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                            <input type="file" name="{{ $row->name }}" class="file-upload-default"
                                                {{ $row->is_required === 1 ? 'required' : '' }} />
                                            <div class="input-group col-xs-12">
                                                <input type="text" class="form-control file-upload-info"
                                                    disabled=""
                                                    placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                    required />
                                                <span class="input-group-append">
                                                    <button class="file-upload-browse btn btn-theme"
                                                        type="button">{{ __('upload') }}</button>
                                                </span>
                                            </div>
                                        </div>
                                    @endif
                                @endforeach
                            </div>

                            <div class="row">
                                <div class="form-group col-sm-12 col-md-12 ml-0">
                                    <div class="d-flex">
                                        <div class="form-check form-check-inline">
                                            <label class="form-check-label">
                                                {!! Form::radio('parent_guardian_type', 'parent') !!}
                                                {{ __('parents_details') }}
                                            </label>
                                        </div>
                                        <div class="form-check form-check-inline">
                                            <label class="form-check-label">
                                                {!! Form::radio('parent_guardian_type', 'guardian', true) !!}
                                                {{ __('guardian_details') }}
                                            </label>
                                        </div>
                                    </div>
                                </div>
                            </div>

                            <div class="row" id="parents_div" style="display:none;">
                                <div class="form-group col-sm-12 col-md-12">
                                    <label>{{ __('father_email') }} <span class="text-danger">*</span></label>
                                    @if (env('DEMO_MODE'))
                                        <select class="father-search w-100" id="father_email" name="father_email"
                                            disabled></select>
                                    @else
                                        <select class="father-search w-100" id="father_email"
                                            name="father_email"></select>
                                    @endif
                                </div>

                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('father') . ' ' . __('first_name') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('father_first_name', null, [
                                        'placeholder' => __('father') . ' ' . __('first_name'),
                                        'class' => 'form-control',
                                        'id' => 'father_first_name',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('father') . ' ' . __('last_name') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('father_last_name', null, [
                                        'placeholder' => __('father') . ' ' . __('last_name'),
                                        'class' => 'form-control',
                                        'id' => 'father_last_name',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('father') . ' ' . __('mobile') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::number('father_mobile', null, [
                                        'placeholder' => __('father') . ' ' . __('mobile'),
                                        'class' => 'form-control',
                                        'id' => 'father_mobile',
                                        'min' => 0,
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('father') . ' ' . __('dob') }} <span class="text-danger">*</span></label>
                                    {!! Form::text('father_dob', null, [
                                        'placeholder' => __('father') . ' ' . __('dob'),
                                        'class' => 'form-control datepicker-popup-no-future form-control',
                                        'id' => 'father_dob',
                                    ]) !!}
                                </div>

                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('father') . ' ' . __('occupation') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('father_occupation', null, [
                                        'placeholder' => __('father') . ' ' . __('occupation'),
                                        'class' => 'form-control',
                                        'id' => 'father_occupation',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('father') . ' ' . __('image') }} <span
                                            class="text-danger">*</span></label>
                                    <input type="file" name="father_image" class="father_image file-upload-default"
                                        accept="image/*" />
                                    <div class="input-group col-xs-12">
                                        <input type="text" class="form-control file-upload-info" disabled=""
                                            placeholder="{{ __('father') . ' ' . __('image') }}" />
                                        <span class="input-group-append">
                                            <button class="file-upload-browse btn btn-theme"
                                                type="button">{{ __('upload') }}</button>
                                        </span>
                                    </div>
                                    <div style="width: 100px;">
                                        <img src="" id="father-image-tag" class="img-fluid w-100" />
                                    </div>
                                </div>
                                <div class="col-12">
                                    <div class="row father-extra-div">
                                        @foreach ($parentFields as $row)
                                            @if ($row->type === 'text' || $row->type === 'number')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <input type="{{ $row->type }}" name="father_{{ $row->name }}"
                                                        placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                        class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}>
                                                </div>
                                            @endif
                                            @if ($row->type === 'dropdown')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <select name="father_{{ $row->name }}" class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}>
                                                        <option value="">Please Select</option>
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <option value="{{ $options }}">
                                                                    {{ ucfirst(str_replace('_', ' ', $options)) }}</option>
                                                            @endif
                                                        @endforeach
                                                    </select>
                                                </div>
                                            @endif
                                            @if ($row->type === 'radio')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <br>
                                                    <div class="d-flex">
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <div class="form-check form-check-inline">
                                                                    <label class="form-check-label">
                                                                        <input type="radio"
                                                                            name="father_{{ $row->name }}"
                                                                            value="{{ $options }}"
                                                                            {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                        {{ ucfirst($options) }}
                                                                    </label>
                                                                </div>
                                                            @endif
                                                        @endforeach
                                                    </div>
                                                </div>
                                            @endif
                                            @if ($row->type === 'checkbox')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                                    <br>
                                                    <div class="col-md-10" id="{{ $row->name }}">
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <div class="checkbox form-check form-check-inline"
                                                                    {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                    <label class="form-check-label">
                                                                        <input type="checkbox"
                                                                            name="father_{{ 'checkbox[' . $row->name . '][' . $options . ']' }}"
                                                                            value="{{ $options }}">
                                                                        {{ ucfirst(str_replace('_', ' ', $options)) }}
                                                                    </label>
                                                                </div>
                                                            @endif
                                                        @endforeach
                                                    </div>

                                                </div>
                                            @endif
                                            @if ($row->type === 'textarea')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <textarea name="father_{{ $row->name }}" cols="10" rows="3"
                                                        placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}" class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}></textarea>
                                                </div>
                                            @endif
                                            @if ($row->type === 'file')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                                    <input type="file" name="father_{{ $row->name }}"
                                                        class="file-upload-default"
                                                        {{ $row->is_required === 1 ? 'required' : '' }} />
                                                    <div class="input-group col-xs-12">
                                                        <input type="text" class="form-control file-upload-info"
                                                            disabled=""
                                                            placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                            required />
                                                        <span class="input-group-append">
                                                            <button class="file-upload-browse btn btn-theme"
                                                                type="button">{{ __('upload') }}</button>
                                                        </span>
                                                    </div>
                                                </div>
                                            @endif
                                        @endforeach
                                    </div>

                                </div>

                                <div class="form-group col-sm-12 col-md-12">
                                    <label>{{ __('mother_email') }} <span class="text-danger">*</span></label>
                                    @if (env('DEMO_MODE'))
                                        <select class="mother-search w-100" id="mother_email" name="mother_email"
                                            disabled></select>
                                    @else
                                        <select class="mother-search w-100" id="mother_email"
                                            name="mother_email"></select>
                                    @endif

                                </div>

                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('mother') . ' ' . __('first_name') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('mother_first_name', null, [
                                        'placeholder' => __('mother') . ' ' . __('first_name'),
                                        'class' => 'form-control',
                                        'id' => 'mother_first_name',
                                    ]) !!}
                                </div>

                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('mother') . ' ' . __('last_name') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('mother_last_name', null, [
                                        'placeholder' => __('mother') . ' ' . __('last_name'),
                                        'class' => 'form-control',
                                        'id' => 'mother_last_name',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('mother') . ' ' . __('mobile') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::number('mother_mobile', null, [
                                        'placeholder' => __('mother') . ' ' . __('mobile'),
                                        'class' => 'form-control',
                                        'id' => 'mother_mobile',
                                        'min' => 0,
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('mother') . ' ' . __('dob') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('mother_dob', null, [
                                        'placeholder' => __('mother') . ' ' . __('dob'),
                                        'class' => 'form-control datepicker-popup-no-future form-control',
                                        'id' => 'mother_dob',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('mother') . ' ' . __('occupation') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('mother_occupation', null, [
                                        'placeholder' => __('mother') . ' ' . __('occupation'),
                                        'class' => 'form-control',
                                        'id' => 'mother_occupation',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('mother') . ' ' . __('image') }} <span
                                            class="text-danger">*</span></label>
                                    <input type="file" name="mother_image" class="mother_image file-upload-default"
                                        accept="image/*" />
                                    <div class="input-group col-xs-12">
                                        <input type="text" class="form-control file-upload-info" disabled=""
                                            placeholder="{{ __('mother') . ' ' . __('image') }}" />
                                        <span class="input-group-append">
                                            <button class="file-upload-browse btn btn-theme"
                                                type="button">{{ __('upload') }}</button>
                                        </span>
                                    </div>
                                    <div style="width: 100px;">
                                        <img src="" id="mother-image-tag" class="img-fluid w-100" />
                                    </div>

                                </div>
                                <div class="col-12">
                                    <div class="row mother-extra-div">
                                        @foreach ($parentFields as $row)
                                            @if ($row->type === 'text' || $row->type === 'number')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <input type="{{ $row->type }}"
                                                        name="mother_{{ $row->name }}"
                                                        placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                        class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}>
                                                </div>
                                            @endif
                                            @if ($row->type === 'dropdown')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <select name="mother_{{ $row->name }}" class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}>
                                                        <option value="">Please Select</option>
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <option value="{{ $options }}">
                                                                    {{ ucfirst(str_replace('_', ' ', $options)) }}
                                                                </option>
                                                            @endif
                                                        @endforeach
                                                    </select>
                                                </div>
                                            @endif
                                            @if ($row->type === 'radio')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <br>
                                                    <div class="d-flex">
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <div class="form-check form-check-inline">
                                                                    <label class="form-check-label">
                                                                        <input type="radio"
                                                                            name="mother_{{ $row->name }}"
                                                                            value="{{ $options }}"
                                                                            {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                        {{ ucfirst($options) }}
                                                                    </label>
                                                                </div>
                                                            @endif
                                                        @endforeach
                                                    </div>
                                                </div>
                                            @endif
                                            @if ($row->type === 'checkbox')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                                    <br>
                                                    <div class="col-md-10" id="{{ $row->name }}">
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <div class="checkbox form-check form-check-inline"
                                                                    {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                    <label class="form-check-label">
                                                                        <input type="checkbox"
                                                                            name="mother_{{ 'checkbox[' . $row->name . '][' . $options . ']' }}"
                                                                            value="{{ $options }}">
                                                                        {{ ucfirst(str_replace('_', ' ', $options)) }}
                                                                    </label>
                                                                </div>
                                                            @endif
                                                        @endforeach
                                                    </div>

                                                </div>
                                            @endif
                                            @if ($row->type === 'textarea')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <textarea name="mother_{{ $row->name }}" cols="10" rows="3"
                                                        placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}" class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}></textarea>
                                                </div>
                                            @endif
                                            @if ($row->type === 'file')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                                    <input type="file" name="mother_{{ $row->name }}"
                                                        class="file-upload-default"
                                                        {{ $row->is_required === 1 ? 'required' : '' }} />
                                                    <div class="input-group col-xs-12">
                                                        <input type="text" class="form-control file-upload-info"
                                                            disabled=""
                                                            placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                            required />
                                                        <span class="input-group-append">
                                                            <button class="file-upload-browse btn btn-theme"
                                                                type="button">{{ __('upload') }}</button>
                                                        </span>
                                                    </div>
                                                </div>
                                            @endif
                                        @endforeach
                                    </div>
                                </div>

                            </div>

                            <div class="row" id="guardian_div">
                                <div class="form-group col-sm-12 col-md-12">
                                    <label>{{ __('guardian') . ' ' . __('email') }} <span
                                            class="text-danger">*</span></label>
                                    @if (env('DEMO_MODE'))
                                        <select class="guardian-search form-control" id="guardian_email"
                                            name="guardian_email" disabled></select>
                                    @else
                                        <select class="guardian-search form-control" id="guardian_email"
                                            name="guardian_email"></select>
                                    @endif
                                </div>

                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('guardian') . ' ' . __('first_name') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('guardian_first_name', null, [
                                        'placeholder' => __('guardian') . ' ' . __('first_name'),
                                        'class' => 'form-control',
                                        'id' => 'guardian_first_name',
                                    ]) !!}
                                </div>

                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('guardian') . ' ' . __('last_name') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('guardian_last_name', null, [
                                        'placeholder' => __('guardian') . ' ' . __('last_name'),
                                        'class' => 'form-control',
                                        'id' => 'guardian_last_name',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('guardian') . ' ' . __('mobile') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::number('guardian_mobile', null, [
                                        'placeholder' => __('guardian') . ' ' . __('mobile'),
                                        'class' => 'form-control',
                                        'id' => 'guardian_mobile',
                                        'min' => 0,
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-12">
                                    <label>{{ __('gender') }} <span class="text-danger">*</span></label><br>
                                    <div class="d-flex">
                                        <div class="form-check form-check-inline">
                                            <label class="form-check-label">
                                                <input type="radio" name="guardian_gender" value="male"
                                                    id="guardian_male">
                                                {{ __('male') }}
                                            </label>
                                        </div>
                                        <div class="form-check form-check-inline">
                                            <label class="form-check-label">
                                                <input type="radio" name="guardian_gender" value="female"
                                                    id="guardian_female">
                                                {{ __('female') }}
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('guardian') . ' ' . __('dob') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('guardian_dob', null, [
                                        'placeholder' => __('guardian') . ' ' . __('dob'),
                                        'class' => 'form-control datepicker-popup-no-future form-control',
                                        'id' => 'guardian_dob',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('guardian') . ' ' . __('occupation') }} <span
                                            class="text-danger">*</span></label>
                                    {!! Form::text('guardian_occupation', null, [
                                        'placeholder' => __('guardian') . ' ' . __('occupation'),
                                        'class' => 'form-control',
                                        'id' => 'guardian_occupation',
                                    ]) !!}
                                </div>
                                <div class="form-group col-sm-12 col-md-4">
                                    <label>{{ __('guardian') . ' ' . __('image') }} <span
                                            class="text-danger">*</span></label>
                                    <input type="file" name="guardian_image"
                                        class="guardian_image file-upload-default" accept="image/*" />
                                    <div class="input-group col-xs-12">
                                        <input type="text" class="form-control file-upload-info" disabled=""
                                            placeholder="{{ __('guardian') . ' ' . __('image') }}" />
                                        <span class="input-group-append">
                                            <button class="file-upload-browse btn btn-theme"
                                                type="button">{{ __('upload') }}</button>
                                        </span>
                                    </div>
                                    <div style="width: 100px;">
                                        <img src="" name="guardian_image_tag" id="guardian-image-tag"
                                            class="img-fluid w-100" />
                                    </div>
                                </div>

                                <div class="col-12">
                                    <div class="row guardian-extra-div">
                                        @foreach ($parentFields as $row)
                                            @if ($row->type === 'text' || $row->type === 'number')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <input type="{{ $row->type }}"
                                                        name="guardian_{{ $row->name }}"
                                                        id="guardian_{{ $row->name }}"
                                                        placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                        class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}>
                                                </div>
                                            @endif
                                            @if ($row->type === 'dropdown')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <select name="guardian_{{ $row->name }}"
                                                        id="guardian_{{ $row->name }}" class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}>
                                                        <option value="">Please Select</option>
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <option value="{{ $options }}">
                                                                    {{ ucfirst(str_replace('_', ' ', $options)) }}
                                                                </option>
                                                            @endif
                                                        @endforeach
                                                    </select>
                                                </div>
                                            @endif
                                            @if ($row->type === 'radio')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <br>
                                                    <div class="d-flex">
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <div class="form-check form-check-inline">
                                                                    <label class="form-check-label">
                                                                        <input type="radio"
                                                                            name="guardian_{{ $row->name }}"
                                                                            id="guardian_{{ $row->name }}"
                                                                            value="{{ $options }}"
                                                                            {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                        {{ ucfirst($options) }}
                                                                    </label>
                                                                </div>
                                                            @endif
                                                        @endforeach
                                                    </div>
                                                </div>
                                            @endif
                                            @if ($row->type === 'checkbox')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                                    <br>
                                                    <div class="col-md-10" id="{{ $row->name }}">
                                                        @foreach (json_decode($row->default_values) as $options)
                                                            @if ($options != null)
                                                                <div class="checkbox form-check form-check-inline"
                                                                    {{ $row->is_required === 1 ? 'required' : '' }}>
                                                                    <label class="form-check-label">
                                                                        <input type="checkbox"
                                                                            id="guardian_{{ $row->name }}"
                                                                            name="guardian_{{ 'checkbox[' . $row->name . '][' . $options . ']' }}"
                                                                            value="{{ $options }}">
                                                                        {{ ucfirst(str_replace('_', ' ', $options)) }}
                                                                    </label>
                                                                </div>
                                                            @endif
                                                        @endforeach
                                                    </div>

                                                </div>
                                            @endif
                                            @if ($row->type === 'textarea')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label></label>
                                                    <textarea name="guardian_{{ $row->name }}" id="guardian_{{ $row->name }}" cols="10" rows="3"
                                                        placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}" class="form-control"
                                                        {{ $row->is_required === 1 ? 'required' : '' }}></textarea>
                                                </div>
                                            @endif
                                            @if ($row->type === 'file')
                                                <div class="form-group col-sm-12 col-md-4">
                                                    <label>{{ ucwords(str_replace('_', ' ', $row->name)) }}
                                                        {!! $row->is_required ? ' <span class="text-danger">*</span></label>' : '' !!}</label>
                                                    <input type="file" name="guardian_{{ $row->name }}"
                                                        class="file-upload-default"
                                                        {{ $row->is_required === 1 ? 'required' : '' }} />
                                                    <div class="input-group col-xs-12">
                                                        <input type="text" class="form-control file-upload-info"
                                                            disabled=""
                                                            placeholder="{{ ucwords(str_replace('_', ' ', $row->name)) }}"
                                                            required />
                                                        <span class="input-group-append">
                                                            <button class="file-upload-browse btn btn-theme"
                                                                type="button">{{ __('upload') }}</button>
                                                        </span>
                                                    </div>
                                                </div>
                                            @endif
                                        @endforeach
                                    </div>
                                </div>

                            </div>

                            <input class="btn btn-theme" type="submit" value={{ __('submit') }}>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection