@extends('layouts.app')
@section('title', 'Create CHA Agent')
@php $breadcrumbs = [['label' => 'Masters', 'url' => route('masters.cha-agents.index')], ['label' => 'CHA Agent', 'url' => route('masters.cha-agents.index')], ['label' => 'Create']]; @endphp

@section('content')
<div class="d-flex align-items-center justify-content-between mb-3">
    <h4 class="fw-bold mb-0">Create New CHA Agent</h4>
    <a href="{{ route('masters.cha-agents.index') }}" class="btn btn-outline-secondary btn-sm"><i class="bi bi-arrow-left me-1"></i>Back to List</a>
</div>

<div class="card border shadow-sm">
    <div class="card-body">
        <form action="{{ route('masters.cha-agents.store') }}" method="POST" novalidate>
            @csrf
            <div class="row g-3">
                <div class="col-md-3"><label class="form-label">Code <span class="text-danger">*</span></label><input type="text" class="form-control" name="code" value="{{ old("code") }}" required></div>
    <div class="col-md-5"><label class="form-label">Agent Name <span class="text-danger">*</span></label><input type="text" class="form-control" name="name" value="{{ old("name") }}" required></div>
    <div class="col-md-4"><label class="form-label">License No</label><input type="text" class="form-control" name="license_no" value="{{ old("license_no") }}"></div>
    <div class="col-md-4"><label class="form-label">Contact Person</label><input type="text" class="form-control" name="contact_person" value="{{ old("contact_person") }}"></div>
    <div class="col-md-4"><label class="form-label">Email</label><input type="email" class="form-control" name="email" value="{{ old("email") }}"></div>
    <div class="col-md-4"><label class="form-label">Phone</label><input type="tel" class="form-control" name="phone" value="{{ old("phone") }}"></div>
                <div class="col-md-12">
                    <div class="form-check form-switch">
                        <input class="form-check-input" type="checkbox" name="is_active" value="1" checked>
                        <label class="form-check-label">Active</label>
                    </div>
                </div>
            </div>
            <div class="d-flex justify-content-end gap-2 mt-4">
                <a href="{{ route('masters.cha-agents.index') }}" class="btn btn-outline-secondary">Cancel</a>
                <button type="submit" class="btn btn-primary"><i class="bi bi-check-lg me-1"></i>Create CHA Agent</button>
            </div>
        </form>
    </div>
</div>
@endsection