{% extends 'basic.html' %}
{% load humanize i18n static %}
{% block title %}
Input Request Dokter
{% endblock %}
{% block head %}
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-select/1.12.1/css/bootstrap-select.css"/>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-select/1.12.1/js/bootstrap-select.js"></script>
{% endblock %}
{% block content %}
{% language 'id' %}
<main class="h-100">
    {% include "header.html" %}
    <!-- main page content -->
    <div class="main-container container">
        <!--card pelayanan-->
        <div class="row mb-2">
            {% for x in messages %}
            <button class="btn btn-primary col-lg-12">{{ x }}</button>
            {% endfor %}
        </div>
                                {% if requestdokter.kategori_request.nama == 'RANAP' %}
        <div class="container-fluid">
            <div class="row g-5">
                <div class="card">
                    <div class="col-md-12">
                        <h4 class="mt-3"><a href="'progressobatbatal' pendaftaran.id %}" onclick="confirm('Apakah anda yakin?');">Input Request Dokter</a></h4>
                        {% include 'requestdokter/inputrequestdokter/data-pasien-ranap.html' %}
                        <hr class="my-3 text-primary">
                        <!-- nav start  -->




                        <div class="row">
                            <div class="col">
                            <div class="row">
                            <div class="col mt-4 mb-3">
                                <div class="card">
                                    <div class="card-body">
                                        <div class="form-group">
                                            <label for="progress_resep">Request Dokter</label>
                                            <textarea class="form-control"
                                                      disabled>{{ requestdokter.request }}</textarea>
                                        </div>
                                        <div class="form-group">
                                            <label for="progress">Progress Request Dokter</label>
                                            <input class="form-control" id="progress" type="text"
                                                   value="{{ requestdokter.progress }}" disabled>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                            <div class="row">
                            <div class="col mt-4 mb-3">
                                {% include 'bed/daftar-kamar.html' %}
                            </div>
                        </div>
                            </div>

                            <div class="col">
                        <div class="row">
                            <div class="col">
                                <div class="card mr-1">
                                    <div class="card-body">
                                        <div class="card-header">Layanan Yang Diberikan</div>
                                        <div class="row mt-4 mb-4">
                                            <div class="col">
                                                <div class="table-responsive">
                                                    <table class="table table-bordered">
                                                        <thead>
                                                        <tr>
                                                            <th>#</th>
                                                            <th>Nama Bed</th>
                                                            <th>Harga</th>
                                                            <th>Nama Kamar</th>
                                                            <th>Tanggal Masuk</th>
                                                            <th>Progress</th>
                                                            <th>Catatan</th>
                                                        </tr>
                                                        </thead>
                                                        <tbody>
                                                        {% for x in invoicebed %}
                                                        <tr>

                                                            <td>
                                                                <form method="post" action="/pemeriksaan/hapusinvoicebed/{{ x.id }}/">
                                                                    {% csrf_token %}
                                                                    <input type="hidden" name="requestdokter" value="{{ requestdokter.id }}">
                                                                <button type="submit">{{ forloop.counter }}</button></form>
                                                            </td>
                                                            <td>{{ x.nama }}</td>
                                                            <td>{{ x.kamar.harga }}</td>
                                                            <td>{{ x.kamar.nama }}</td>
                                                            <td>{{ x.waktu_masuk }}</td>
                                                            <td>{{ x.progress }}</td>
                                                            <td>{{ x.catatan }}</td>
                                                        </tr>
                                                        {% endfor %}
<!--                                                        <tr>-->
<!--                                                            <td colspan="4">Total: </td>-->
<!--                                                            <td colspan="3"><b>{{ summaryinvoicelayanan|intcomma }}</b></td>-->
<!--                                                        </tr>-->
                                                        </tbody>
                                                    </table>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                            <div class="row">
                                <div class="col">

                            <form method="POST" class="mt-4 mb-3" action="/pemeriksaan/postinvoicebed" enctype="multipart/form-data">
                                {% csrf_token %}
                                <div class="card">
                                    <div class="card-body">
                                        <div class="row gy-3">
                                            <h5>Pilih Bed</h5>
                                            <div class="form-floating mb-3">
                                                <select class="form-control selectpicker" name="kamar"
                                                        data-live-search="true" required
                                                        aria-required="true">
                                                    {% for x in kamar %}
                                                    <option value="{{ x.id }}">{{ x.nama }} | Rp.{{ x.harga|intcomma }}
                                                    </option>
                                                    {% endfor %}
                                                </select>
                                            </div>
                                            <div class="col-12">
                                                <label for="catatan" class="form-label mt-3">Catatan</label>
                                                <div class="form-group" id="catatan">
                                                    <input type="text" class="form-control" name="catatan">
                                                </div>
                                            </div>
                                            <div class="col-12">
                                                <label for="diagnosaawal" class="form-label mt-3">Diagnosa Awal</label>
                                                <div class="form-group" id="diagnosaawal">
                                                    <input type="text" class="form-control" name="diagnosa_awal">
                                                </div>
                                            </div>
                                            <div class="col-12">
                                                <label for="diagnosaawal" class="form-label mt-3">Tanggal Rujukan Ranap</label>
                                                <div class="form-group" id="diagnosaawal">
                                                    <input type="date" class="form-control" name="tanggal_rujukan_ranap">
                                                </div>
                                            </div>
                                            <div class="col-12">
                                                <label for="diagnosaawal" class="form-label mt-3">Tanggal Masuk Ranap</label>
                                                <div class="form-group" id="diagnosaawal">
                                                    <input type="date" class="form-control" name="waktu_masuk">
                                                </div>
                                            </div>
                                            <div class="col-12">
                                                <label for="file" class="form-label mt-3">Lampiran</label>
                                                <div class="form-group" id="file">
                                                    <input type="file" class="form-control" name="file">
                                                </div>
                                            </div>
                                            <div class="d-grid gap-2 d-md-flex justify-content-md-end">
                                                <input type="hidden" name="requestdokter_id" value="{{ requestdokter.id }}">
                                                <input type="hidden" name="cppt_id" value="{{ requestdokter.cppt.id }}">
                                                <button class="btn btn-primary me-md-2" type="submit">Submit</button>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                            </form>

                                    </div>
                        </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        {% else %}
        <div class="container-fluid">
            <div class="row g-5">
                <div class="card">
                    <div class="col-md-12">
                        <h4 class="mt-3"><a href="{% 'progressobatbatal' pendaftaran.id %}" onclick="confirm('Apakah anda yakin?');">Input Request Dokter</a></h4>
                        {% include 'requestdokter/inputrequestdokter/data-pasien.html' %}
                        <hr class="my-3 text-primary">
                        <!-- nav start  -->




                        <div class="row">
                            <div class="col">
                                {% if requestdokter.kategori_request.nama == 'FARMASI' %}
                        <div class="row">
                            <div class="col">
                                <div class="card mr-1">
                                    <div class="card-body">
                                        <div class="card-header">Barang Yang Diberikan</div>
                                        <div class="row mt-4 mb-4">
                                            <div class="col">
                                                <div class="table-responsive">
                                                    <table class="table table-bordered">
                                                        <thead>
                                                        <tr>
                                                            <th>#</th>
                                                            <th>Nama</th>
                                                            <th>Harga</th>
                                                            <th>Kuantitas</th>
                                                            <th>Jumlah</th>
                                                            <th>Cara Pakai</th>
                                                            <th>Cetak</th>
                                                        </tr>
                                                        </thead>
                                                        <tbody>
                                                        {% for x in invoicebarang %}
                                                        <tr>
                                                            <td>
                                                                <form method="post" action="/pemeriksaan/hapusinvoicebarang/{{ x.id }}/">{% csrf_token %}
                                                                    <input type="hidden" name="requestdokter" value="{{ requestdokter.id }}">
                                                                <button type="submit">{{ forloop.counter }}</button></form>
                                                            </td>
                                                            <td>{{ x.barang.nama }}</td>
                                                            <td>{{ x.barang.harga_jual }}</td>
                                                            <td>{{ x.kuantitas }}</td>
                                                            <!-- ( x.biaya harga / 1 ) * x.kuantitas -->
                                                            <td>{% widthratio x.barang.harga_jual 1 x.kuantitas as summary %}{{ summary|intcomma }}</td>
                                                            <td>{{ x.catatan }}</td>
                                                            <td>
                                                <a href="#" class="btn btn-success text-light" onclick="window.open('/pemeriksaan/labelobat/{{ x.id }}','mywindow','location=1,status=1,scrollbars=1,width=500px,height=380px');">Cetak Label Obat</a></td>
                                                        </tr>
                                                        {% endfor %}
                                                        <tr>
                                                            <td colspan="4">Total: </td>
                                                            <!-- ( x.biaya harga / 1 ) * x.kuantitas -->
                                                            <td colspan="4"><b>{{ summaryinvoicebarang|intcomma }}</b></td>
                                                        </tr>
                                                        </tbody>
                                                    </table>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                                {% endif %}


                            <div class="row">
                                {% if requestdokter.kategori_request.nama == 'FARMASI' %}
                                <div class="col">
                            <form method="POST" class="mt-4 mb-3" action="/pemeriksaan/postinvoicebarang">
                                {% csrf_token %}
                                <div class="card">
                                    <div class="card-body">
                                        <div class="row gy-3">
                                            <h5>Barang</h5>
                                            <div class="form-floating mb-3">
                                                <select class="form-control selectpicker" name="barang"
                                                        data-live-search="true" required
                                                        aria-required="true">
                                                    {% for x in barang %}
                                                    <option value="{{ x.id }}">{{ x.nama }} | Rp.{{ x.harga_jual }} Stok: {{ x.stok }}
                                                    </option>
                                                    {% endfor %}
                                                </select>
                                            </div>
                                            <div class="col-12">
                                                <label for="kuantitas" class="form-label mt-3">Kuantitas</label>
                                                <div class="form-group" id="kuantitas">
                                                    <input type="number" class="form-control" name="kuantitas">
                                                </div>
                                            </div>
                                            <div class="col-12">
                                                <label for="catatan" class="form-label mt-3">Cara Penggunaan</label>
                                                <div class="form-group" id="catatan">
                                                    <input type="text" class="form-control" name="catatan">
                                                </div>
                                            </div>
                                            <div class="d-grid gap-2 d-md-flex justify-content-md-end">
                                                <input type="hidden" name="requestdokter_id" value="{{ requestdokter.id }}">
                                                <input type="hidden" name="cppt_id" value="{{ requestdokter.cppt.id }}">
                                                <button class="btn btn-primary me-md-2" type="submit">Submit</button>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                            </form>
                                    </div>
                                {% endif %}

                            <div class="col mt-4 mb-3">
                                <div class="card">
                                    <div class="card-body">
                                        <div class="form-group">
                                            <label for="progress_resep">Request Dokter</label>
                                            <textarea class="form-control"
                                                      disabled>{{ requestdokter.request }}</textarea>
                                        </div>
                                        <div class="form-group">
                                            <label for="progress">Progress Request Dokter</label>
                                            <input class="form-control" id="progress" type="text"
                                                   value="{{ requestdokter.progress }}" disabled>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                            </div>

                                {% if requestdokter.kategori_request.nama == 'FARMASI' %}
                                    {% else %}
                            <div class="col">
                        <div class="row">
                            <div class="col">
                                <div class="card mr-1">
                                    <div class="card-body">
                                        <div class="card-header">Layanan Yang Diberikan</div>
                                        <div class="row mt-4 mb-4">
                                            <div class="col">
                                                <div class="table-responsive">
                                                    <table class="table table-bordered">
                                                        <thead>
                                                        <tr>
                                                            <th>#</th>
                                                            <th>Nama</th>
                                                            <th>Harga</th>
                                                            <th>Kuantitas</th>
                                                            <th>Jumlah</th>
                                                            <th>Hasil Normal</th>
                                                            <th>Hasil</th>
                                                            <th>Cetak</th>
                                                        </tr>
                                                        </thead>
                                                        <tbody>
                                                        {% for x in invoicelayanan %}
                                                        <tr>

                                                            <td>
                                                                <form method="post" action="/pemeriksaan/hapusinvoicelayanan/{{ x.id }}/">
                                                                    {% csrf_token %}
                                                                    <input type="hidden" name="requestdokter" value="{{ requestdokter.id }}">
                                                                <button type="submit">{{ forloop.counter }}</button></form>
                                                            </td>
                                                            <td>{{ x.tarif_layanan.nama }}</td>
                                                            <td>{{ x.tarif_layanan.harga }}</td>
                                                            <td>{{ x.kuantitas }}</td>
                                                            <td>{% widthratio x.tarif_layanan.harga 1 x.kuantitas as summary %}{{ summary|intcomma }}</td>
                                                            <td>{{ x.tarif_layanan.hasil_normal }}</td>
                                                            <td>{{ x.catatan }}</td>
                                                            {% if x.file %}
                                                            <td><a href="{{ x.file.url }}" class="btn btn-primary" target="_blank">File</a></td>
                                                            {% endif %}
                                                        </tr>
                                                        {% endfor %}
                                                        <tr>
                                                            <td colspan="4">Total: </td>
                                                            <td colspan="3"><b>{{ summaryinvoicelayanan|intcomma }}</b></td>
                                                        </tr>
                                                        </tbody>
                                                    </table>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                            <div class="row">
                                <div class="col">

                            <form method="POST" class="mt-4 mb-3" action="/pemeriksaan/postinvoicelayanan" enctype="multipart/form-data">
                                {% csrf_token %}
                                <div class="card">
                                    <div class="card-body">
                                        <div class="row gy-3">
                                            <h5>Tarif Layanan</h5>
                                            <div class="form-floating mb-3">
                                                <select class="form-control selectpicker" name="tarif_layanan"
                                                        data-live-search="true" required
                                                        aria-required="true">
                                                    {% for x in tariflayanan %}
                                                    {% if x.relasi.relasi.nama == requestdokter.kategori_request.nama %}
                                                    <option value="{{ x.id }}">{{ x.nama }} | Rp.{{ x.harga|intcomma }}
                                                    </option>
                                                    {% endif %}
                                                    {% endfor %}
                                                </select>
                                            </div>
                                            <div class="col-12">
                                                <label for="kuantitas" class="form-label mt-3">Kuantitas</label>
                                                <div class="form-group" id="kuantitas">
                                                    <input type="number" class="form-control" name="kuantitas">
                                                </div>
                                            </div>
                                            <div class="col-12">
                                                <label for="catatan" class="form-label mt-3">Hasil</label>
                                                <div class="form-group" id="catatan">
                                                    <input type="text" class="form-control" name="catatan">
                                                </div>
                                            </div>
                                            <div class="col-12">
                                                <label for="file" class="form-label mt-3">File</label>
                                                <div class="form-group" id="file">
                                                    <input type="file" class="form-control" name="file">
                                                </div>
                                            </div>
                                            <div class="d-grid gap-2 d-md-flex justify-content-md-end">
                                                <input type="hidden" name="requestdokter_id" value="{{ requestdokter.id }}">
                                                <input type="hidden" name="cppt_id" value="{{ requestdokter.cppt.id }}">
                                                <button class="btn btn-primary me-md-2" type="submit">Submit</button>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                            </form>

                                    </div>
                        </div>
                            </div>
                            {% endif %}
                        </div>
                    </div>
                </div>
            </div>
        </div>
{% endif %}
                            <form method="POST" class="mt-4 mb-3" action="/pemeriksaan/selesaikanrequestdokter/{{ requestdokter.id }}/">
                                {% csrf_token %}
                                <button class="btn btn-success" type="submit" style="width: 100%;">Selesai</button>
                            </form>
    </div>
    {% include 'footer.html' %}
</main>

{% endlanguage %}
{% endblock %}