{% extends edc_base_template %}
{% load static %}

{% block main %}
    {{ block.super }}
    <div class="container">
        <div class="col-sm-8">

            <div style="padding:10px;">
                <a href="{% url "edc_pharmacy:home_url" %}">Edc Pharmacy</a> &rsaquo;
                <a href="{% url "edc_pharmacy:repack_home_url" %}">Repack</a> &rsaquo;
                {% if instance %}
                    <a href="{% url "edc_pharmacy:repack_url" repack_request=instance.pk %}">{{ instance.repack_identifier }}</a> &rsaquo;
                    Edit
                {% else %}
                    New repack request
                {% endif %}
            </div>

            <div class="panel panel-default">
                <div class="panel-heading">
                    {% if instance %}
                        <b>Edit Repack Request <code>{{ instance.repack_identifier }}</code></b>
                    {% else %}
                        <b>New Repack Request</b>
                    {% endif %}
                </div>
                <div class="panel-body">

                    <div class="alert alert-info" style="font-size:13px;">
                        <i class="fa fa-info-circle"></i>
                        Scan or type the stock code of the <strong>bulk item</strong> to repack,
                        select the target container, and enter the number of containers to produce.
                    </div>

                    <form method="post">
                        {% csrf_token %}
                        <div class="row">
                            {% for field in form %}
                            <div class="col-sm-6" style="margin-bottom:12px;">
                                <div class="form-group{% if field.errors %} has-error{% endif %}">
                                    <label class="control-label" for="{{ field.id_for_label }}">
                                        {{ field.label }}
                                        {% if field.field.required %}<span style="color:red;">*</span>{% endif %}
                                    </label>
                                    {{ field }}
                                    {% if field.help_text %}
                                        <span class="help-block">{{ field.help_text }}</span>
                                    {% endif %}
                                    {% if field.errors %}
                                        <span class="help-block">{{ field.errors|join:", " }}</span>
                                    {% endif %}
                                </div>
                            </div>
                            {% endfor %}
                        </div>
                        {% if form.non_field_errors %}
                            <div class="alert alert-danger">{{ form.non_field_errors }}</div>
                        {% endif %}
                        <button type="submit" class="btn btn-primary btn-sm">Save</button>
                        &nbsp;
                        {% if instance %}
                            <a href="{% url "edc_pharmacy:repack_url" repack_request=instance.pk %}"
                               class="btn btn-default btn-sm">Cancel</a>
                        {% else %}
                            <a href="{% url "edc_pharmacy:repack_home_url" %}"
                               class="btn btn-default btn-sm">Cancel</a>
                        {% endif %}
                    </form>

                </div>
            </div>

        </div>
    </div>
{% endblock main %}