@extends('plantilla.header')

@section('titulo')
   Bienvenido
@stop

@section('js')

@stop

@section('contenido')
{!!Form::open(['url' => route('index_reportr1'), 'method' => 'POST', 'class' => 'login-form'])!!}
<div class="col-12 col-xl-12">
    <div class="card card-body bg-white border-light shadow-sm mb-4">
        <div class="row">
            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Desde</label>
                    <input class="form-control" type="date" name="desde" id="desde" autocomplete="off" required maxlength="9">
                </div>
            </div>
            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Hasta</label>
                    <input class="form-control" type="date" name="hasta" id="hasta" autocomplete="off" required maxlength="9">
                </div>
            </div>

            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Comunidad</label>
                    {!! 
                        Form::select('comunidad', $comunidad, null, ['placeholder' =>  'SELECCIONE', 'class' =>  'form-select', 'required'  =>  'required', 'id'  =>  'comunidad']) 
                    !!}
                </div>
            </div>
            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Ocupación</label>
                    {!! 
                        Form::select('ocupacion', $ocupacion, null, ['placeholder' =>  'SELECCIONE', 'class' =>  'form-select', 'required'  =>  'required', 'id'  =>  'ocupacion']) 
                    !!}
                </div>
            </div>
        </div>

        <div class="row">
            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Sexo</label>
                    {!! 
                        Form::select('sexo', ['M' => 'MASCULINO', 'F' => 'FEMENINO', 'T' => 'TODOS'], null, ['placeholder' =>  'SELECCIONE', 'class' =>  'form-select', 'required'  =>  'required', 'id'  =>  'sexo', 'disabled' => 'disabled']) 
                    !!}
                </div>
            </div>
            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Edad desde</label>
                    <input class="form-control" type="number" value="0" name="desdee" id="desdee" autocomplete="off" required minlength="1" maxlength="3">
                </div>
            </div>

            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Edad hasta</label>
                    <input class="form-control" type="number" value="0" name="hastae" id="hastae" autocomplete="off" required minlength="1" maxlength="3">
                </div>
            </div>
            <div class="col-md-3 mb-3">
                <div class="form-group">
                    <label for="city">Estatus</label>
                    {!! 
                        Form::select('estatus', ['1' => 'ANALISIS', '2' => 'APROBADO', '3' => 'DENEGADO', '4' => 'VENAPP (LINEA 58)', 'T' => 'TODOS'], null, ['placeholder' =>  'SELECCIONE', 'class' =>  'form-select', 'required'  =>  'required', 'id'  =>  'estatus']) 
                    !!}
                </div>
            </div>

        </div>

        <div class="row">
            <div class="col-md-12 mb-3" style="text-align: right;">
                <div class="form-group">
                    <button type="submit" class="btn btn-dark"><i class="fa-solid fa-save"></i> Generar</button>
                </div>
            </div>

        </div>
    </div>
</div>
{!! Form::close() !!}
@stop