@model vita_asistente.Models.Pacientes

@{
    ViewData["Title"] = "Crear Paciente";
    Layout = "_Layout";
}

<div class="container mt-4">
    <h2>Crear Nuevo Paciente</h2>
    
    <form asp-action="Create" method="post" class="mt-4">
        <div asp-validation-summary="ModelOnly" class="text-danger"></div>
        
        <div class="row mb-3">
            <label asp-for="DocumentNumber" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10">
                <input asp-for="DocumentNumber" class="form-control" />
                <span asp-validation-for="DocumentNumber" class="text-danger"></span>
            </div>
        </div>
        
        <div class="row mb-3">
            <label asp-for="FirstName" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10">
                <input asp-for="FirstName" class="form-control" />
                <span asp-validation-for="FirstName" class="text-danger"></span>
            </div>
        </div>
        
        <div class="row mb-3">
            <label asp-for="LastName" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10">
                <input asp-for="LastName" class="form-control" />
                <span asp-validation-for="LastName" class="text-danger"></span>
            </div>
        </div>
        
        <div class="row mb-3">
            <label asp-for="Email" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10">
                <input asp-for="Email" class="form-control" />
                <span asp-validation-for="Email" class="text-danger"></span>
            </div>
        </div>
        
        <div class="row mb-3">
            <label asp-for="BirthDate" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10">
                <input asp-for="BirthDate" class="form-control" />
                <span asp-validation-for="BirthDate" class="text-danger"></span>
            </div>
        </div>
        
        <div class="row mb-3">
            <label asp-for="Phone" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10">
                <input asp-for="Phone" class="form-control" />
                <span asp-validation-for="Phone" class="text-danger"></span>
            </div>
        </div>
        
        <div class="row mb-3">
            <label asp-for="Address" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10">
                <textarea asp-for="Address" class="form-control"></textarea>
                <span asp-validation-for="Address" class="text-danger"></span>
            </div>
        </div>
        
        <div class="row mb-3">
            <label asp-for="IsActive" class="col-sm-2 col-form-label"></label>
            <div class="col-sm-10 form-check form-switch">
                <input asp-for="IsActive" class="form-check-input" />
            </div>
        </div>
        
        <div class="d-flex gap-2 mt-4">
            <button type="submit" class="btn btn-primary">Guardar</button>
            <a asp-action="Index" class="btn btn-outline-secondary">Cancelar</a>
        </div>
    </form>
</div>

@section Scripts {
    @{await Html.RenderPartialAsync("_ValidationScriptsPartial");}
}