@php($a = $appointment)
<div class="form-grid">
    <div class="field" style="grid-column:1 / -1;">
        <label for="patient_id">Patient</label>
        <select id="patient_id" class="select" name="patient_id" required>
            <option value="">Select patient…</option>
            @foreach($patients as $p)
                <option value="{{ $p->id }}" @selected((string)old('patient_id', $selectedPatient)===(string)$p->id)>{{ $p->name }} ({{ $p->mrn }})</option>
            @endforeach
        </select>
        @error('patient_id')<div class="error">{{ $message }}</div>@enderror
    </div>
    <div class="field">
        <label for="scheduled_at">Date &amp; time</label>
        <input id="scheduled_at" class="input" type="datetime-local" name="scheduled_at"
               value="{{ old('scheduled_at', optional($a->scheduled_at)->format('Y-m-d\TH:i')) }}" required>
        @error('scheduled_at')<div class="error">{{ $message }}</div>@enderror
    </div>
    <div class="field">
        <label for="duration_minutes">Duration (min)</label>
        <select id="duration_minutes" class="select" name="duration_minutes">
            @foreach([10,15,20,30,45,60] as $m)
                <option value="{{ $m }}" @selected((int)old('duration_minutes', $a->duration_minutes ?? 15)===$m)>{{ $m }} minutes</option>
            @endforeach
        </select>
    </div>
    <div class="field" style="grid-column:1 / -1;">
        <label for="reason">Reason</label>
        <input id="reason" class="input" name="reason" value="{{ old('reason', $a->reason) }}" placeholder="e.g. Follow-up, diabetes review">
    </div>
    <div class="field">
        <label for="status">Status</label>
        <select id="status" class="select" name="status">
            @foreach(['scheduled'=>'Scheduled','completed'=>'Completed','cancelled'=>'Cancelled','no_show'=>'No show'] as $v=>$lbl)
                <option value="{{ $v }}" @selected(old('status', $a->status ?? 'scheduled')===$v)>{{ $lbl }}</option>
            @endforeach
        </select>
    </div>
    <div class="field" style="grid-column:1 / -1;">
        <label for="notes">Notes</label>
        <textarea id="notes" class="input" name="notes" rows="2">{{ old('notes', $a->notes) }}</textarea>
    </div>
</div>