@php($editingCustomer = $customer ?? null)
<div class="col-md-6"><label class="form-label">Name</label><input class="form-control" name="name" value="{{ old('name', $editingCustomer?->name) }}" required></div>
<div class="col-md-6"><label class="form-label">Mobile</label><input class="form-control" name="mobile" value="{{ old('mobile', $editingCustomer?->mobile) }}" required></div>
<div class="col-md-6"><label class="form-label">Email</label><input class="form-control" name="email" type="email" value="{{ old('email', $editingCustomer?->email) }}"></div>
<div class="col-md-6"><label class="form-label">Status</label><select class="form-select" name="status" required>@foreach (['active' => 'Active', 'inactive' => 'Inactive', 'blocked' => 'Blocked'] as $value => $label)<option value="{{ $value }}" @selected(old('status', $editingCustomer?->status ?? 'active') === $value)>{{ $label }}</option>@endforeach</select></div>
<div class="col-md-6"><label class="form-label">City</label><input class="form-control" name="city" value="{{ old('city', $editingCustomer?->city) }}"></div>
<div class="col-md-6"><label class="form-label">State</label><input class="form-control" name="state" value="{{ old('state', $editingCustomer?->state) }}"></div>
<div class="col-12"><label class="form-label">Address</label><textarea class="form-control" name="address" rows="3">{{ old('address', $editingCustomer?->address) }}</textarea></div>
<div class="col-md-6"><label class="form-label">Password {{ $editingCustomer ? '(leave blank to keep current)' : '(optional)' }}</label><input class="form-control" name="password" type="password"></div>
<div class="col-md-6"><label class="form-label">Confirm Password</label><input class="form-control" name="password_confirmation" type="password"></div>