{{ Form::label('test_name', __('messages.radiology_test.test_name').':',['class' => 'form-label']) }} {{ Form::text('test_name', null, ['class' => 'form-control','required']) }}

{{ Form::label('short_name', __('messages.radiology_test.short_name').':',['class' => 'form-label']) }} {{ Form::text('short_name', null, ['class' => 'form-control','required']) }}

{{ Form::label('test_type', __('messages.radiology_test.test_type').':',['class' => 'form-label']) }} {{ Form::text('test_type', null, ['class' => 'form-control','required']) }}

{{ Form::label('category_id', __('messages.radiology_test.category_name').':',['class' => 'form-label']) }} {{ Form::select('category_id',$data['radiologyCategories'], null, ['class' => 'form-select radiologyCategories','required','id' => 'radiologyCategories','placeholder'=>'Select Category','required']) }}

{{ Form::label('subcategory', __('messages.radiology_test.subcategory').':',['class' => 'form-label']) }} {{ Form::text('subcategory', null, ['class' => 'form-control']) }}

{{ Form::label('report_days', __('messages.radiology_test.report_days').':',['class' => 'form-label']) }} {{ Form::number('report_days', null, ['class' => 'form-control']) }}

{{ Form::label('charge_category_id', __('messages.radiology_test.charge_category').':',['class' => 'form-label ']) }} {{ Form::select('charge_category_id',$data['chargeCategories'], null, ['class' => 'form-select chargeCategories','required','id' => 'chargeCategories','placeholder'=>'Select Charge Category','required']) }}

{{ Form::label('standard_charge', __('messages.radiology_test.standard_charge').':',['class' => 'form-label ']) }} ({{ getCurrencySymbol() }}) {{ Form::text('standard_charge', null, ['class' => 'form-control price-input rtStandardCharge', 'id' => 'rtStandardCharge', 'readonly', 'required']) }}