{{ __('messages.ipd_patient_timeline.edit_ipd_timeline') }}

{{ Form::open(['id'=>'editOpdTimelineForm', 'files'=>true]) }}
{{ Form::hidden('opd_patient_department_id',$opdPatientDepartment->id) }} {{ Form::hidden('id',null,['id'=>'opdTimelineId']) }}
{{ Form::label('title', __('messages.ipd_patient_timeline.title').':',['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::text('title', null, ['class' => 'form-control form-control-solid','required' , 'id' => 'editTimelineTitle']) }}
{{ Form::label('date', __('messages.ipd_patient_timeline.date').':',['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::text('date', null, ['class' => 'form-control form-control-solid','id' => 'editTimelineDate','autocomplete' => 'off', 'required', 'id' => 'editTimelineDate']) }}
{{ Form::label('description', __('messages.ipd_patient_timeline.description').':',['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::textarea('description', null, ['class' => 'form-control form-control-solid', 'rows' => 4, 'id' => 'editTimelineDescription']) }}
{{ Form::label('visible_to_person', __('messages.ipd_patient_timeline.visible_to_person').(':'),['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3']) }}
{{ Form::label('document', __('messages.ipd_patient_timeline.document').':',['class' => 'fs-5 fw-bolder text-gray-600 mb-2 d-block']) }}
{{ Form::button(__('messages.common.save'), ['type'=>'submit','class' => 'btn btn-primary me-3','id'=>'btnOpdTimelineEdit','data-loading-text'=>" Processing..."]) }}
{{ Form::close() }}