{{ __('messages.birth_report.edit_birth_report') }}

{{ Form::open(['id'=>'editBirthReportForm']) }}
{{ Form::hidden('birth_Report_id',null,['id'=>'birthReportId']) }}
{{ Form::label('case_id', __('messages.case.case').(':'), ['class' => 'form-label']) }} {{ Form::select('case_id', $cases, null, ['class' => 'form-select','required','id' => 'editBirthCaseId','placeholder'=>'Select Case']) }}
@if(Auth::user()->hasRole('Doctor')) @else
{{ Form::label('doctor_name', __('messages.case.doctor').(':'), ['class' => 'form-label']) }} {{ Form::select('doctor_id',$doctors, null, ['class' => 'form-select','required','id' => 'editBirthDoctorId','placeholder'=>'Select Doctor']) }}
@endif
{{ Form::label('date', __('messages.birth_report.date').(':'), ['class' => 'form-label']) }} {{ Form::text('date', null, ['id'=>'editBirthDate', 'class' => (getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control'), 'required','autocomplete' => 'off']) }}
{{ Form::label('description', __('messages.birth_report.description').(':'), ['class' => 'form-label']) }} {{ Form::textarea('description', null, ['class' => 'form-control', 'rows' => 4, 'id' => 'editBirthDescription']) }}
{{ Form::button(__('messages.common.save'), ['type'=>'submit','class' => 'btn btn-primary m-0','id'=>'btnBirthEditSave','data-loading-text'=>" Processing..."]) }}
{{ Form::close() }}