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

{{ Form::open(['id'=>'addIpdTimelineNewForm', 'files'=>true]) }}
{{ Form::hidden('ipd_patient_department_id',$ipdPatientDepartment->id, ['id'=>'ipdPatientDepartmentId']) }}
{{ Form::label('title', __('messages.ipd_patient_timeline.title').':',['class' => 'form-label']) }} {{ Form::text('title', null, ['class' => 'form-control','required']) }}
{{ Form::label('date', __('messages.ipd_patient_timeline.date').':',['class' => 'form-label']) }} {{ Form::text('date', null, ['class' => (getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control'),'id' => 'ipdTimelineDate','autocomplete' => 'off', 'required']) }}
{{ Form::label('description', __('messages.ipd_patient_timeline.description').':',['class' => 'form-label']) }} {{ Form::textarea('description', null, ['class' => 'form-control', 'rows' => 4]) }}
{{ Form::label('visible_to_person', __('messages.ipd_patient_timeline.visible_to_person').(':'),['class' => 'form-label']) }}
{{ Form::label('document', __('messages.ipd_patient_timeline.document').':',['class' => 'form-label']) }}
{{ Form::button(__('messages.common.save'), ['type'=>'submit','class' => 'btn btn-primary me-3','id'=>'btnIpdTimelineSave','data-loading-text'=>" Processing..."]) }}
{{ Form::close() }}