{{ __('messages.blood_issue.new_blood_issue') }}

{{ Form::open(['id'=>'addBloodIssueForm']) }} {{ Form::hidden('currency_symbol', getCurrentCurrency(), ['class' => 'currencySymbol']) }}
{{ Form::label('issue_date', __('messages.blood_issue.issue_date').(':'), ['class' => 'form-label']) }} {{ Form::text('issue_date', '', ['id'=>'bloodIssueDate','class' => (getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control'),'required']) }}
{{ Form::label('doctor_id', __('messages.blood_issue.doctor_name').(':'),['class' => 'form-label']) }} {{ Form::select('doctor_id', $doctors, null, ['class' => 'form-select', 'required', 'id' => 'bloodIssueDoctorName', 'placeholder' => 'Select Doctor Name', 'data-control' => 'select2', 'required']) }}
{{ Form::label('patient_id', __('messages.blood_issue.patient_name').(':'),['class' => 'form-label']) }} {{ Form::select('patient_id', $patients, null, ['class' => 'form-select', 'required', 'id' => 'bloodIssuePatientName', 'placeholder' => 'Select Patient Name', 'data-control' => 'select2', 'required']) }}
{{ Form::label('donor_id', __('messages.blood_issue.donor_name').(':'),['class' => 'form-label']) }} {{ Form::select('donor_id', $donors, null, ['class' => 'form-select', 'required', 'id' => 'donorName', 'placeholder' => 'Select Donor Name', 'data-control' => 'select2', 'required']) }}
{{ Form::label('blood_group', __('messages.user.blood_group').(':'),['class' => 'form-label']) }} {{ Form::select('blood_group', [], null, ['class' => 'form-select', 'required', 'id' => 'issuedBloodGroup', 'placeholder' => 'Select Blood Group', 'data-control' => 'select2', 'disabled']) }}
{{ Form::label('amount', __('messages.blood_issue.amount').(':'), ['class' => 'form-label']) }} {{ Form::text('amount', '', ['id'=>'bloodIssueAmount','class' => 'form-control price-input price','required', 'maxlength' => '9']) }}
{{ Form::label('remarks', __('messages.blood_issue.remarks').(':'), ['class' => 'form-label']) }} {{ Form::textarea('remarks', '', ['id' => 'bloodIssueRemarks','class' => 'form-control','rows' => 3,'cols' => 3]) }}
{{ Form::button(__('messages.common.save'), ['type' => 'submit','class' => 'btn btn-primary m-','id' => 'bloodIssueSave','data-loading-text' => " Processing..."]) }}
{{ Form::close() }}