{{ Form::label('patient_id', __('messages.vaccinated_patient.patient').(':'),['class' => 'form-label']) }} {{ Form::select('patient_id', $patients, null, ['class' => 'form-control', 'required','id'=>'vPatientName','placeholder' => 'Select Patient','data-control'=> 'select2']) }}

{{ Form::label('vaccination_id', __('messages.vaccinated_patient.vaccine').(':'),['class' => 'form-label']) }} {{ Form::select('vaccination_id', $vaccinations, null, ['class' => 'form-control', 'required','id'=>'vPatientVaccinationName','placeholder' => 'Select Vaccination','data-control'=> 'select2']) }}

{{ Form::label('vaccination_serial_number', __('messages.vaccinated_patient.serial_no').(':'),['class' => 'form-label']) }} {{ Form::text('vaccination_serial_number', '', ['id'=>'vPatientSerialNo','class' => 'form-control']) }}

{{ Form::label('dose_number', __('messages.vaccinated_patient.does_no').(':'),['class' => 'form-label']) }} {{ Form::number('dose_number', '', ['id'=>'vPatientBrand','class' => 'form-control','min'=>'1','max'=>'50','minlength'=>'1','maxlength'=>'2','required']) }}

{{ Form::label('dose_given_date', __('messages.vaccinated_patient.dose_given_date').(':'),['class' => $currentLang == 'es' ? 'label-display form-label mb-3' : 'form-label mb-3']) }} {{ Form::text('dose_given_date', '', ['id'=>'vPatientDoesGivenDate','class' => (getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control'),'required','autocomplete' => 'off']) }}

{{ Form::label('description', __('messages.document.notes').(':'),['class' => 'form-label fs-6 mb-3']) }} {{ Form::textarea('description', null, ['class' => 'form-control', 'rows' => 4]) }}