{{ Form::label('charge_type', __('messages.charge_category.charge_type').(':'), ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::select('charge_type', $chargeTypes, null, ['class' => 'form-select form-select-solid','required','id' => 'chargeTypeId','placeholder' => 'Select Charge Type']) }}

{{ Form::label('charge_category_id', __('messages.charge.charge_category').(':'), ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::select('charge_category_id', (isset($chargeCategories) ? nl2br(e($chargeCategories)) : []), null, ['class' => 'form-select form-select-solid','required','id' => 'chargeCategoryId','placeholder' => 'Select Charge Category']) }}

{{ Form::label('code', __('messages.charge.code').(':'), ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::text('code', null, ['class' => 'form-control form-control-solid','required']) }}

{{ Form::label('standard_charge', __('messages.charge.standard_charge').(':'), ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::text('standard_charge', null, ['class' => 'form-control price-input form-control-solid','required', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")']) }}

{{ Form::label('description', __('messages.birth_report.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]) }}