{{ __('messages.death_report.new_death_report') }}

{{ Form::open(['id'=>'addNewForm']) }}
{{ Form::label('case_id', __('messages.case.case').(':'), ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::select('case_id', $cases, null, ['class' => 'form-select form-select-solid','required','id' => 'caseId','placeholder'=>'Select Case']) }}
@if(Auth::user()->hasRole('Doctor')) @else
{{ Form::label('doctor_name', __('messages.case.doctor').(':'), ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::select('doctor_id',$doctors, null, ['class' => 'form-select form-select-solid','required','id' => 'doctorId','placeholder'=>'Select Doctor']) }}
@endif
{{ Form::label('date', __('messages.death_report.date').(':'), ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::text('date', null, ['id'=>'date', 'class' => 'form-control form-control-solid', 'required','autocomplete' => 'off']) }}
{{ Form::label('description', __('messages.death_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]) }}
{{ Form::button(__('messages.common.save'), ['type'=>'submit','class' => 'btn btn-primary me-3','id'=>'btnSave','data-loading-text'=>" Processing..."]) }}
{{ Form::close() }}