{{__('messages.doctor_opd_charge.new_doctor_opd_charge')}}

{{ Form::open(['id'=>'addNewForm']) }}

{{ Form::label('doctor_id', __('messages.doctor_opd_charge.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']) }}

{{ Form::label('standard_charge', __('messages.doctor_opd_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', 'autocomplete' => 'off', 'required', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")']) }}

{{ Form::button( __('messages.common.save'), ['type'=>'submit','class' => 'btn btn-primary me-3','id'=>'btnSave','data-loading-text'=>" Processing..."]) }}

{{ Form::close() }}