{{ Form::label('patient_id', __('messages.patient_diagnosis_test.patient').':', ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::select('patient_id', $patients, isset($patientDiagnosisTest)?$patientDiagnosisTest->patient_id:null, ['class' => 'form-select form-select-solid', 'required', 'id' => 'patient_id', 'placeholder' => 'Select Patient', 'data-control' => 'select2']) }}

{{ Form::label('category_id', __('messages.patient_diagnosis_test.diagnosis_category').':', ['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::select('category_id', $diagnosisCategory, isset($patientDiagnosisTest)?$patientDiagnosisTest->category_id:null, ['class' => 'form-select form-select-solid', 'required', 'id' => 'category_id', 'data-control' => 'select2', 'placeholder' => 'Select Diagnosis Category']) }}

{{ Form::label('report_number', __('messages.patient_diagnosis_test.report_number').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::text('report_number', isset($patientDiagnosisTest)?$patientDiagnosisTest->report_number:$reportNumber, ['class' => 'form-control form-control-solid', 'readonly']) }}

{{ Form::label('age', __('messages.patient_diagnosis_test.age').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::number('age', null, ['class' => 'form-control form-control-solid', 'min' => '1', 'max' => '100']) }}

{{ Form::label('height', __('messages.patient_diagnosis_test.height').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::number('height', null, ['class' => 'form-control floatNumber form-control-solid', 'max' => '7', 'min' => '1' , 'step' => '.01']) }}

{{ Form::label('weight', __('messages.patient_diagnosis_test.weight').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::number('weight', null, ['class' => 'form-control floatNumber form-control-solid', 'data-mask'=>'##0,00', 'min' => '1' , 'max' => '200', 'step' => '.01']) }}

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

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

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

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

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

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

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

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