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

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

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

{{ Form::label('category_id', __('messages.radiology_test.category_name').':',['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} {{ Form::select('category_id',$data['radiologyCategories'], null, ['class' => 'form-select form-select-solid','required','id' => 'categoryName','placeholder'=>'Select Category','required']) }}

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

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

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

{{ Form::label('standard_charge', __('messages.radiology_test.standard_charge').':',['class' => 'form-label required fs-6 fw-bolder text-gray-700 mb-3']) }} ({{ getCurrencySymbol() }}) {{ Form::text('standard_charge', null, ['class' => 'form-control price-input form-control-solid', 'id' => 'standardCharge', 'readonly', 'required']) }}