{{ Form::label('patient_id',__('messages.ipd_patient.patient_id').':', ['class' => 'form-label']) }} {{ Form::select('patient_id', $data['patients'], null, ['class' => 'form-select ipdPatientId', 'required', 'id' => 'editIpdPatientId', 'placeholder' => 'Select Patient', 'data-control' => 'select2']) }}

{{ Form::label('case_id', __('messages.ipd_patient.case_id').':', ['class' => 'form-label']) }} {{ Form::select('case_id', [null], null, ['class' => 'form-select ipdDepartmentCaseId', 'required', 'id' => 'editIpdDepartmentCaseId', 'disabled', 'data-control' => 'select2', 'placeholder' => 'Choose Case']) }}

{{ Form::label('ipd_number', __('messages.ipd_patient.ipd_number').':', ['class' => 'form-label']) }} {{ Form::text('ipd_number', null, ['class' => 'form-control', 'readonly']) }}

{{ Form::label('height', __('messages.ipd_patient.height').':', ['class' => 'form-label']) }} {{ Form::number('height', null, ['class' => 'form-control ipdDepartmentFloatNumber', 'max' => '7', 'step' => '.01']) }}

{{ Form::label('weight', __('messages.ipd_patient.weight').':', ['class' => 'form-label']) }} {{ Form::number('weight', null, ['class' => 'form-control ipdDepartmentFloatNumber', 'data-mask'=>'##0,00', 'max' => '200', 'step' => '.01', 'tabindex' => '3']) }}

{{ Form::label('bp', __('messages.ipd_patient.bp').':', ['class' => 'form-label']) }} {{ Form::number('bp', null, ['class' => 'form-control', 'tabindex' => '4']) }}

{{ Form::label('admission_date', __('messages.ipd_patient.admission_date').':', ['class' => 'form-label']) }} {{ Form::text('admission_date', null, ['class' => (getLoggedInUser()->thememode ? 'bg-light ipdAdmissionDate form-control' : 'bg-white ipdAdmissionDate form-control'),'id' => 'editIpdAdmissionDate','autocomplete' => 'off', 'required', 'tabindex' => '5']) }}

{{ Form::label('doctor_id',__('messages.ipd_patient.doctor_id').':', ['class' => 'form-label']) }} {{ Form::select('doctor_id', $data['doctors'], null, ['class' => 'form-select', 'required', 'id' => 'editIpdDoctorId', 'placeholder' => 'Select Doctor', 'data-control' => 'select2', 'tabindex' => '6']) }}

{{ Form::label('bed_type_id',__('messages.ipd_patient.bed_type_id').':', ['class' => 'form-label']) }} {{ Form::select('bed_type_id', $data['bedTypes'], null, ['class' => 'form-select ipdBedTypeId', 'required', 'id' => 'editIpdBedTypeId', 'placeholder' => 'Select Bed Type', 'data-control' => 'select2', 'tabindex' => '7']) }}

{{ Form::label('bed_id',__('messages.ipd_patient.bed_id').':', ['class' => 'form-label']) }} {{ Form::select('bed_id', [null], null, ['class' => 'form-select bedId', 'required', 'id' => 'editIpdBedId', 'disabled', 'data-control' => 'select2', 'placeholder' => 'Bed Id']) }}

{{ Form::label('is_old_patient',__('messages.ipd_patient.is_old_patient').':', ['class' => 'form-label']) }}