D7net
Home
Console
Upload
information
Create File
Create Folder
About
Tools
:
/
home
/
forge
/
hms.dentostock.com
/
storage
/
framework
/
views
/
Filename :
2aedd48d56138b5d2391fabb53fd8bd8.php
back
Copy
<div class="row"> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('test_name', __('messages.pathology_test.test_name').':',['class' => 'form-label'])); ?> <span class="required"></span> <?php echo e(Form::text('test_name', null, ['class' => 'form-control','required'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('short_name', __('messages.pathology_test.short_name').':',['class' => 'form-label'])); ?> <span class="required"></span> <?php echo e(Form::text('short_name', null, ['class' => 'form-control','required'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('test_type', __('messages.pathology_test.test_type').':',['class' => 'form-label'])); ?> <span class="required"></span> <?php echo e(Form::text('test_type', null, ['class' => 'form-control','required'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('category_id', __('messages.pathology_test.category_name').':',['class' => 'form-label'])); ?> <span class="required"></span> <?php echo e(Form::select('category_id',$data['pathologyCategories'], null, ['class' => 'form-select pathologyCategories','required','id' => 'pathologyCategories','placeholder'=>__('messages.medicine.select_category'),'required'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('unit', __('messages.pathology_test.unit').':',['class' => 'form-label'])); ?> <?php echo e(Form::number('unit', null, ['class' => 'form-control'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('subcategory', __('messages.pathology_test.subcategory').':',['class' => 'form-label'])); ?> <?php echo e(Form::text('subcategory', null, ['class' => 'form-control'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('method', __('messages.pathology_test.method').':',['class' => 'form-label'])); ?> <?php echo e(Form::text('method', null, ['class' => 'form-control'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('report_days', __('messages.pathology_test.report_days').':',['class' => 'form-label'])); ?> <?php echo e(Form::number('report_days', null, ['class' => 'form-control'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('charge_category_id', __('messages.pathology_test.charge_category').':',['class' => 'form-label'])); ?> <span class="required"></span> <?php echo e(Form::select('charge_category_id',$data['chargeCategories'], null, ['class' => 'form-select pChargeCategories','required','id' => 'pathologyChargeCategories','placeholder'=>__('messages.pathology_category.select_charge_category'),'required'])); ?> </div> </div> <div class="col-md-3"> <div class="form-group mb-5"> <?php echo e(Form::label('standard_charge', __('messages.pathology_test.standard_charge').':',['class' => 'form-label'])); ?> <span class="required"></span> (<b><?php echo e(getCurrencySymbol()); ?></b>) <?php echo e(Form::text('standard_charge', null, ['class' => 'form-control price-input pathologyStandardCharge', 'id' => 'pTestStandardCharge', 'readonly', 'required'])); ?> </div> </div> <div class="d-flex justify-content-end"> <div class="form-group"> <?php echo e(Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary me-2'])); ?> <a href="<?php echo e(route('pathology.test.index')); ?>" class="btn btn-secondary me-2"><?php echo e(__('messages.common.cancel')); ?></a> </div> </div> </div> <?php /**PATH /home/u827283894/domains/w-manage.org/public_html/hms/resources/views/pathology_tests/fields.blade.php ENDPATH**/ ?>