Server : Apache System : Linux server2.corals.io 4.18.0-348.2.1.el8_5.x86_64 #1 SMP Mon Nov 15 09:17:08 EST 2021 x86_64 User : corals ( 1002) PHP Version : 7.4.33 Disable Function : exec,passthru,shell_exec,system Directory :  /home/corals/clinic.corals.io/storage/framework/views/

Upload File : current_dir [ Writeable ] document_root [ Writeable ]

<div class="row gx-10 mb-5">
    <div class="col-lg-6">
        <div class="mb-5">
            <?php echo e(Form::label('visit_date', __('messages.visit.visit_date').':', ['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

            <?php echo e(Form::text('visit_date', isset($visit) ? $visit['visit_date'] : null, ['class' => 'form-control form-control-solid', 'id' => isset($visit) ? 'editDate' : 'date','placeholder' => 'Visit Date'])); ?>

        </div>
    </div>
    <?php if(auth()->check() && auth()->user()->hasRole('doctor')): ?>
    <?php echo e(Form::hidden('doctor_id',getLoginUser()->doctor->id)); ?>

    <?php else: ?>
        <div class="col-lg-6">
            <div class="mb-5">
                <?php echo e(Form::label('Doctor',__('messages.doctor.doctor').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

                <?php echo e(Form::select('doctor_id', $data['doctors'], isset($visit['doctor_id']) ? $visit['doctor_id'] : null,['class' => 'form-select form-select-solid form-select-lg fw-bold', 'data-control'=>'select2', 'id'=>'doctorId','placeholder' => 'Select Doctor'])); ?>

            </div>
        </div>
        <?php endif; ?>
        <div class="col-lg-6">
            <div class="mb-5">
                <?php echo e(Form::label('Patient',__('messages.appointment.patient').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3 required'])); ?>

                <?php echo e(Form::select('patient_id', $data['patients'], isset($data['patientUniqueId']) ? $data['patientUniqueId'] : null,['class' => 'form-select form-select-solid form-select-lg fw-bold', 'data-control'=>'select2','placeholder' => 'Select Patient'])); ?>

            </div>
        </div>
        <div class="col-lg-6 mb-5">
            <?php echo e(Form::label('Description',__('messages.appointment.description').':' ,['class' => 'form-label fs-6 fw-bolder text-gray-700 mb-3'])); ?>

            <?php echo e(Form::textarea('description', null, ['class'=> 'form-control form-control-solid','rows'=> 5,'placeholder'=>'Description' ])); ?>

        </div>
        <div class="d-flex">
            <button type="submit" class="btn btn-primary" id="btnSubmit"><?php echo e(__('messages.common.save')); ?></button>&nbsp;&nbsp;&nbsp;
            <a href="<?php echo e(getLogInUser()->hasRole('doctor') ? route('doctors.visits.index') : route('visits.index')); ?>"
               type="reset"
               class="btn btn-light btn-active-light-primary me-2"><?php echo e(__('messages.common.discard')); ?></a>
        </div>
</div>

<?php /**PATH /home/corals/clinic.corals.io/resources/views/visits/fields.blade.php ENDPATH**/ ?>