{{ Form::label('issue_date', __('messages.blood_issue.issue_date') . ':', ['class' => 'form-label']) }} {{ Form::text('issue_date', '', ['id' => 'editBloodIssueDate', 'class' => getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control', 'required', 'placeholder' => __('messages.blood_issue.issue_date')]) }}

{{ Form::label('doctor_id', __('messages.blood_issue.doctor_name') . ':', ['class' => 'form-label']) }} {{ Form::select('doctor_id', $doctors, null, ['class' => 'form-select', 'required', 'id' => 'editBloodIssueDoctorName', 'placeholder' => __('messages.schedule.select_doctor_name'), 'data-control' => 'select2', 'required']) }}

{{ Form::label('patient_id', __('messages.blood_issue.patient_name') . ':', ['class' => 'form-label']) }} {{ Form::select('patient_id', $patients, null, ['class' => 'form-select', 'required', 'id' => 'editBloodIssuePatientName', 'placeholder' => __('messages.document.select_patient'), 'data-control' => 'select2', 'required']) }}

{{ Form::label('donor_id', __('messages.blood_issue.donor_name') . ':', ['class' => 'form-label']) }} {{ Form::select('donor_id', $donors, null, ['class' => 'form-select', 'required', 'id' => 'editDonorName', 'placeholder' => __('messages.common.choose') . ' ' . __('messages.blood_donation.donor_name'), 'data-control' => 'select2', 'required']) }}

{{ Form::label('blood_group', __('messages.user.blood_group') . ':', ['class' => 'form-label']) }} {{ Form::select('blood_group', [], null, ['class' => 'form-select', 'required', 'id' => 'editIssuedBloodGroup', 'placeholder' => __('messages.user.select_blood_group'), 'data-control' => 'select2', 'disabled']) }}

{{ Form::label('amount', __('messages.blood_issue.amount') . ':', ['class' => 'form-label']) }} {{ Form::text('amount', '', ['id' => 'editBloodIssueAmount', 'class' => 'form-control price-input price', 'required', 'maxlength' => '9', 'placeholder' => __('messages.blood_issue.amount')]) }}