{{ Form::label('charge_type', __('messages.charge_category.charge_type') . ':', ['class' => 'form-label']) }} {{ Form::select('charge_type', $chargeTypes, null, ['class' => 'form-select', 'required', 'id' => 'chargeTypeId', 'placeholder' => __('messages.common.choose') . ' ' . __('messages.charge_category.charge_type')]) }}

{{ Form::label('charge_category_id', __('messages.charge.charge_category') . ':', ['class' => 'form-label']) }} {!! Form::select('charge_category_id', isset($chargeCategories) ? nl2br(e($chargeCategories)) : [], null, [ 'class' => 'form-select', 'required', 'id' => 'chargeCategoryId', 'placeholder' => __('messages.pathology_category.select_charge_category'), ]) !!}

{{ Form::label('code', __('messages.charge.code') . ':', ['class' => 'form-label']) }} {{ Form::text('code', null, ['class' => 'form-control','required','placeholder'=>__('messages.charge.code')]) }}

{{ Form::label('standard_charge', __('messages.charge.standard_charge') . ':', ['class' => 'form-label']) }} {{ Form::text('standard_charge', null, ['class' => 'form-control price-input','required', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")','placeholder'=>__('messages.charge.standard_charge')]) }}