{{ Form::label('charge_type', __('messages.charge_category.charge_type') . ':', ['class' => 'form-label']) }} {{ Form::select('charge_type', $chargeTypes, null, ['class' => 'form-select', 'required', 'id' => 'editChargeTypeId', '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($chargeCategory) ? $chargeCategory : [], null, ['class' => 'form-select', 'required', 'id' => 'editChargeCategoryId', 'placeholder' => __('messages.pathology_category.select_charge_category')]) }}

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

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

{{ Form::label('description', __('messages.birth_report.description') . ':', ['class' => 'form-label']) }} {{ Form::textarea('description', null, ['class' => 'form-control', 'rows' => 4, 'id' => 'editChargesDescription', 'placeholder' => __('messages.birth_report.description')]) }}