{{ __('messages.doctor_opd_charge.edit_doctor_opd_charge') }}

{{ Form::open(['id' => 'editDoctorChargesForm']) }} {{ Form::hidden('currency_symbol', getCurrentCurrency(), ['class' => 'currencySymbol']) }}

{{ Form::hidden('id', null, ['id' => 'doctorOPDChargeId']) }}

{{ Form::label('doctor_id', __('messages.doctor_opd_charge.doctor') . ':', ['class' => 'form-label']) }} {{ Form::select('doctor_id', $doctors, null, ['class' => 'form-select', 'autocomplete' => 'off', 'required', 'id' => 'editChargesDoctorId', 'placeholder' => __('messages.document.select_patient')]) }}

{{ Form::label('standard_charge', __('messages.doctor_opd_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,"")', 'id' => 'editDoctorStandardCharge','placeholder' => __('messages.doctor_opd_charge.standard_charge')]) }}

{{ Form::button(__('messages.common.save'), ['type' => 'submit', 'class' => 'btn btn-primary m-0', 'id' => 'editDoctorChargesSave', 'data-loading-text' => " Processing..."]) }}

{{ Form::close() }}