{{ __('messages.ipd_patient_consultant_register.edit_consultant_register') }}

{{ Form::open(['id' => 'editIpdConsultantNewForm']) }}
{{ Form::hidden('id', null, ['id' => 'ipdEditConsultantId']) }} {{ Form::hidden('ipd_patient_department_id', $ipdPatientDepartment->id) }}
{{ Form::label('applied_date', __('messages.ipd_patient_consultant_register.applied_date') . ':', ['class' => 'form-label']) }} {{ Form::text('applied_date', null, ['placeholder' => __('messages.ipd_patient_consultant_register.applied_date'),'class' => 'form-control appliedDate bg-white min-w-170 modelDataPickerzindex', 'id' => 'editConsultantAppliedDate', 'autocomplete' => 'off', 'required']) }}
{{ Form::label('doctor_id', __('messages.ipd_patient_consultant_register.doctor_id') . ':', ['class' => 'form-label']) }} {{ Form::select('doctor_id', $doctors, null, ['class' => 'form-select doctorId select2Selector', 'required', 'placeholder' => __('messages.web_appointment.select_doctor'), 'id' => 'editConsultantDoctorId']) }}
{{ Form::label('instruction_date', __('messages.ipd_patient_consultant_register.instruction_date') . ':', ['class' => 'form-label']) }} {{ Form::text('instruction_date', null, ['placeholder' => __('messages.ipd_patient_consultant_register.instruction_date'),'class' => 'form-control instructionDate bg-white min-w-170', 'autocomplete' => 'off', 'required', 'id' => 'editConsultantInstructionDate']) }}
{{ Form::label('instruction', __('messages.ipd_patient_consultant_register.instruction') . ':', ['class' => 'form-label']) }} {{ Form::textarea('instruction', null, ['placeholder' => __('messages.ipd_patient_consultant_register.instruction'),'class' => 'form-control min-w-170', 'rows' => 4, 'required', 'id' => 'editConsultantInstruction', 'onkeypress' => 'return avoidSpace(event);']) }}
{{ Form::button(__('messages.common.save'), ['type' => 'submit', 'class' => 'btn btn-primary me-2', 'id' => 'editConsultantSave', 'data-loading-text' => " Processing..."]) }}
{{ Form::close() }}