{{ __('messages.common.edit') }} {{ __('messages.operation.operation') }}

{{ Form::open(['id' => 'editIpdOperationNewForm']) }}
{{ Form::hidden('ipd_patient_department_id', $ipdPatientDepartment->id) }} {{ Form::hidden('ipd_operation_id', '', ['id' => 'ipdOperationId']) }} {{ Form::hidden('ipd_ref_no', '', ['id' => 'ipdOperationRefNo']) }}
{{ Form::label('operation_date', __('messages.operation.operation_date') . ':', ['class' => 'form-label']) }} {{ Form::text('operation_date', null, ['class' => 'form-control bg-white', 'id' => 'editIpdOperationDate', 'autocomplete' => 'off', 'required','placeholder' => __('messages.operation.operation_date')]) }}
{{ Form::label('operation_category_id', __('messages.operation_category.operation_category') . ':', ['class' => 'form-label']) }} {{ Form::select('operation_category_id', $operationCategory, null, ['class' => 'form-select select2Selector', 'id' => 'editIpdOperationCategoryId', 'required', 'placeholder' => __('messages.common.choose') .' '. __('messages.operation_category.operation_category'), 'data-is-charge-edit' => false]) }}
{{ Form::label('operation_id', __('messages.operation.operation_name') . ':', ['class' => 'form-label required']) }} {{ Form::select('operation_id', [null], null, ['class' => 'form-select select2Selector', 'id' => 'editIpdOperationsId', 'required', 'data-is-charge-edit' => 0, 'placeholder' => __('messages.common.choose') . ' ' . __('messages.operation.operation_name')]) }}
{{ Form::label('doctor_id', __('messages.ipd_consultant_doctor') . ':', ['class' => 'form-label']) }} {{ Form::select('doctor_id', $doctors, null, ['class' => 'form-select select2Selector', 'id' => 'editIpdOperationDoctorId', 'required', 'data-is-charge-edit' => 0, 'placeholder' => __('messages.web_appointment.select_doctor')]) }}
{{ Form::label('assistant_consultant_1', __('messages.ipd_patient_consultant_register.assistant_consultant_1') . ':', ['class' => 'form-label']) }} {{ Form::text('assistant_consultant_1', null, ['class' => 'form-control', 'id' => 'editIpdAssistantConsultant1','placeholder' => __('messages.ipd_patient_consultant_register.assistant_consultant_1')]) }}
{{ Form::label('assistant_consultant_2', __('messages.ipd_patient_consultant_register.assistant_consultant_2') . ':', ['class' => 'form-label']) }} {{ Form::text('assistant_consultant_2', null, ['class' => 'form-control', 'id' => 'editIpdAssistantConsultant2', 'placeholder' => __('messages.ipd_patient_consultant_register.assistant_consultant_2')]) }}
{{ Form::label('anesthetist', __('messages.ipd_patient_consultant_register.anesthetist') . ':', ['class' => 'form-label']) }} {{ Form::text('anesthetist', null, ['class' => 'form-control', 'id' => 'editAnesthetist','placeholder' => __('messages.ipd_patient_consultant_register.anesthetist')]) }}
{{ Form::label('anesthesia_type', __('messages.ipd_patient_consultant_register.anesthesia_type') . ':', ['class' => 'form-label']) }} {{ Form::text('anesthesia_type', null, ['class' => 'form-control', 'id' => 'editAnesthesiaType','placeholder' => __('messages.ipd_patient_consultant_register.anesthesia_type')]) }}
{{ Form::label('ot_technician', __('messages.operation.ot_technician') . ':', ['class' => 'form-label']) }} {{ Form::text('ot_technician', null, ['class' => 'form-control', 'id' => 'editOTTechnician','placeholder' => __('messages.operation.ot_technician')]) }}
{{ Form::label('ot_assistant', __('messages.operation.ot_assistant') . ':', ['class' => 'form-label']) }} {{ Form::text('ot_assistant', null, ['class' => 'form-control', 'id' => 'editOTAssistant', 'placeholder' => __('messages.operation.ot_assistant')]) }}
{{ Form::label('remark', __('messages.blood_issue.remarks'), ['class' => 'form-label']) }} {{ Form::textarea('remark', null, ['class' => 'form-control', 'rows' => 3, 'id' => 'editIpdOperationRemark', 'placeholder' => __('messages.blood_issue.remarks')]) }}
{{ Form::label('result', __('messages.common.result') . ':', ['class' => 'form-label']) }} {{ Form::textarea('result', null, ['class' => 'form-control', 'rows' => 3, 'id' => 'editIpdOperationResult', 'placeholder' => __('messages.common.result')]) }}
{{ Form::button(__('messages.common.save'), ['type' => 'submit', 'class' => 'btn btn-primary me-3', 'data-loading-text' => " Processing..."]) }}
{{ Form::close() }}