{{ __('messages.ipd_patient_timeline.edit_ipd_timeline') }}

{{ Form::open(['id' => 'editIpdTimelineForm', 'files' => true]) }}
{{ Form::hidden('ipd_patient_department_id', $ipdPatientDepartment->id) }} {{ Form::hidden('id', null, ['id' => 'ipdTimelineId']) }}
{{ Form::label('title', __('messages.ipd_patient_timeline.title') . ':', ['class' => 'form-label']) }} {{ Form::text('title', null, ['class' => 'form-control', 'required', 'id' => 'editIpdTimelineTitle', 'placeholder' => __('messages.ipd_patient_timeline.title')]) }}
{{ Form::label('date', __('messages.ipd_patient_timeline.date') . ':', ['class' => 'form-label']) }} {{ Form::text('date', null, ['placeholder' => __('messages.ipd_patient_timeline.date'), 'class' => getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control', 'id' => 'editIpdTimelineDate']) }}
{{ Form::label('description', __('messages.ipd_patient_timeline.description') . ':', ['class' => 'form-label']) }} {{ Form::textarea('description', null, ['placeholder' => __('messages.ipd_patient_timeline.description'), 'class' => 'form-control', 'rows' => 4, 'id' => 'editIpdTimelineDescription']) }}
{{ Form::label('visible_to_person', __('messages.ipd_patient_timeline.visible_to_person') . ':', ['class' => 'form-label']) }}
{{ Form::label('document', __('messages.ipd_patient_timeline.document') . ':', ['class' => 'form-label mb-2 d-block']) }}
{{ Form::button(__('messages.common.save'), ['type' => 'submit', 'class' => 'btn btn-primary me-3', 'id' => 'btnIpdTimelineEdit', 'data-loading-text' => " Processing..."]) }}
{{ Form::close() }}