{{ Form::label('name', __('messages.medicine.brand').':', ['class' => 'form-label']) }}
{{ Form::text('name', null, ['id'=>'name','class' => 'form-control','required']) }}
{{ Form::label('phone', __('messages.user.phone').':', ['class' => 'form-label']) }}
{{ Form::tel('phone', null, ['class' => 'form-control phoneNumber','id' => 'phoneNumber', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")']) }}
{{ Form::hidden('prefix_code',null,['class'=>'prefix_code']) }}
{{ Form::hidden('country_iso', null, ['class' => 'country_iso']) }}
✓ {{__('messages.valid')}}
{{ Form::label('email', __('messages.user.email').':', ['class' => 'form-label']) }}
{{ Form::email('email', null, ['id'=>'email','class' => 'form-control']) }}
{{ Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary', 'id' => 'btnSave']) }}
{{ __('messages.common.cancel') }}