{{ Form::label('patient_id',__('messages.ipd_patient.patient_id').':', ['class' => 'form-label']) }} {{ Form::select('patient_id', $data['patients'], null, ['class' => 'form-select ipdPatientId', 'required', 'id' => 'ipdPatientId', 'placeholder' => __('messages.document.select_patient'), 'tabindex' => '1', 'data-control' => 'select2']) }}

{{ Form::label('case_id', __('messages.ipd_patient.case_id').':', ['class' => 'form-label']) }} {{ Form::select('case_id', [null], null, ['class' => 'form-select ipdDepartmentCaseId', 'required', 'id' => 'ipdDepartmentCaseId', 'disabled', 'data-control' => 'select2', 'placeholder' => __('messages.ipd_patient.choose_case')]) }}

{{ Form::label('ipd_number', __('messages.ipd_patient.ipd_number').':', ['class' => 'form-label']) }} {{ Form::text('ipd_number', $data['ipdNumber'], ['class' => 'form-control', 'readonly']) }}

{{ Form::label('height', __('messages.ipd_patient.height').':', ['class' => 'form-label']) }} {{ Form::number('height', 0, ['class' => 'form-control ipdDepartmentFloatNumber', 'max' => '7', 'step' => '.01', 'tabindex' => '2']) }}

{{ Form::label('weight', __('messages.ipd_patient.weight').':', ['class' => 'form-label']) }} {{ Form::number('weight', 0, ['class' => 'form-control ipdDepartmentFloatNumber', 'data-mask'=>'##0,00', 'max' => '200', 'step' => '.01', 'tabindex' => '3']) }}

{{ Form::label('bp', __('messages.ipd_patient.bp').':', ['class' => 'form-label']) }} {{ Form::text('bp', null, ['class' => 'form-control', 'tabindex' => '4']) }}

{{ Form::label('admission_date', __('messages.ipd_patient.admission_date').':', ['class' => 'form-label']) }} {{ Form::text('admission_date', null, ['class' => (getLoggedInUser()->theme_mode) ? 'form-control bg-light ipdAdmissionDate' : 'form-control bg-white ipdAdmissionDate','id' => 'ipdAdmissionDate','autocomplete' => 'off', 'required', 'tabindex' => '5']) }}

{{ Form::label('doctor_id',__('messages.ipd_patient.doctor_id').':', ['class' => 'form-label']) }} {{ Form::select('doctor_id', $data['doctors'], null, ['class' => 'form-select', 'required', 'id' => 'ipdDoctorId', 'placeholder' => __('messages.web_appointment.select_doctor'), 'data-control' => 'select2', 'tabindex' => '6']) }}

{{ Form::label('bed_type_id',__('messages.ipd_patient.bed_type_id').':', ['class' => 'form-label']) }} {{ Form::select('bed_type_id', $data['bedTypes'], null, ['class' => 'form-select ipdBedTypeId', 'required', 'id' => 'ipdBedTypeId', 'placeholder' => __('messages.bed.select_bed_type'), 'data-control' => 'select2', 'tabindex' => '7']) }}

{{ Form::label('bed_id',__('messages.ipd_patient.bed_id').':', ['class' => 'form-label']) }} {{ Form::select('bed_id', [null], null, ['class' => 'form-select', 'required', 'id' => 'ipdBedId', 'disabled', 'data-control' => 'select2', 'placeholder' => __('messages.bed.choose_bed')]) }}

{{ Form::label('is_old_patient',__('messages.ipd_patient.is_old_patient').':', ['class' => 'form-label']) }}