{{ Form::label('test_name', __('messages.radiology_test.test_name').':',['class' => 'form-label']) }} {{ Form::text('test_name', null, ['class' => 'form-control','required']) }}

{{ Form::label('short_name', __('messages.radiology_test.short_name').':',['class' => 'form-label']) }} {{ Form::text('short_name', null, ['class' => 'form-control','required']) }}

{{ Form::label('test_type', __('messages.radiology_test.test_type').':',['class' => 'form-label']) }} {{ Form::text('test_type', null, ['class' => 'form-control','required']) }}

{{ Form::label('category_id', __('messages.radiology_test.category_name').':',['class' => 'form-label']) }} {{ Form::select('category_id',$data['radiologyCategories'], null, ['class' => 'form-select radiology-categories-name','required','id' => 'radiologyCategories','placeholder'=>__('messages.medicine.select_category'),'required']) }}

{{ Form::label('subcategory', __('messages.radiology_test.subcategory').':',['class' => 'form-label']) }} {{ Form::text('subcategory', null, ['class' => 'form-control']) }}

{{ Form::label('report_days', __('messages.radiology_test.report_days').':',['class' => 'form-label']) }} {{ Form::number('report_days', null, ['class' => 'form-control']) }}

{{ Form::label('charge_category_id', __('messages.radiology_test.charge_category').':',['class' => 'form-label']) }} {{ Form::select('charge_category_id',$data['chargeCategories'], null, ['class' => 'form-select charge-category','required','id' => 'chargeCategory','placeholder'=>__('messages.pathology_category.select_charge_category'),'required']) }}

{{ Form::label('charge_id', __('Charge').':', ['class' => 'form-label']) }} {{ Form::select('charge_id',[], null, ['class' => 'form-select charge-code','required','disabled','id' => 'chargeCode','placeholder'=>__('Select Charge'),'required']) }}

{{ Form::label('standard_charge', __('messages.radiology_test.standard_charge').':',['class' => 'form-label']) }} @if(getCurrencySymbol() != null) ({{ getCurrencySymbol() }}) @endif {{ Form::text('standard_charge', null, ['class' => 'form-control price-input rd-test-standard-charge', 'id' => 'rdStandardCharge', 'readonly', 'required']) }}