{{ Form::label('case_id', __('messages.case.case') . ':', ['class' => 'form-label']) }} {{ Form::select('case_id', $cases, null, ['class' => 'form-select', 'required', 'id' => 'caseId', 'placeholder' => __('messages.common.choose') . ' ' . __('messages.case.case'), 'data-control' => 'select2']) }} {{-- {{ Form::select('case_id', $cases, null, ['class' => 'form-select', 'required', 'id' => 'caseId', 'placeholder' => __('messages.common.choose') . ' ' . __('messages.case.case'), 'data-control' => 'select2', isset($bedAssign->case_id) ? 'disabled' : '']) }} --}} @if (isset($bedAssign->case_id)) {{ Form::hidden('case_id', $bedAssign->case_id) }} @endif {{ Form::hidden('id', null, ['id' => 'editBedAssignId']) }}

{{ Form::label('ipd_patient_department_id', __('messages.ipd_patient.ipd_patient') . ':', ['class' => 'form-label required']) }} {{ Form::select('ipd_patient_department_id', [null], null, ['class' => 'form-select', 'required', 'id' => 'ipdPatientId', 'disabled', 'data-control' => 'select2', 'placeholder' => __('messsages.common.choose') . ' ' . __('messages.ipd_patient.ipd_patient')]) }} {{ Form::hidden('ipd_patient_id', !empty($bedAssign->ipdPatient) ? $bedAssign->ipdPatient->ipd_number : '', ['class' => 'ipdPatientId']) }}

{{ Form::label('bed_id', __('messages.bed_assign.bed') . ':', ['class' => 'form-label']) }} {{ Form::select('bed_id', $beds, isset($bedId) ? $bedId : null, ['class' => 'form-select', 'required', 'id' => 'BedAssignBedId', 'data-control' => 'select2', 'placeholder' => __('messages.common.choose') . ' ' . __('messages.bed_assign.bed')]) }}

{{ Form::label('assign_date', __('messages.bed_assign.assign_date').':', ['class' => 'form-label required']) }} {{ Form::text('assign_date', null, ['class' => (getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control'),'id' => 'BedAssignDate', 'placeholder' => __('messages.bed_assign.assign_date'), 'required','placeholder'=>__('messages.bed_assign.assign_date')]) }}

{{ Form::label('discharge_date', __('messages.bed_assign.discharge_date') . ':', ['class' => 'form-label']) }} {{ Form::text('discharge_date', null, ['class' => getLoggedInUser()->thememode ? 'bg-light form-control' : 'bg-white form-control', 'id' => 'BedAssignDischargeDate', 'placeholder' => __('messages.bed_assign.discharge_date')]) }}

{{ Form::label('description', __('messages.bed_assign.description').':', ['class' => 'form-label']) }} {{ Form::textarea('description', null, ['id'=>'BedAssignDescription','class' => 'form-control', 'rows' => 4,'placeholder'=>__('messages.bed_assign.description')]) }}

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