{{ Form::label('patient_id', __('messages.prescription.patient') . ':', ['class' => 'form-label']) }} {{ Form::select('patient_id', $patients, null, ['class' => 'form-select', 'required', 'id' => 'prescriptionPatientId', 'placeholder' => __('messages.document.select_patient')]) }}

@if (Auth::user()->hasRole('Doctor')) @else

{{ Form::label('doctor_name', __('messages.case.doctor') . ':', ['class' => 'form-label']) }} {{ Form::select('doctor_id', $doctors, null, ['class' => 'form-select', 'required', 'id' => 'prescriptionDoctorId', 'placeholder' => __('messages.web_home.select_doctor')]) }}

@endif

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

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

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

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