{{ Form::hidden('appointment_id', $appointmentId) }} {{ Form::hidden('patient_id', $appointment->patient->id) }} @if(Auth::user()->hasRole('Doctor')) @else {{ Form::hidden('doctor_id', $appointment->doctor->id, null, ['class' => 'form-select', 'required', 'id' => 'prescriptionDoctorId', 'placeholder' => __('messages.common.select_doctor')]) }} @endif
{{ Form::label('health_insurance', __('messages.prescription.health_insurance').(':'), ['class' => 'form-label']) }} {{ Form::text('health_insurance', null, ['class' => 'form-control']) }}
{{ Form::label('low_income', __('messages.prescription.low_income').(':'), ['class' => 'form-label']) }} {{ Form::text('low_income', null, ['class' => 'form-control']) }}
{{ Form::label('reference', __('messages.prescription.reference').(':'), ['class' => 'form-label']) }} {{ Form::text('reference', null, ['class' => 'form-control']) }}
{{ Form::label('status', __('messages.web.status').(':'), ['class' => 'form-label']) }}
status)) ? 'checked' : ''}}>