{{ 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) }} @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']) }}