@include('layout.header')
@include('layout.navbar') @include('layout.breadscrum')
@include('layout.sidebar')
{{__('sample.form_add_title')}}
@csrf
{{__('sample.form_patient')}}
*
@foreach($patients as $patient)
id ? 'selected':''}} value="{{$patient->id}}">{{($patient->patient_uuid . ' - ' . $patient->name_en) . ((!empty($patient->phone_number) ? ' - '.$patient->phone_number: ''))}}
@endforeach
{{--
{{__('general.btn_search')}}
--}} @if(\App\Http\Controllers\Helper\GlobalController::user_can(Auth::user()->role_id, ['create_patient']))
{{__('patient.form_add_title')}}
@endif
{{__('sample.form_sample_number')}}
{{$labSettings->sample_number == 1 ? '' : '*'}}
sample_number == 1 ? ' disabled readonly ' : ''}} name="sample_number" id="sample-number" placeholder="Sample No">
{{--
--}}
{{__('sample.form_sample_source')}}
*
@foreach($sampleSources as $sampleSource)
is_default==1? 'selected':''}} value="{{$sampleSource->id}}">{{$sampleSource->name_en}}
@endforeach
{{__('sample.form_requester')}}
*
@foreach($physicians as $physician)
is_default==1? 'selected':''}} value="{{$physician->id}}">{{$physician->name_en}}
@endforeach
{{__('sample.form_collected_date')}}
*
{{__('sample.form_received_date')}}
*
{{__('sample.form_admission_date')}}
*
{{__('sample.form_diagnisis')}}
{{__('sample.form_sample_condition')}}
{{__('sample.form_sample_condition')}}
{{__('sample.condition_good')}}
{{__('sample.condition_reject')}}
{{__('sample.condition_acceptable')}}
{{__('sample.form_reject_reason')}}
@foreach($rejectComments as $rejectComment)
{{$rejectComment->reject_comment}}
@endforeach
{{__('sample.form_is_urgent')}}
@if(\App\Http\Controllers\Helper\GlobalController::user_can(Auth::user()->role_id, ['create_sample']))
{{__('sample.form_btn_save_assign_test')}}
@endif
{{__('patient.form_add_title')}}
@csrf
{{__('patient.form_code')}}
*
patient_code == 1 ? ' disabled readonly ' : ''}} name="patient_code" id="patient-code" placeholder="{{__('patient.form_code')}}">
{{--
--}}
{{__('patient.form_name')}}
*
{{__('patient.form_dob')}}
*
{{__('patient_type.form_input_year')}}
{{__('patient_type.form_input_month')}}
{{__('patient_type.form_input_day')}}
{{__('patient.form_gender')}}
*
{{__('patient.form_sex_male')}}
{{__('patient.form_sex_female')}}
{{__('patient.form_sex_other')}}
{{__('patient.form_phone')}}
{{__('patient.form_khid')}}
{{__('patient.form_house')}}
{{__('patient.form_street')}}
{{__('patient.form_province')}}
@foreach($provinces as $province)
{{$province->name}}
@endforeach
{{__('patient.form_district')}}
{{__('patient.form_commune')}}
{{__('patient.form_village')}}
@include('modal.assign_test') @include('layout.footer')
@include('layout.common_script')