{{ Form::label('vaccination_date', 'Vaccination Date', []) }} * {{ Form::text('vaccination_date', '', ['class' => 'form-control', 'id' => 'vaccination_date', 'autocomplete' => 'off', 'placeholder' => 'YYYY-mm-dd', 'required']) }}

{{ Form::label('vaccine_id', 'Vaccine', []) }} * {{ Form::select( //SELECT FORM 'vaccine_id', //name $vaccinesList, '', //value ['id' => 'vaccine_id', 'class' => 'form-control', 'required'] //attributes ) }}

{{ Form::label('batch_number', 'Batch Number', []) }} {{ Form::text('batch_number', '', ['class' => 'form-control', 'id' => 'batch_number', 'autocomplete' => 'off', 'placeholder' => 'Batch Number']) }}

{{ Form::label('dose', 'Dose', []) }} * {{ Form::select( //SELECT FORM 'dose', //name array( //options '' => '~~SELECT~~', '1' => '1ST DOSE', '2' => '2ND DOSE', '3' => 'BOOSTER SHOT', '4' => 'OTHER', ), '', //value ['id' => 'dose', 'class' => 'form-control', 'required'] //attributes ) }}

{{ Form::label('next_dose_date', 'Next Dose Date', []) }} {{ Form::text('next_dose_date', '', ['class' => 'form-control', 'id' => 'next_dose_date', 'autocomplete' => 'off', 'placeholder' => 'YYYY-mm-dd']) }}

{{ Form::label('place_of_vaccination', 'Place Of Vaccination', []) }} * {{ Form::textarea('place_of_vaccination', '', ['class' => 'form-control', 'id' => 'place_of_vaccination', 'autocomplete' => 'off', 'style' => 'height: 123px', 'placeholder' => 'Place Of Vaccination', 'required']) }}

{{ Form::label('issued_by', 'Issued by', []) }} * {{ Form::select( //SELECT FORM 'issued_by', //name $personnelList, '', //value ['id' => 'issued_by', 'class' => 'form-control', 'required'] //attributes ) }}