{!! Form::horizondal_open()->id('ReferralSourceRevisitReportForm')->secure()->method('POST')->files('true')->enctype('multipart/form-data') !!}
{!! Form::select('search[referral_clinics.company_id]')->options(Company::companies(), user('admin.web')->current_comp)->disabled()->addGroupClass('form-group-sm')->label('Company')->id('company_ id')->placeholder('select company') !!}
{!! Form::select('search[referral_clinics.division_id]')->options(Company::divisions())->addGroupClass('form-group-sm')->label('Division')->id('division_id')->placeholder('select Division') !!}
{!! Form::select('search[referral_clinic_revisits.referral_clinic_id]')->options(ReferralClinic::referral_Clinic())->addGroupClass('form-group-sm')->label('Hospital/Clinic')->placeholder('select Hospital/Clinic')->id('clinic_name') !!}
{!! Form::select('search[doctor_id]')->options(ReferralClinic::doctor())->addGroupClass('form-group-sm')->label('Doctor')->id('doctor_id')->placeholder('Select Doctor') !!}
{!! Form::select('search[referral_clinic_revisits.user_id]')->id('user_id')->options(Company::allUsers())->addGroupClass('form-group-sm')->label('Executive Name')->placeholder('select Executive') !!}
{!! Form::select('search[type]')->id('type')->options(['' => 'All','New' => 'New', 'Revisit' => 'Revisit'])->addGroupClass('form-group-sm')->label('Type') !!}
{!! Form::close() !!}