{!! Form::horizondal_open()->id('ReferralPatientReportForm')->secure()->method('POST')->files('true')->enctype('multipart/form-data') !!}
{!! Form::select('search[referral_patients.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_patients.division_id]')->options(Company::divisions())->addGroupClass('form-group-sm')->label('Division')->id('division_id')->placeholder('select Division') !!}
{!! Form::select('search[referral_patients.referral_clinic_id]')->options(ReferralClinic::referral_Clinic())->addGroupClass('form-group-sm')->label('Referral Hospital/Clinic')->placeholder('select Hospital/Clinic')->id('referral_clinic_id') !!}
{!! Form::select('search[doctor_department_id]')->options(ReferralClinic::doctor_departments())->addGroupClass('form-group-sm')->label('Referral Department')->placeholder('select Doctor Department')->id('doctor_department_id') !!}
{!! Form::select('search[referral_doctor_id]')->options(ReferralClinic::doctor())->addGroupClass('form-group-sm')->label('Referral Doctor')->id('referral_doctor_id')->placeholder('Select Doctor') !!}
{!! Form::select('search[referral_patients.user_id]')->id('user_id')->options(Company::allUsers())->addGroupClass('form-group-sm')->label('Executive Name')->placeholder('select Executive') !!}
{!! Form::select('search[referral_patients.op_no]')->id('op_no')->options(ReferralClinic::op_No())->addGroupClass('form-group-sm')->label('OP No')->placeholder('Select OP No') !!}
{!! Form::close() !!}