Choose Patient Number Select Patient Number @foreach ($patient_data as $patient_number) {{ $patient_number['patient_number'] }} @endforeach @error('patient_number') {{ $message }} @enderror

Clinic Name Patient is moving to Select Clinic Patient move to @foreach ($clinics as $clinics_list) {{ $clinics_list['c_name'] }} @endforeach @error('to_clinic') {{ $message }} @enderror

Current Residence @error('current_resdence') {{ $message }} @enderror

New Residence @error('new_resdence') {{ $message }} @enderror

Referal reason @error('appeal_reason') {{ $message }} @enderror

Clinical notes @error('clinical_patient_desc') {{ $message }} @enderror