{!! Form::horizondal_open()->id('ReferralDirectReportForm')->secure()->method('POST')->files('true')->enctype('multipart/form-data') !!}
{!! Form::select('search[referral_directs.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_directs.division_id]')->options(Company::divisions())->addGroupClass('form-group-sm')->label('Division')->id('division_id')->placeholder('select Division') !!}
{!! Form::select('search[doctor_department_id]')->options(ReferralClinic::doctor_departments())->addGroupClass('form-group-sm')->label('Department')->placeholder('select Doctor Department')->id('doctor_department_id') !!}
{!! Form::select('search[referral_directs.user_id]')->id('user_id')->options(Company::allUsers())->addGroupClass('form-group-sm')->label('Created By')->placeholder('select created user') !!}
{!! Form::select('search[referral_directs.status]')->id('status')->options(['' => 'All'] + trans('referral_clinic::referral_direct.options.status'))->addGroupClass('form-group-sm')->label('Status') !!}
{!! Form::text('search[referring_hospital]')->id('referring_hospital')->addGroupClass('form-group-sm')->label('Hospital Name') !!}
{!! Form::text('search[patient_name]')->id('patient_name')->addGroupClass('form-group-sm')->label('Patient Name') !!}
{!! Form::select('search[patient_urgency_level]')->id('patient_urgency_level')->options(['' => 'All'] + trans('referral_clinic::referral_direct.options.patient_urgency_level'))->addGroupClass('form-group-sm')->label('Urgency Level') !!}
{!! Form::select('search[requested_treatment]')->id('requested_treatment')->options(['' => 'All'] + trans('referral_clinic::referral_direct.options.requested_treatment'))->addGroupClass('form-group-sm')->label('Requested Treatment') !!}
{!! Form::select('search[transport_mode]')->id('transport_mode')->options(['' => 'All'] + trans('referral_clinic::referral_direct.options.transport_mode'))->addGroupClass('form-group-sm')->label('Transport Mode') !!}
{!! Form::close() !!}