{!! trans('patient::contact.label.id') !!}
{!! $contact['id'] !!}

{!! trans('patient::contact.label.patient_id') !!}
{!! $contact['patient_id'] !!}

{!! trans('patient::contact.label.country') !!}
{!! $contact['country'] !!}

{!! trans('patient::contact.label.name') !!}
{!! $contact['name'] !!}

{!! trans('patient::contact.label.email') !!}
{!! $contact['email'] !!}

{!! trans('patient::contact.label.mobile') !!}
{!! $contact['mobile'] !!}

{!! trans('patient::contact.label.phone') !!}
{!! $contact['phone'] !!}

{!! trans('patient::contact.label.fax') !!}
{!! $contact['fax'] !!}

{!! trans('patient::contact.label.building') !!}
{!! $contact['building'] !!}

{!! trans('patient::contact.label.street') !!}
{!! $contact['street'] !!}

{!! trans('patient::contact.label.city') !!}
{!! $contact['city'] !!}

{!! trans('patient::contact.label.state') !!}
{!! $contact['state'] !!}

{!! trans('patient::contact.label.zip') !!}
{!! $contact['zip'] !!}

{!! trans('patient::contact.label.default') !!}
{!! $contact['default'] !!}

{!! trans('patient::contact.label.responsible') !!}
{!! $contact['responsible'] !!}

{!! trans('patient::contact.label.type') !!}
{!! $contact['type'] !!}

{!! trans('patient::contact.label.waiverings') !!}
{!! $contact['waiverings'] !!}

{!! trans('patient::contact.label.mailings') !!}
{!! $contact['mailings'] !!}

{!! trans('patient::contact.label.callings') !!}
{!! $contact['callings'] !!}

{!! trans('patient::contact.label.textings') !!}
{!! $contact['textings'] !!}

{!! trans('patient::contact.label.emailings') !!}
{!! $contact['emailings'] !!}

{!! trans('patient::contact.label.created_at') !!}
{!! $contact['created_at'] !!}

{!! trans('patient::contact.label.updated_at') !!}
{!! $contact['updated_at'] !!}

{!! trans('patient::contact.label.deleted_at') !!}
{!! $contact['deleted_at'] !!}

{!! Form::numeric('patient_id') -> label(trans('patient::contact.label.patient_id')) -> placeholder(trans('patient::contact.placeholder.patient_id'))!!}

{!! Form::numeric('country') -> label(trans('patient::contact.label.country')) -> placeholder(trans('patient::contact.placeholder.country'))!!}

{!! Form::text('name') -> label(trans('patient::contact.label.name')) -> placeholder(trans('patient::contact.placeholder.name'))!!}

{!! Form::email('email') -> label(trans('patient::contact.label.email')) -> placeholder(trans('patient::contact.placeholder.email'))!!}

{!! Form::text('mobile') -> label(trans('patient::contact.label.mobile')) -> placeholder(trans('patient::contact.placeholder.mobile'))!!}

{!! Form::text('phone') -> label(trans('patient::contact.label.phone')) -> placeholder(trans('patient::contact.placeholder.phone'))!!}

{!! Form::text('fax') -> label(trans('patient::contact.label.fax')) -> placeholder(trans('patient::contact.placeholder.fax'))!!}

{!! Form::text('building') -> label(trans('patient::contact.label.building')) -> placeholder(trans('patient::contact.placeholder.building'))!!}

{!! Form::text('street') -> label(trans('patient::contact.label.street')) -> placeholder(trans('patient::contact.placeholder.street'))!!}

{!! Form::text('city') -> label(trans('patient::contact.label.city')) -> placeholder(trans('patient::contact.placeholder.city'))!!}

{!! Form::text('state') -> label(trans('patient::contact.label.state')) -> placeholder(trans('patient::contact.placeholder.state'))!!}

{!! Form::text('zip') -> label(trans('patient::contact.label.zip')) -> placeholder(trans('patient::contact.placeholder.zip'))!!}

{!! Form::inline_radios('default') -> radios(trans('patient::contact.options.default')) -> label(trans('patient::contact.label.default'))!!}

{!! Form::inline_radios('responsible') -> radios(trans('patient::contact.options.responsible')) -> label(trans('patient::contact.label.responsible'))!!}

{!! Form::inline_radios('type') -> radios(trans('patient::contact.options.type')) -> label(trans('patient::contact.label.type'))!!}

{!! Form::inline_radios('waiverings') -> radios(trans('patient::contact.options.waiverings')) -> label(trans('patient::contact.label.waiverings'))!!}

{!! Form::inline_radios('mailings') -> radios(trans('patient::contact.options.mailings')) -> label(trans('patient::contact.label.mailings'))!!}

{!! Form::inline_radios('callings') -> radios(trans('patient::contact.options.callings')) -> label(trans('patient::contact.label.callings'))!!}

{!! Form::inline_radios('textings') -> radios(trans('patient::contact.options.textings')) -> label(trans('patient::contact.label.textings'))!!}

{!! Form::inline_radios('emailings') -> radios(trans('patient::contact.options.emailings')) -> label(trans('patient::contact.label.emailings'))!!}