@include('patient::public.contact.partial.header')

            <section class="single">
                <div class="container">
                    <div class="row">
                        <div class="col-md-3">
                            @include('patient::public.contact.partial.aside')
                        </div>
                        <div class="col-md-9 ">
                            <div class="area">
                                <div class="item">
                                    <div class="feature">
                                        <img class="img-responsive center-block" src="{!!url($contact->defaultImage('images' , 'xl'))!!}" alt="{{$contact->title}}">
                                    </div>
                                    <div class="content">
                                        <div class="row">
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="id">
                    {!! trans('patient::contact.label.id') !!}
                </label><br />
                    {!! $contact['id'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="patient_id">
                    {!! trans('patient::contact.label.patient_id') !!}
                </label><br />
                    {!! $contact['patient_id'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="country">
                    {!! trans('patient::contact.label.country') !!}
                </label><br />
                    {!! $contact['country'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="name">
                    {!! trans('patient::contact.label.name') !!}
                </label><br />
                    {!! $contact['name'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="email">
                    {!! trans('patient::contact.label.email') !!}
                </label><br />
                    {!! $contact['email'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="mobile">
                    {!! trans('patient::contact.label.mobile') !!}
                </label><br />
                    {!! $contact['mobile'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="phone">
                    {!! trans('patient::contact.label.phone') !!}
                </label><br />
                    {!! $contact['phone'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="fax">
                    {!! trans('patient::contact.label.fax') !!}
                </label><br />
                    {!! $contact['fax'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="building">
                    {!! trans('patient::contact.label.building') !!}
                </label><br />
                    {!! $contact['building'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="street">
                    {!! trans('patient::contact.label.street') !!}
                </label><br />
                    {!! $contact['street'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="city">
                    {!! trans('patient::contact.label.city') !!}
                </label><br />
                    {!! $contact['city'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="state">
                    {!! trans('patient::contact.label.state') !!}
                </label><br />
                    {!! $contact['state'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="zip">
                    {!! trans('patient::contact.label.zip') !!}
                </label><br />
                    {!! $contact['zip'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="default">
                    {!! trans('patient::contact.label.default') !!}
                </label><br />
                    {!! $contact['default'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="responsible">
                    {!! trans('patient::contact.label.responsible') !!}
                </label><br />
                    {!! $contact['responsible'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="type">
                    {!! trans('patient::contact.label.type') !!}
                </label><br />
                    {!! $contact['type'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="waiverings">
                    {!! trans('patient::contact.label.waiverings') !!}
                </label><br />
                    {!! $contact['waiverings'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="mailings">
                    {!! trans('patient::contact.label.mailings') !!}
                </label><br />
                    {!! $contact['mailings'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="callings">
                    {!! trans('patient::contact.label.callings') !!}
                </label><br />
                    {!! $contact['callings'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="textings">
                    {!! trans('patient::contact.label.textings') !!}
                </label><br />
                    {!! $contact['textings'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="emailings">
                    {!! trans('patient::contact.label.emailings') !!}
                </label><br />
                    {!! $contact['emailings'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="created_at">
                    {!! trans('patient::contact.label.created_at') !!}
                </label><br />
                    {!! $contact['created_at'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="updated_at">
                    {!! trans('patient::contact.label.updated_at') !!}
                </label><br />
                    {!! $contact['updated_at'] !!}
            </div>
        </div>
        <div class="col-md-4 col-sm-6">
            <div class"form-group">
                <label for="deleted_at">
                    {!! trans('patient::contact.label.deleted_at') !!}
                </label><br />
                    {!! $contact['deleted_at'] !!}
            </div>
        </div>
    </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::numeric('patient_id')
                       -> label(trans('patient::contact.label.patient_id'))
                       -> placeholder(trans('patient::contact.placeholder.patient_id'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::numeric('country')
                       -> label(trans('patient::contact.label.country'))
                       -> placeholder(trans('patient::contact.placeholder.country'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('name')
                       -> label(trans('patient::contact.label.name'))
                       -> placeholder(trans('patient::contact.placeholder.name'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::email('email')
                       -> label(trans('patient::contact.label.email'))
                       -> placeholder(trans('patient::contact.placeholder.email'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('mobile')
                       -> label(trans('patient::contact.label.mobile'))
                       -> placeholder(trans('patient::contact.placeholder.mobile'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('phone')
                       -> label(trans('patient::contact.label.phone'))
                       -> placeholder(trans('patient::contact.placeholder.phone'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('fax')
                       -> label(trans('patient::contact.label.fax'))
                       -> placeholder(trans('patient::contact.placeholder.fax'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('building')
                       -> label(trans('patient::contact.label.building'))
                       -> placeholder(trans('patient::contact.placeholder.building'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('street')
                       -> label(trans('patient::contact.label.street'))
                       -> placeholder(trans('patient::contact.placeholder.street'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('city')
                       -> label(trans('patient::contact.label.city'))
                       -> placeholder(trans('patient::contact.placeholder.city'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('state')
                       -> label(trans('patient::contact.label.state'))
                       -> placeholder(trans('patient::contact.placeholder.state'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                       {!! Form::text('zip')
                       -> label(trans('patient::contact.label.zip'))
                       -> placeholder(trans('patient::contact.placeholder.zip'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('default')
                   -> radios(trans('patient::contact.options.default'))
                   -> label(trans('patient::contact.label.default'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('responsible')
                   -> radios(trans('patient::contact.options.responsible'))
                   -> label(trans('patient::contact.label.responsible'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('type')
                   -> radios(trans('patient::contact.options.type'))
                   -> label(trans('patient::contact.label.type'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('waiverings')
                   -> radios(trans('patient::contact.options.waiverings'))
                   -> label(trans('patient::contact.label.waiverings'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('mailings')
                   -> radios(trans('patient::contact.options.mailings'))
                   -> label(trans('patient::contact.label.mailings'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('callings')
                   -> radios(trans('patient::contact.options.callings'))
                   -> label(trans('patient::contact.label.callings'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('textings')
                   -> radios(trans('patient::contact.options.textings'))
                   -> label(trans('patient::contact.label.textings'))!!}
                </div>

                <div class='col-md-4 col-sm-6'>
                   {!! Form::inline_radios('emailings')
                   -> radios(trans('patient::contact.options.emailings'))
                   -> label(trans('patient::contact.label.emailings'))!!}
                </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </section>