{!! Form::numeric('patient_id')
-> label(trans('doctorrequest::doctorrequest.label.patient_id'))
-> placeholder(trans('doctorrequest::doctorrequest.placeholder.patient_id'))!!}
{!! Form::numeric('doctor_id')
-> label(trans('doctorrequest::doctorrequest.label.doctor_id'))
-> placeholder(trans('doctorrequest::doctorrequest.placeholder.doctor_id'))!!}
{!! Form::numeric('profile_id')
-> label(trans('doctorrequest::doctorrequest.label.profile_id'))
-> placeholder(trans('doctorrequest::doctorrequest.placeholder.profile_id'))!!}
{!! Form::numeric('department_id')
-> label(trans('doctorrequest::doctorrequest.label.department_id'))
-> placeholder(trans('doctorrequest::doctorrequest.placeholder.department_id'))!!}
{!! Form::text('notes')
-> label(trans('doctorrequest::doctorrequest.label.notes'))
-> placeholder(trans('doctorrequest::doctorrequest.placeholder.notes'))!!}