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

{!! Form::text('details') -> label(trans('pharmacies::pharmacy.label.details')) -> placeholder(trans('pharmacies::pharmacy.placeholder.details'))!!}

{!! Form::text('address') -> label(trans('pharmacies::pharmacy.label.address')) -> placeholder(trans('pharmacies::pharmacy.placeholder.address'))!!}

{!! Form::text('image') -> label(trans('pharmacies::pharmacy.label.image')) -> placeholder(trans('pharmacies::pharmacy.placeholder.image'))!!}

{!! Form::text('lattitude') -> label(trans('pharmacies::pharmacy.label.lattitude')) -> placeholder(trans('pharmacies::pharmacy.placeholder.lattitude'))!!}

{!! Form::text('longitude') -> label(trans('pharmacies::pharmacy.label.longitude')) -> placeholder(trans('pharmacies::pharmacy.placeholder.longitude'))!!}

{!! Form::text('telephone') -> label(trans('pharmacies::pharmacy.label.telephone')) -> placeholder(trans('pharmacies::pharmacy.placeholder.telephone'))!!}

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

{!! Form::text('email') -> label(trans('pharmacies::pharmacy.label.email')) -> placeholder(trans('pharmacies::pharmacy.placeholder.email'))!!}

{!! Form::text('emergency_no') -> label(trans('pharmacies::pharmacy.label.emergency_no')) -> placeholder(trans('pharmacies::pharmacy.placeholder.emergency_no'))!!}