@isset($sample)
    <input type="hidden" name="sender" value="{{ $sample->sender }}">
    <input type="hidden" name="receive_from" value="{{ $sample->receive_from_id }}">
    <input type="hidden" name="received_date" value="{{ $sample->received_date }}">
    <input type="hidden" name="receive_by" value="{{ $sample->receive_by }}">
    <input type="hidden" name="assessed_by" value="{{ $sample->assessed_by }}">
    <input type="hidden" name="collection_remarks" value="{{ $sample->remarks }}">
    <input type="hidden" name="group_test_id" value="{{ $sample->group_test_id }}">
    <div class="d-flex mb-2">
        <div class="ml-auto">
        @can('create_group')
            <a href="#" class="btn btn-primary create_req_btn" data-toggle="modal" data-target="#create_requisition" data-sample_id="{{$sample['id']}}">
                <i class="far fa-sticky-note"></i>
                {{ __('Replicate Requisition') }}
            </a>
        @endcan
        </div>
    </div>
@endisset


<div class="card card-primary d-none">
    <div class="card-header">
        <h3 class="card-title">{{ __('Requisition Information') }}</h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <!-- /.card-header -->
    <div class="card-body">
        <div class="col-lg-12">
            <div class="row">
                <div class="col-lg-8">
                    <div class="form-group" style="pointer-events: none">
                        <input type="hidden" name="is_extracted" value="1">
                        <input type="hidden" name="is_manual_created" value="0">
                        <label for="invoice_barcode">{{ __('Requisition No') }}</label>
                        <select name="invoice_barcode" id="invoice_barcode" class="form-control text-capitalize select2">
                            <option selected value="">Requisition No</option>
                            @foreach ($invoices as $key => $invoice)
                                <option value="{{ $invoice['id'] }}" @if (isset($sample) && $sample['invoice_id'] == $invoice['id']) selected @elseif(old('invoice_barcode') && old('invoice_barcode') == $invoice['id']) selected @endif>{{ $invoice['invoice_no'] }}</option>
                            @endforeach
                        </select>
                    </div>
                </div>
                <div class="col-lg-4">
                    <div class="form-group">
                        <label for="nsc_code">{{ __('NSC Code') }}</label>
                        <input type="text" name="nsc_code" id="nsc_code" class="form-control text-capitalize" @if (isset($sample) && is_null($sample['invoices']) == false && is_null($sample['invoices']['institution']) == false) value="{{ $sample['invoices']['institution']['nsc_code'] }} "  @elseif(old('nsc_code')) value="{{ old('nsc_code') }}" @endif readonly>
                    </div>
                </div>
                <!-- <div class="col-lg-3">
                    <div class="form-group">
                        <label for="batch_id">Batch ID</label>
                        <input type="text" name="batch_id" id="batch_id" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->batch_no }}" @elseif(old('batch_id')) value="{{ old('batch_id') }}" @endif>
                    </div>
                </div> -->


            </div>
        </div>
    </div>
    <!-- /.card-body -->
</div>
<div class="card card-primary">
    <div class="card-header">
        <h3 class="card-title">{{ __('Tests') }}</h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <!-- /.card-header -->
    <div class="card-body">
        <div class="row">
            <input type="hidden" name="department" value="{{ session('branch_id') }}">
            <div class="col-lg-6">
                <div class="form-group">
                    <label for="test"><span style="color:red">*</span> {{ __('Tests') }}</label>
                    @if (isset($sample))
                        <input type="hidden" name="test" value="{{ $sample['test_id'] }}">
                    @endif
                    <select name="test" id="test" class="form-control text-capitalize tests select2 @error('test') is-invalid @enderror" @if (isset($sample)) disabled @endif @if (isset($sample) == false) required @endif>
                        <option value="" selected><span style="color:red">*</span> Tests</option>
                        @foreach ($tests as $key => $test)
                            <option value="{{ $test['id'] }}" @if (isset($sample) && $sample['test_id'] == $test['id']) selected @elseif(old('test') && old('test') == $test['id']) selected @endif>{{ $test['name'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-6">
                <div class="form-group">
                    <label for="sample_type"><span style="color:red">*</span> {{ __('Sample type') }}</label>
                    <select name="sample_type" id="sample_type" class="form-control text-capitalize sample_types" @if (!isset($sample)) required @endif @if (isset($sample) == false) required @endif>
                        <option value="" selected>Sample Types</option>
                        @if (isset($sample))
                            @foreach ($sample_types as $sample_type)
                                <option value="{{ $sample_type['id'] }}" @if (isset($sample) && $sample['sample_type_id'] == $sample_type['id']) selected @elseif(old('sample_type') && old('sample_type') == $sample_type['id']) selected @endif>{{ $sample_type['name'] }}</option>
                            @endforeach
                        @endif
                    </select>
                </div>
            </div>
        </div>
    </div>
    <!-- /.card-body -->
</div>
<div class="card card-primary">
    <div class="card-header">
        <h3 class="card-title">{{ __('Patient Information') }}</h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <div class="card-body">
        <div class="row">
            <div class="col-lg-6">
                <div class="form-group" style="pointer-events: none">
                    <label for="patient_id"><span style="color:red">*</span>{{ __('Patient Code') }}</label>
                    <select name="patient_id" id="patient_id" class="form-control text-capitalize select2" @if (isset($sample) == false) required @endif>
                        <option value="" selected class="text-capitalize">Select Patient Code</option>
                        @foreach ($patients->sortBy('code') as $patient)
                            <option value="{{ $patient['id'] }}" @if (isset($sample) && is_null($sample['invoice_id']) == false && $sample['invoice']['patient_id'] == $patient['id']) selected @elseif(old('patient_id') == $patient['id']) selected  @elseif(isset($sample) && is_null($sample['invoice_id']) && is_null($sample['patient_id']) == false && $sample['patient_id'] == $patient['id']) selected @endif>{{ $patient->code }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-6">
                <div class="form-group">
                    <label for="patient_name">{{ __('Patient Name') }}</label>
                    <select name="patient_name" id="patient_name" class="form-control text-capitalize select2" @if (isset($sample) && (is_null($sample['invoice_id']) == false || is_null($sample['patient_id']) == false)) disabled @endif>
                        <option value="" selected class="text-capitalize">Select Patient Name</option>
                        @foreach ($patients->sortBy('name') as $patient)
                            <option value="{{ $patient['id'] }}" @if (isset($sample) && is_null($sample['invoice_id']) == false && $sample['invoice']['patient_id'] == $patient['id']) selected @elseif(old('patient_id') == $patient['id']) selected  @elseif(isset($sample) && is_null($sample['invoice_id']) && is_null($sample['patient_id']) == false && $sample['patient_id'] == $patient['id']) selected @endif>{{ $patient->name }} {{ $patient->last_name }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
        </div>

    </div>
    <!-- /.card-header -->
    <!-- /.card-body -->
</div>

<div class="card card-primary">
    <div class="card-header">
        <h3 class="card-title">{{ __('Sample Details') }}</h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <!-- /.card-header -->
    <div class="card-body">
        <div class="row">
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="barcode">{{ __('Barcode') }}</label>
                    <input type="text" name="barcode" id="barcode" class="form-control text-capitalize" readonly="readonly">
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="accession_no">{{ __('Lab Code') }}</label>
                    <input type="text" name="accession_no" id="accession_no" class="form-control text-capitalize" @if (old('accession_no')) value="{{ old('accession_no') }}" @endif>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="nsc_sample_id">{{ __('NSC Sample ID No') }}</label>
                    <input type="text" name="nsc_sample_id" id="nsc_sample_id" class="form-control text-capitalize" @if (old('nsc_sample_id')) value="{{ old('nsc_sample_id') }}" @endif>
                </div>
            </div>
            <!-- @if (SESSION('branch_id') == 2)
<div class="col-lg-3">
                    <div class="form-group">
                        <label for="case_no">{{ __('Case No') }}</label>
                        <input type="text" name="case_no" id="case_no" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->case_no }}" @elseif(old('case_no')) value="{{ old('case_no') }}" @endif>
                    </div>
                </div>
@endif -->
            <!-- <div class="col-lg-3">
                <div class="form-group">
                    <label for="sample_label">{{ __('Sample Label') }}</label>
                    <input type="text" name="sample_label" id="sample_label" class="form-control text-capitalize @error('sample_label') is-invalid @enderror" @if (isset($sample)) value="{{ $sample->sample_label }}" @elseif(old('sample_label')) value="{{ old('sample_label') }}" @endif>
                </div>
            </div> -->
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="age">{{ __('Age') }}</label>
                    <input type="text" name="age" id="age" class="form-control text-capitalize @error('age') is-invalid @enderror" @if (isset($sample) && is_null($sample['invoices']) == false) value="{{ $sample->invoices->patient->age }}" @elseif(isset($sample) && is_null($sample['invoice_id']) == true) value="{{ $sample->age }}" @elseif(old('age')) value="{{ old('age') }}" @endif @if (isset($sample)) disabled @endif>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="gender">{{ __('Gender') }}</label>
                    <select name="gender" id="gender" class="form-control text-capitalize" @if (isset($sample)) disabled @endif>
                        <option value="None" @if (isset($sample) && is_null($sample['invoices']) == false && $sample['invoices']['patient']['gender'] == null) selected @elseif(isset($sample) && is_null($sample['invoice_id']) == true && is_null($sample['gender'])) selected @endif>None</option>
                        <option value="female" @if (isset($sample) && is_null($sample['invoices']) == false && $sample['invoices']['patient']['gender'] == 'female') selected @elseif(isset($sample) && is_null($sample['invoice_id']) == true && $sample['gender'] == 'female') selected @endif>Female</option>
                        <option value="male" @if (isset($sample) && is_null($sample['invoices']) == false && $sample['invoices']['patient']['gender'] == 'male') selected @elseif(isset($sample) && is_null($sample['invoice_id']) == true && $sample['gender'] == 'male') selected @endif>Male</option>
                        <option value="ambiguous" @if (isset($sample) && is_null($sample['invoices']) == false && $sample['invoices']['patient']['gender'] == 'ambiguous') selected @elseif(isset($sample) && is_null($sample['invoice_id']) == true && $sample['gender'] == 'ambiguous') selected @endif>Ambiguous</option>
                    </select>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="sources">{{ __('Sample Reference') }}</label>
                    <select name="sources[]" id="sources" class="form-control text-capitalize select2">
                        <option value="" class="text-capitalize" disabled>Sample Reference</option>
                        @foreach ($references->sortBy('barcode') as $key => $samp)
                            <option value="{{ $samp['id'] }}" {{ old('sources') && collect(old('sources'))->contains($samp['id']) ? 'selected' : '' }} {{ $sample['id'] == $samp['id'] ? 'selected' : '' }}>{{ $samp['barcode'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-3 d-none">
                <div class="form-group receive_by_reception_label">
                    <label for="receive_by_reception">{{ __('Received by Reception') }}</label>
                    <select name="receive_by_reception" id="receive_by_reception" class="form-control">
                        <option value="" selected disabled>Received by Reception</option>
                        <option value="1">Within 24 hours</option>
                        <option value="2">More than 24 hours</option>
                        <!-- <option value="5">Other</option> -->
                    </select>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="collection_datetime">{{ __('Extraction Date') }}</label>
                    <input type="date" name="collection_datetime" id="collection_datetime" class="form-control collection_datetime" onfocus="this.max=new Date().toISOString().split('T')[0]" @if (old('collection_datetime')) value="{{ old('collection_datetime') }}" @endif>
                </div>
            </div>
            <div class="col-lg-3">
                <label for="age_of_collection">{{ __('Age Of Collection') }}</label>
                <div class="input-group">
                    <input type="text" name="age_of_collection" class="form-control text-capitalize" id="age_of_collection" @if (isset($sample) && is_null($sample['invoice_id']) == false) value="{{ date_diff(date_create($sample['invoices']['patient']['dob']), date_create($sample['collection_date']))->format('%y years, %m months and %d days') }}" @elseif(isset($sample) && is_null($sample['invoice_id'])) value="{{ date_diff(date_create($sample['patient']['dob']), date_create($sample['collection_date']))->format('%y years, %m months and %d days') }}" @elseif(old('age_of_collection')) value="{{ old('age_of_collection') }}" @elseif(isset($sample) && is_null($sample['invoice_id'])) value="{{ $sample['age_of_collection'] }}" @endif>
                    <div class="input-group-append">
                        <select name="" id="aoc_identifier" class="form-control">
                            <option value="days" selected>Days</option>
                            <option value="weeks">Weeks</option>
                            <option value="months">Months</option>
                            <option value="years">Years</option>
                        </select>
                    </div>
                </div>
            </div>
            {{-- @if (SESSION('branch_id') == 2)
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="type_of_sample">{{__('Type Of Sample')}}</label>
                        <select name="type_of_sample" id="type_of_sample" class="form-control select2">
                            <option value="0">None</option>
                            <option value="1" @if (isset($sample) && $sample['type_of_sample'] == 1) selected @endif>Primary</option>
                            <option value="2" @if (isset($sample) && $sample['type_of_sample'] == 2) selected @endif>Cultured</option>
                            <option value="3" @if (isset($sample) && $sample['type_of_sample'] == 3) selected @endif>Suspension</option>
                            <option value="4" @if (isset($sample) && $sample['type_of_sample'] == 4) selected @endif>Banded Slide</option>
                        </select>
                    </div>
                </div>
            @endif --}}
            @if (SESSION('branch_id') == 3)
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="laboratory_no">{{ __('Laboratory No.') }}</label>
                        <input type="text" class="form-control" name="laboratory_no" id="laboratory_no" @if (old('laboratory_no')) value="{{ old('laboratory_no') }}" @endif>
                    </div>
                </div>
            @endif
        </div>
    </div>
    <!-- /.card-body -->
</div>


<div class="card card-primary">
    <div class="card-header">
        <h3 class="card-title">{{ __('Container Details') }}</h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <!-- /.card-header -->
    <div class="card-body">
        <div class="row">
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="container">{{ __('Container') }}</label>
                    <select name="container" id="containerr" class="form-control text-capitalize @error('container') is-invalid @enderror containers">
                        <option selected value="" class="text-capitalize">Container</option>
                        @isset($sample)
                            @foreach ($containers as $container)
                                <option value="{{ $container['id'] }}" {{ $container['id'] == $sample['container_id'] ? 'selected' : '' }}>{{ $container['container_type']['container_type'] }} ({{ $container['descriptions'] }})</option>
                            @endforeach
                        @endisset
                    </select>
                    <input type="hidden" id="extraction" value="true">
                    @if (isset($sample) && isset($sample['container_id']))
                        <input type="hidden" id="container_id_fc" value="{{ $sample['container_id'] }}">
                    @endif
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="unit">{{ __('Unit') }}</label>
                    <select name="unit" id="unit"class="form-control text-capitalize @error('unit') is-invalid @enderror">
                        <option selected disabled class="text-capitalize">Units</option>
                        @foreach ($units->sortBy('unit') as $unit)
                            <option value="{{ $unit['id'] }}" @if (old('unit') && old('unit') == $unit['id']) selected @endif>{{ $unit['unit'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="volume">{{ __('Sample Volume') }}</label>
                    <input type="number" name="volume" id="volume" min="0" step="any" class="form-control text-capitalize @error('volume') is-invalid @enderror" @if (old('volume')) value="{{ old('volume') }}" @endif>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <div class="form-group">
                        <label for="sample_volume">{{ __('Remaining Volume') }}</label>
                        <input type="text" class="form-control" disabled>
                    </div>
                </div>
            </div>
            @if (session('branch_id') == 4)
                <div class="col-lg-3">
                    <div class="form-group">
                        <div class="form-group">
                            <label for="concentration">{{ __('Concentration') }}</label>
                            <input type="number" step=".01" id="concentration" name="concentration" class="form-control" @if (old('concentration')) value="{{ old('concentration') }}" @endif>
                        </div>
                    </div>
                </div>
                <div class="col-lg-3">
                    <div class="form-group">
                        <div class="form-group">
                            <label for="purity">{{ __('Purity') }}</label>
                            <input type="number" id="purity" name="purity" class="form-control" @if (old('purity')) value="{{ old('purity') }}" @endif>
                        </div>
                    </div>
                </div>
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="analyst">{{ __('Analyst') }}</label>
                        <!-- <input type="text" name="lab_receive_by" id="lab_receive_by" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->lab_receive_by_id }}" @elseif(old('lab_receive_by')) value="{{ old('lab_receive_by') }}" @endif list="user_suggestion"> -->
                        <select name="analyst" id="analyst" class="form-control text-capitalize select2">
                            <option selected value="">Select Analyst</option>
                            @foreach ($users as $user)
                                <option value="{{ $user['id'] }}" @if (old('analyst') && old('analyst') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
                            @endforeach
                        </select>
                    </div>
                </div>
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="kit">{{ __('Kit') }}</label>
                        <input type="text" name="kit" id="kit" class="form-control" @if (old('kit')) value="{{ old('kit') }}" @endif>
                    </div>
                </div>
            @endif
        </div>
    </div>
    <!-- /.card-body -->
</div>

<div class="card card-primary">
    <div class="card-header">
        <h3 class="card-title">{{ __('Aliquot Label') }}</h3>
        <div class="card-tools">
            @can('add_sample_aliquot')
                <a id="aliquot_btn" class="btn btn-primary btn-sm btn-tool">
                    <i class="fa fa-plus"></i> {{ __('Add Aliquot') }}
                </a>
            @endcan
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>

    <div class="card-body">
        <div class="row">
            <table class="table" id="aliquot_table">
                <thead>
                    <th style="width: 20%;">Date</th>
                    <th>Location</th>
                    <th>Storage Location</th>
                    <th>Unit</th>
                    <th>Volume</th>
                    @if (session('branch_id') == 4)
                        <th>Concentration</th>
                        <th>Purity</th>
                    @endif
                    <th>Created by</th>
                    <th></th>
                </thead>
                <tbody id="aliquot_table_body">
                    <tr id="ali_form_row" class="d-none">
                        <td>
                            <input type="hidden" name="[ali_id]" value="0">
                            <input type="date" name="[date]" class="form-control form_date aliquots_date">
                        </td>
                        <td>
                            <select name="[location_id]" class="ali_location form-control to_validate @error('location') is-invalid @enderror">
                                <option value="" selected></option>
                                @foreach ($locations as $location)
                                    <option value="{{ $location->id }}">{{ $location->location }}</option>
                                @endforeach
                            </select>
                        </td>
                        <td>
                            <select name="[storage_location_id]" class=" form-control aliquots_storage_location @error('storage_location') is-invalid @enderror" data-storage_id="0">
                                <option value="" selected></option>
                                @foreach ($storages as $storage)
                                    <option value="{{ $storage->id }}">{{ $storage->label->position->storage->storage_number }} / {{ $storage->label->position->position }} / {{ $storage->label->label }}</option>
                                @endforeach
                            </select>
                            <p class="mt-1 p_error d-none" style="color: red;"></p>
                        </td>
                        <td>
                            <select name="[unit_id]" class="form-control aliquots_unit @error('unit') is-invalid @enderror" @if (isset($sample) == false) required @endif>
                                <option value="" selected></option>
                                @foreach ($units as $unit)
                                    <option value="{{ $unit['id'] }}">{{ $unit['unit'] }}</option>
                                @endforeach
                            </select>
                        </td>
                        <td>
                            <input type="number" min="0" step="any" name="[volume]" class="form-control aliquots_volume @error('volume') is-invalid @enderror">
                        </td>
                        @if (session('branch_id') == 4)
                            <td>
                                <input type="number" min="0" step="any" name="[concentration]" class="form-control aliquots_volume @error('volume') is-invalid @enderror">
                            </td>
                            <td>
                                <input type="number" min="0" step="any" name="[purity]" class="form-control aliquots_volume @error('volume') is-invalid @enderror">
                            </td>
                        @endif
                        <td></td>
                        <td style="text-align: center;">
                            <button type="button" class="btn btn-danger btn-sm delete_form_row">
                                <i class="fa fa-trash"></i>
                            </button>
                        </td>
                    </tr>

                </tbody>
            </table>
        </div>
    </div>
</div>
<div class="card card-primary extraction_details d-none">
    <div class="card-header">
        <h3 class="card-title">{{ __('Extraction Details') }}</h3>
        <div class="card-tools">
            <button class="btn btn-tool btn-primary btn-sm" id="show_collection_details">{{ __('Show Collection Details') }}</button>
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <!-- /.card-header -->
    <div class="card-body">
        <div class="row">
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="place_of_collection">{{ __('Place Of Extraction') }}</label>
                    <input type="text" name="place_of_collection" class="form-control text-capitalize" id="place_of_collection" list="branches_suggestion" @if (old('place_of_collection')) value="{{ old('place_of_collection') }}" @endif>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="collected_by">{{ __('Extracted By') }}</label>
                    <!-- <input type="text" name="collected_by" class="form-control text-capitalize" id="collected_by" list="user_suggestion" @if (isset($sample)) value="{{ $sample->collected_by }}" @elseif(old('collected_by')) value="{{ old('collected_by') }}" @endif> -->
                    <select name="collected_by" id="collected_by" class="form-control">
                        <option value="0" selected @if (isset($sample) && $sample['collected_by'] == 0) selected @elseif(old('collected_by') && old('collected_by') == 0) selected @endif>None</option>
                        @foreach ($users as $user)
                            <option value="{{ $user['id'] }}" @if (old('collected_by') && old('collected_by') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="collection_status">{{ __('Extraction Status') }}</label>
                    <select name="collection_status" id="collection_status" class="form-control">
                        <option value="none" @if (old('collection_status') && old('collection_status') == 'none') selected @endif selected>None</option>
                        <option value="Collected" @if (old('collection_status') && old('collection_status') == 'Collected') selected @endif>Collected</option>
                        <option value="Received" @if (old('collection_status') && old('collection_status') == 'Received') selected @endif>Received</option>
                    </select>
                </div>
            </div>
            <div class="col-lg-3 ">
                <div class="form-group patient_identifier_label d-none">
                    <label for="patient_identifier">{{ __('Patient Identifier Used') }}</label>
                    @if ((isset($sample) && ($sample->patient_identifier == '0' || $sample->patient_identifier == '1' || $sample->patient_identifier == '2' || $sample->patient_identifier == '3' || $sample->patient_identifier == '4')) || (isset($sample) && is_null($sample->patient_identifier)))
                        <select name="patient_identifier" id="patient_identifier" class="form-control">
                            <option value="0" @if (old('patient_identifier') == 0) selected @endif>None</option>
                            <option value="1" @if (old('patient_identifier') == 1) selected @endif>Full Name checked from valid ID</option>
                            <option value="2" @if (old('patient_identifier') == 2) selected @endif>Birth date checked from valid ID</option>
                            <option value="3" @if (old('patient_identifier') == 3) selected @endif>Full Name checked from requisition form, Birthdate checked from valid ID</option>
                            <option value="4" @if (old('patient_identifier') == 4) selected @endif>Birthdate checked from requisition form</option>
                            <option value="5">Other</option>
                        </select>
                    @else
                        <input type="text" name="patient_identifier" class="form-control text-capitalize" id="patient_identifier" list="patient_identifier_suggestion" @if (isset($sample)) value="{{ $sample->patient_identifier }}" @elseif(old('patient_identifier')) value="{{ old('patient_identifier') }}" @endif>
                    @endif

                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="number_of_tries">Number Of Tries</label>
                    <select name="number_of_tries" id="number_of_tries" class="form-control">
                        <option value="0" @if (old('number_of_tries') == 0) selected @endif selected>None</option>
                        <option value="1" @if (old('number_of_tries') == 1) selected @endif>One</option>
                        <option value="2" @if (old('number_of_tries') == 2) selected @endif>Two</option>
                        <option value="3" @if (old('number_of_tries') == 3) selected @endif>Endorsed to Pedia</option>
                    </select>
                </div>
            </div>
            <div class="col-lg-9">
                <div class="form-group">
                    <label for="extraction_remarks">{{ __('Remarks') }}</label>
                    <textarea name="extraction_remarks" id="extraction_remarks" cols="10" rows="2" class="form-control">
@if (old('remarks'))
{{ old('remarks') }}
@endif
</textarea>
                </div>
            </div>
        </div>
    </div>
    <!-- /.card-body -->
</div>


<div class="card card-primary d-none collection_details">
    <div class="card-header">
        <h3 class="card-title">{{ __('Collection Details') }}</h3>
        <div class="card-tools">
            <button class="btn btn-tool btn-primary btn-sm" id="show_extraction_details">{{ __('Show Extraction Details') }}</button>
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <!-- /.card-header -->
    <div class="card-body">
        <div class="row">
            <div class="col-lg-3">
                <label for="sender">Sender</label>
                <input type="text" name="sender" id="sender" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->sender }}" @elseif(old('sender')) value="{{ old('sender') }}" @endif list="user_suggestion" @cannot('edit_clinical_details') disabled @endcannot>
                <!-- <select name="sender" id="sender" class="form-control text-capitalize select2" @if (isset($sample)) disabled @endif>
                    <option selected disabled>--SENDER--</option>
                    @foreach ($users as $user)
<option value="{{ $user['id'] }}" @if (isset($sample) && $sample['sender'] == $user['id']) selected @elseif(old('sender') && old('sender') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
@endforeach
                </select> -->
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="receive_from">{{ __('Received From') }}</label>
                    <!-- <input type="text" name="receive_from" id="receive_from" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->receive_from }}" @elseif(old('receive_from')) value="{{ old('receive_from') }}" @endif> -->
                    <select name="receive_from" id="receive_from" class="form-control text-capitalize select2 @error('departments') is-invalid @enderror" style="width: 100%" @cannot('edit_clinical_details') disabled @endcannot>
                        <option value="" selected>None</option>
                        @foreach ($institutes as $institute)
                            <option value="{{ $institute['id'] }}" @if (isset($sample) && $sample['receive_from_id'] == $institute['id']) selected @elseif(old('receive_from') && old('receive_from') == $institute['id']) selected @endif>{{ $institute['name'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="received_date">{{ __('Received Date') }}</label>
                    <input type="date" name="received_date" id="received_date" onfocus="this.max=new Date().toISOString().split('T')[0]" class="form-control" @if (isset($sample)) value="{{ $sample->receive_date }}" @elseif(old('received_date')) value="{{ old('received_date') }}" @endif @cannot('edit_clinical_details') disabled @endcannot>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="receive_by">{{ __('Received By') }}</label>
                    <input type="text" name="receive_by" id="receive_by" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->receive_by }}" @elseif(old('receive_by')) value="{{ old('receive_by') }}" @endif list="user_suggestion" @cannot('edit_clinical_details') disabled @endcannot>
                    <!-- <select name="receive_by" id="receive_by" class="form-control text-capitalize select2">
                        <option selected disabled>--RECEIVE BY--</option>
                        @foreach ($users as $user)
<option value="{{ $user['id'] }}" @if (isset($sample) && $sample['receive_by'] == $user['id']) selected @elseif(old('receive_by') && old('receive_by') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
@endforeach
                    </select> -->
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="sample_assessment">{{ __('Assessment') }}</label>
                    <select name="sample_assessment" id="sample_assessment"class="form-control text-capitalize select2" @cannot('edit_clinical_details') disabled @endcannot>
                        <option value="Good" @if (isset($sample) && $sample['sample_tat'] == 'Good') selected @elseif(old('sample_assessment') && old('sample_assessment') == 'Good') selected @endif>Good</option>
                        <option value="Rejected" @if (isset($sample) && $sample['sample_tat'] == 'Rejected') selected @elseif(old('sample_assessment') && old('sample_assessment') == 'Rejected') selected @endif>Rejected</option>
                    </select>
                </div>
            </div>
            <div class="col-lg-6">
                <div class="form-group">
                    <label for="sample_criteria">{{ __('Criteria') }}</label>
                    <select id="sample_criteria"class="form-control text-capitalize @error('assessment') is-invalid @enderror select2 sample_criteria" style="width: 100%" @cannot('edit_clinical_details') disabled @endcannot>
                        <option value="" disabled selected>None</option>
                        @foreach ($criterias as $criteria)
                            <option value="{{ $criteria['id'] }}" {{ old('sample_criteria') && collect(old('sample_criteria'))->contains($samp['id']) ? 'selected' : '' }}>{{ $criteria['criteria'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-3">
                <label for="assessed_by">{{ __('Assessed By') }}</label>
                <input type="text" name="assessed_by" id="assessed_by" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->assessed_by }}" @elseif(old('assessed_by')) value="{{ old('assessed_by') }}" @endif list="user_suggestion" @cannot('edit_clinical_details') disabled @endcannot>
            </div>
            <div class="col-lg-12">
                <div class="form-group">
                    <label for="collection_remarks">{{ __('Remarks') }}</label>
                    <textarea name="collection_remarks" id="collection_remarks" cols="10" rows="2" class="form-control">
@if (isset($sample))
{{ $sample->remarks }}
@elseif(old('remarks'))
{{ old('remarks') }}
@endif
</textarea>
                </div>
            </div>
            <table class="table table-bordered table-striped" id="laboratory_criteria_table">
                <thead>
                    <th>Criteria Name</th>
                    <th>Remarks</th>
                    <th>Created by</th>
                    <th></th>
                </thead>
                <tbody id="sample_criteria_table_body" class="sample_criteria_table_body">
                    @if (isset($sample))
                        @php
                            $criteria_counter = 0;
                        @endphp
                        @foreach ($sample->sample_criterias as $key => $criteria)
                            @if ($criteria->criteria_type == 'collection')
                                <tr>
                                    <td style="pointer-events: none;">
                                        <input type="hidden" name="{{ 'criterias[' . $criteria_counter . '][criteria_id]' }}" value="{{ $criteria['sample_criteria_id'] }}" class="collection_criteria_id" id="{{ 'criteria_id_' . $criteria['sample_criteria_id'] }}">
                                        <input type="hidden" name="{{ 'criterias[' . $criteria_counter . '][criteria_type]' }}" value="{{ $criteria['criteria_type'] }}">
                                        <input type="text" name="{{ 'criterias[' . $criteria_counter . '][criteria]' }}" class="form-control form_date laboratory_criteria" value="{{ $criteria['criteria_details']['criteria'] }}">
                                    </td>
                                    <td>
                                        <textarea name="{{ 'criterias[' . $criteria_counter . '][criteria_remarks]' }}" id="" cols="30" rows="2" class="form-control">{{ $criteria['remarks'] }}</textarea>
                                    </td>
                                    <td></td>
                                    <td style="text-align: center;">
                                        <button type="button" class="btn btn-danger btn-sm delete_form_row">
                                            <i class="fa fa-trash"></i>
                                        </button>
                                    </td>
                                </tr>
                                @php
                                    $criteria_counter++;
                                @endphp
                            @endif
                        @endforeach
                    @endif

                    <tr id="sample_criteria_form_row" class="d-none sample_criteria_form_row">
                        <td style="pointer-events: none;">
                            <input type="hidden" name="[criteria_id]" value="0" class="collection_criteria_id">
                            <input type="hidden" name="[criteria_type]" value="collection">
                            <input type="text" name="[criteria]" class="form-control sample_criteria">
                        </td>
                        <td>
                            <textarea name="[criteria_remarks]" id="" cols="30" rows="2" class="form-control"></textarea>
                        </td>
                        <td></td>
                        <td style="text-align: center;">
                            <button type="button" class="btn btn-danger btn-sm delete_form_row">
                                <i class="fa fa-trash"></i>
                            </button>
                        </td>
                    </tr>
                </tbody>
            </table>
        </div>
    </div>
    <!-- /.card-body -->
</div>
@can('view_laboratory_details')
    <div class="card card-primary d-none">
        <div class="card-header">
            <h3 class="card-title">{{ __('Laboratory') }}</h3>
            <div class="card-tools">
                <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
                <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
            </div>
        </div>
        <!-- /.card-header -->
        <div class="card-body">
            <div class="row">
                <div class="col-lg-3">
                    <label for="lab_sender">{{ __('Sender') }}</label>
                    <input type="text" name="lab_sender" id="lab_sender" class="form-control text-capitalize" @if (old('lab_sender')) value="{{ old('lab_sender') }}" @endif list="user_suggestion">
                    <!-- <select name="sender" id="sender" class="form-control text-capitalize select2" @if (isset($sample)) disabled @endif>
                            <option selected disabled>--SENDER--</option>
                            @foreach ($users as $user)
    <option value="{{ $user['id'] }}" @if (isset($sample) && $sample['sender'] == $user['id']) selected @elseif(old('sender') && old('sender') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
    @endforeach
                        </select> -->
                </div>
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="lab_receive_from">{{ __('Received From') }}</label>
                        <!-- <input type="text" name="receive_from" id="receive_from" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->receive_from }}" @elseif(old('receive_from')) value="{{ old('receive_from') }}" @endif> -->
                        <select name="lab_receive_from" id="lab_receive_from" class="form-control text-capitalize select2 @error('departments') is-invalid @enderror">
                            <option selected value="">Received From</option>
                            @foreach ($institutes as $institute)
                                <option value="{{ $institute['id'] }}" @if (isset($sample) && $sample['receive_from_id'] == $institute['id']) selected @elseif(old('receive_from') && old('receive_from') == $institute['id']) selected @endif>{{ $institute['name'] }}</option>
                            @endforeach
                            @foreach ($departments as $department)
                                <option value="{{ $department['id'] }}" @if (isset($sample) && $sample['lab_receive_from_id'] == $department['id']) selected @elseif(old('lab_receive_from') && old('lab_receive_from') == $department['id']) selected @endif>{{ $department['name'] }}</option>
                            @endforeach
                        </select>
                    </div>
                </div>
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="lab_received_date">{{ __('Received Date') }}</label>
                        <input type="date" placeholder="dd/mm/yyyy" name="lab_received_date" onfocus="this.max=new Date().toISOString().split('T')[0]" id="lab_received_date" class="form-control" @if (old('lab_received_date')) value="{{ old('lab_received_date') }}" @endif>
                    </div>
                </div>
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="lab_receive_by">{{ __('Received By') }}</label>
                        <!-- <input type="text" name="lab_receive_by" id="lab_receive_by" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->lab_receive_by_id }}" @elseif(old('lab_receive_by')) value="{{ old('lab_receive_by') }}" @endif list="user_suggestion"> -->
                        <select name="lab_receive_by" id="receive_by" class="form-control text-capitalize select2">
                            <option selected value="">Received By</option>
                            @foreach ($users as $user)
                                <option value="{{ $user['id'] }}" @if (isset($sample) && $sample['lab_receive_by_id'] == $user['id']) selected @elseif(old('lab_receive_by') && old('lab_receive_by') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
                            @endforeach
                        </select>
                    </div>
                </div>
                <div class="col-lg-3">
                    <div class="form-group">
                        <label for="lab_assessment">{{ __('Assessment') }}</label>
                        <select name="lab_assessment" id="lab_assessment"class="form-control text-capitalize">
                            <option value="Good" @if (old('lab_assessment') && old('lab_assessment') == 'Good') selected @endif>Good</option>
                            <option value="Defer" @if (old('lab_assessment') && old('lab_assessment') == 'Defer') selected @endif>Rejected</option>
                        </select>
                    </div>
                </div>
                <div class="col-lg-6">
                    <div class="form-group">
                        <label for="lab_criteria">{{ __('Criteria') }}</label>
                        <select id="lab_criteria"class="form-control text-capitalize @error('lab_criteria') is-invalid @enderror select2 lab_criteria">
                            <option value="" disabled selected>Criteria</option>
                            @foreach ($criterias as $criteria)
                                <option value="{{ $criteria['id'] }}" {{ old('lab_criteria') && collect(old('lab_criteria'))->contains($samp['id']) ? 'selected' : '' }}>{{ $criteria['criteria'] }}</option>
                            @endforeach
                        </select>
                    </div>
                </div>
                <div class="col-lg-3">
                    <label for="lab_assessed_by">{{ __('Assessed By') }}</label>
                    <!-- <input type="text" name="lab_assessed_by" id="lab_assessed_by" class="form-control text-capitalize" @if (isset($sample)) value="{{ $sample->lab_assessed_by }}" @elseif(old('lab_assessed_by')) value="{{ old('lab_assessed_by') }}" @endif list="user_suggestion"> -->
                    <select name="lab_assessed_by" id="lab_assessed_by" class="form-control select2">
                        <option value="0" selected @if (isset($sample) && $sample['lab_assessed_by'] == 0) selected @elseif(old('lab_assessed_by') && old('lab_assessed_by') == 0) selected @endif>None</option>
                        @foreach ($users as $user)
                            <option value="{{ $user['id'] }}" @if (old('lab_assessed_by') && old('lab_assessed_by') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
                        @endforeach
                    </select>
                    <!-- <select name="sender" id="sender" class="form-control text-capitalize select2" @if (isset($sample)) disabled @endif>
                            <option selected disabled>--SENDER--</option>
                            @foreach ($users as $user)
    <option value="{{ $user['id'] }}" @if (isset($sample) && $sample['sender'] == $user['id']) selected @elseif(old('sender') && old('sender') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
    @endforeach
                        </select> -->
                </div>
            </div>
            <table class="table table-bordered table-striped" id="laboratory_criteria_table">
                <thead>
                    <th>Criteria Name</th>
                    <th>Remarks</th>
                    <th>Created by</th>
                    <th></th>
                </thead>
                <tbody id="laboratory_criteria_table_body" class="increments_laboratory_criteria_form_row">
                    <tr id="laboratory_criteria_form_row" class="d-none">
                        <td style="pointer-events: none;">
                            <input type="hidden" name="[criteria_id]" value="0" class="criteria_id">
                            <input type="hidden" name="[criteria_type]" value="laboratory" class="criteria_id">
                            <input type="text" name="[criteria]" class="form-control form_date laboratory_criteria">
                        </td>
                        <td>
                            <textarea name="[criteria_remarks]" id="" cols="30" rows="2" class="form-control"></textarea>
                        </td>
                        <td></td>
                        <td style="text-align: center;">
                            <button type="button" class="btn btn-danger btn-sm delete_form_row">
                                <i class="fa fa-trash"></i>
                            </button>
                        </td>
                    </tr>
                </tbody>
            </table>
        </div>
        <!-- /.card-body -->
    </div>
@endcan


<div class="card card-primary">
    <div class="card-header">
        <h3 class="card-title">{{ __('Location Details') }}</h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <div class="card-body">
        <div class="row">
            <div class="col-lg-4">
                <div class="form-group">
                    <label for="location">{{ __('Location') }}</label>
                    <select name="location" id="location"class="form-control text-capitalize @error('location') is-invalid @enderror">
                        <option selected value=""></option>
                        @foreach ($locations as $location)
                            <option value="{{ $location['id'] }}">{{ $location['location'] }}</option>
                        @endforeach
                    </select>
                </div>
            </div>
            <div class="col-lg-4">
                <div class="form-group">
                    <label for="storage_location">{{ __('Storage Location') }}</label><input type="hidden" id="old_storage_id" @if (isset($sample)) value="{{ $sample->storage_location_id }}" @endif>
                    <select name="storage_location_id" id="storage_location"class="select2 form-control @error('storage_location') is-invalid @enderror">
                        <option value="" selected></option>
                    </select>
                    <p class="mt-1 p_error d-none" style="color: red;"></p>
                </div>
            </div>
            <div class="col-lg-4">
                <div class="form-group">
                    <label for="sample_status">{{ __('Sample Status') }}</label>
                    <select name="sample_status" id="sample_status"class="form-control text-capitalize">
                        <option value="Pending" @if (old('sample_staus') && old('sample_status') == 'Pending') selected @endif>Pending</option>
                        <option value="Accepted" @if (old('sample_staus') && old('sample_status') == 'Accepted') selected @endif>Accepted</option>
                        <option value="Rejected" @if (old('sample_staus') && old('sample_status') == 'Rejected') selected @endif>Rejected</option>
                        <option value="Recollected" @if (isset($sample) && $sample['sample_status'] == 'Recollected') selected @elseif(old('sample_status') && old('sample_status') == 'Recollected') selected @endif>Recollected</option>
                        <option value="Rerun" @if (isset($sample) && $sample['sample_status'] == 'Rerun') selected @elseif(old('sample_status') && old('sample_status') == 'Rerun') selected @endif>Rerun</option>
                        <option value="Transferred" @if (old('sample_staus') && old('sample_status') == 'Transferred') selected @endif>Transferred</option>
                        <option value="Received" @if (old('sample_staus') && old('sample_status') == 'Received') selected @endif>Received</option>
                        <option value="Processing" @if (old('sample_staus') && old('sample_status') == 'Processing') selected @endif>Processing</option>
                        <option value="Done" @if (old('sample_staus') && old('sample_status') == 'Done') selected @endif>Done</option>
                        <option value="Retention" @if (old('sample_staus') && old('sample_status') == 'Retention') selected @endif>Retention</option>
                        <option value="Disposed" @if (old('sample_staus') && old('sample_status') == 'Disposed') selected @endif>Disposed</option>
                        <option value="Cancelled" @if (old('sample_staus') && old('sample_status') == 'Cancelled') selected @endif>Cancelled</option>
                    </select>
                </div>
            </div>
        </div>
    </div>
    <!-- /.card-body -->
</div>



<div class="card">
    <div class="card-header">
        <h3 class="card-title">
            {{ __('Attachments') }}
        </h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <div class="card-body">
        <div class="increments">
            <div class="input-group control-group">
                <div class="custom-file mr-2">
                    <input type="file" class="custom-file-input files form-control @error('enbs_attachments[]') is-invalid @enderror" name="attachments[]">
                    <label class="custom-file-label" for="customFile">{{ __('Choose file/s') }}</label>
                </div>
                <input type="text" name="file_names[]" placeholder="Document name" class="form-control mr-2 doc_name" />
                <button type="button" class="btn btn-success add_row">
                    <i class="fa fa-plus"></i>
                </button>
            </div>
        </div>
        <!-- <div class="col-sm-12">
            <ul class="p-0 m-0">
                @if (isset($sample) && count($sample->attachments) > 0)
                    @foreach ($sample->attachments as $attach)
<li class="d-flex align-items-center my-2 p-2">
                            <div class="flex-shrink-1 mr-2" >
                                <a href="{{ asset('uploads/samples-attachments/' . $attach['file_name']) }}" target="_blank" rel="noopener noreferrer" class="btn btn-sm btn-primary px-3" >
                                    View
                                </a>
                            </div>
                            <div class="flex-shrink-1 mr-2">
                                <a type="button" attach_id="{{ $attach['id'] }}" id="edit_file" class="btn btn-warning btn-sm renameFile" data-toggle="modal" data-target="#edit_file_modal" >
                                    Rename
                                </a>
                            </div>
                            <div class="flex-shrink-1">
                                <button type="button" attach_id="{{ $attach['id'] }}" class="btn btn-danger btn-sm delete_attachment">
                                    Delete
                                </button>
                            </div>
                            <span class="mx-2"><i class="fa fa-file mx-2 text-success"></i>{{ $attach['orig_file_name'] }}</span>
@endforeach
                @endif
            </ul>
        </div> -->
        <!-- <table class="table table-striped table-bordered mb-3" width="100%">
            <thead>
                <tr>
                    <th>Attachment</th>
                    <th>Action</th>
                </tr>
            </thead>
            @if (isset($sample) && count($sample->attachments) > 0)
                <tbody >
                    @foreach ($sample->attachments as $attachment)
<tr>
                            <td>{{ $attachment->orig_file_name }}</td>
                            <td>
                                <button class="btn btn-danger delete_sample_attachment" id="{{ $attachment['id'] }}"><i class=" fas fa-solid fa-trash"></i></button>
                                <a href="{{ route('admin.sample_attachment.download', $attachment['id']) }}" class="btn btn-primary" id="download_attachment"><i class="fas fa-solid fa-download"></i></a>
                            </td>
                        </tr>
@endforeach
                </tbody>
            @endif
        </table> -->
        <!-- <div class="form-group">
            <div class="input-group">
                <div class="custom-file">
                    <input type="file" name="attachments[]" class="custom-file-input" id="attachments">
                    <label class="custom-file-label">{{ __('Choose attachments') }}</label>
                </div>
            </div>
        </div> -->

    </div>
</div>

<div class="card">
    <div class="card-header">
        <h3 class="card-title">
            {{ __('Sample links') }}
        </h3>
        <div class="card-tools">
            <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
            <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
        </div>
    </div>
    <div class="card-body">
        <div class="increments_url">
            <label>URL</label>
            <div class="input-group control-group">
                <div class="custom-file mr-2">
                    <input type="text" name="url_link[]" placeholder="URL link" class="form-control ">
                </div>
                <input type="text" name="url_name[]" placeholder="URL Name" class="form-control " />
                <button type="button" class="btn btn-success add_url_row">
                    <i class="fa fa-plus"></i>
                </button>
            </div>
        </div>
        <!-- <ul class="p-0 m-0">
            @if (isset($sample))
                @foreach ($sample->sample_links as $link)
<li class="d-flex align-items-center my-2 p-2">
                        <div class="flex-shrink-1 mr-2" >
                            <a href="{{ $link->link_url }}" target="_blank" rel="noopener noreferrer" class="btn btn-sm btn-primary px-3" >
                                {{ $link->link_url }}
                            </a>
                        </div>
                        <span class="mx-2"><i class="fa fa-file mx-2 text-success"></i>{{ $link->link_name }}</span>
                        <div class="flex-shrink-1">
                            <button type="button" link_id="{{ $link['id'] }}" class="btn btn-danger btn-sm delete_urls">
                                Delete
                            </button>
                        </div>
@endforeach
            @endif
        </ul> -->
    </div>
</div>
<div class="card">
    <div class="card-header">
        <h3 class="card-title">{{ __('Send Out Details') }}</h3>
    </div>
    <div class="card-body">
        <div class="row">
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="send_out_type">{{ __('Send Out Type') }}</label>
                    <select name="send_out_type" id="send_out_type" class="form-control" @if (isset($sample)) data-sample_id="{{ $sample->id }}" @else data-sample_id="" @endif>
                        <option value="" selected>None</option>
                        <option value="1" @if (isset($sample) && $sample['send_out_type'] == 1) selected @endif>Overseas</option>
                        <option value="2" @if (isset($sample) && $sample['send_out_type'] == 2) selected @endif>Local</option>
                    </select>
                </div>
            </div>
            <div class="col-lg-3">
                <div class="form-group">
                    <label for="send_out_schedule">{{ __('Send Out Schedule') }}</label>
                    <input type="date" name="send_out_schedule" id="send_out_schedule" class="form-control" @if (isset($sample)) value="{{ $sample->send_out_schedule }}" @endif>
                </div>
            </div>
        </div>

    </div>
</div>
@if ((isset($sample) && session('branch_id') != 3) || (isset($sample) && session('branch_id') == 3 && $sample['patient']['metabolic_registry'] == 1))
    <div class="card">
        <div class="card-header">
            <h3 class="card-title">
                {{ __('Disposal') }}
            </h3>
            <div class="card-tools">
                <button type="button" class="btn btn-tool" data-card-widget="collapse"><i class="fas fa-minus"></i></button>
                <button type="button" class="btn btn-tool" data-card-widget="remove"><i class="fas fa-times"></i></button>
            </div>
        </div>
        <div class="card-body">
            <div class="row">
                <div class="col-md-3">
                    <div class="form-group">
                        <label for="schedule">Schedule</label>
                        @php
                            if(isset($sample) && session('branch_id') == 3 && $patient['metabolic_registry'] == 1){
                                if(isset($sample->lab_receive_date) && $sample->lab_receive_date != '') {
                                    $date=date_create($sample->lab_receive_date);
                                    date_add($date,date_interval_create_from_date_string(("2" . " " . 'years') ));
                                    
                                    $scheduled_date = date_format($date,"Y-m-d");  
                                } else {
                                    $scheduled_date = null;
                                }
                            }else{
                                if(isset($sample->lab_receive_date) && $sample->lab_receive_date != '') {
                                    $date=date_create($sample->lab_receive_date);
                                    date_add($date,date_interval_create_from_date_string((is_null($schedule_disposal) ? "2" : $schedule_disposal->disposal) . " " . (is_null($schedule_disposal) ? 'years' : $schedule_disposal->disposal_period) ));
                                    
                                    $scheduled_date = date_format($date,"Y-m-d");
                                } else {
                                    $scheduled_date = null;
                                }
                            }
                        @endphp
                        <input type="date" name="schedule_disposal" id="schedule_disposal" class="form-control" value="{{ $scheduled_date }}">
                    </div>
                </div>
                <div class="col-md-3">
                    <div class="form-group">
                        <label for="actual_disposal">Actual Disposal</label>
                        <input type="date" name="actual_disposal" id="actual_disposal" class="form-control" onfocus="this.max=new Date().toISOString().split('T')[0]" value="{{ $sample->actual_disposal }}">
                    </div>
                </div>
                <div class="col-md-3">
                    <div class="form-group">
                        <label for="disposed_by">{{ __('Disposed By') }}</label>
                        <select name="disposed_by" id="disposed_by" class="form-control text-capitalize select2">
                            <option selected value="">Disposed By</option>
                            @foreach ($users as $user)
                                <option value="{{ $user['id'] }}" @if (isset($sample) && $sample['disposed_by'] == $user['id']) selected @elseif(old('disposed_by') && old('disposed_by') == $user['id']) selected @endif>{{ $user['name'] }} {{ $user['last_name'] }}</option>
                            @endforeach
                        </select>
                    </div>
                </div>
                <div class="col-md-3">
                    <label for="disposal_remarks">Remarks</label>
                    <input type="text" class="form-control" name="disposal_remarks" id="disposal_remarks"value="{{ $sample->disposal_remarks }}">
                </div>
            </div>
        </div>
    </div>
@endif


<datalist id="user_suggestion">
    @foreach ($users as $user)
        <option value="{{ $user['name'] }} {{ $user['last_name'] }}">
    @endforeach
</datalist>
<datalist id="branches_suggestion">
    @foreach ($departments as $department)
        <option value="{{ $department['name'] }}">
    @endforeach
</datalist>

<datalist id="patient_identifier_suggestion">
    <option value="Full Name checked from valid ID">
    <option value="Birth date checked from valid ID">
    <option value="Full Name checked from requisition form, Birthdate checked from valid ID">
    <option value="Birthdate checked from requisition form">
</datalist>

@include('admin.samples.modals.create_req')

@section('scripts')
    <script src="{{ url('js/admin/samples1.js') }}"></script>
@endsection