@error('patient_name')
{{ $message }}
@enderror
@error('phone')
{{ $message }}
@enderror
@error('patient_for')
{{ $message }}
@enderror
{{-- Emergency Contact --}}
{{-- Department --}}
@foreach(['HOSPITAL','DOCTOR','SELF','AGENT','OTHER'] as $ref)
referred_by) == $ref ? 'checked' : '' }}>
@endforeach
{{-- Nominee --}}