@extends('layouts.main') @push('styles') @endpush @section('content')
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Drug
Route
Factor
Dose
Duration(Separate with commas)
Instructions
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{{ Form::hidden('pre_chemo_row_counter[]', 0) }}
{{ Form::select('pre_chemo_drug_id[]', $drugs, '', ['class' => 'form-control compulsory drugs_id_class', 'id' => 'pre_chemo_drug_id_0', 'onchange' => 'drugs_details(0, this.value, \'pre_chemo\')', 'required']) }}
{{ Form::select('pre_chemo_drug_route[]', $drug_routes, '', ['class' => 'form-control compulsory', 'required']) }}
{{ Form::select('pre_chemo_drug_factor_id[]', $factors, '', ['class' => 'form-control compulsory', 'onchange' => 'check_factor(0, \'pre_chemo\')', 'required', 'id' => 'pre_chemo_drug_factor_id_0']) }}
{{ Form::number('pre_chemo_drug_dose[]', '', ['class' => 'form-control compulsory', 'min' => 0, 'required', 'step' => 0.0001]) }}
{{ Form::textarea('pre_chemo_drug_duration[]', '', ['class' => 'form-control compulsory', 'rows' => '3', 'required']) }}
{{ Form::textarea('pre_chemo_drug_instructions[]', '', ['class' => 'form-control', 'rows' => '3']) }}
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Drug
Route
Factor
Dose
Duration(Separate with commas)
Instructions
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{{ Form::hidden('chemo_row_counter[]', 0) }}
{{ Form::select('chemo_drug_id[]', $drugs, '', ['class' => 'form-control compulsory drugs_id_class', 'id' => 'chemo_drug_id_0', 'onchange' => 'drugs_details(0, this.value, \'chemo\')', 'required']) }}
{{ Form::select('chemo_drug_route[]', $drug_routes, '', ['class' => 'form-control compulsory', 'required']) }}
{{ Form::select('chemo_drug_factor_id[]', $factors, '', ['class' => 'form-control compulsory', 'onchange' => 'check_factor(0, \'chemo\')', 'required', 'id' => 'chemo_drug_factor_id_0']) }}
{{ Form::number('chemo_drug_dose[]', '', ['class' => 'form-control compulsory', 'min' => 0, 'required', 'step' => 0.0001]) }}
{{ Form::textarea('chemo_drug_duration[]', '', ['class' => 'form-control compulsory', 'rows' => '3', 'required']) }}
{{ Form::textarea('chemo_drug_instructions[]', '', ['class' => 'form-control', 'rows' => '3']) }}
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Drug
Route
Factor
Dose
Duration(Separate with commas)
Instructions
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{{ Form::hidden('post_chemo_row_counter[]', 0) }}
{{ Form::select('post_chemo_drug_id[]', $drugs, '', ['class' => 'form-control compulsory drugs_id_class', 'id' => 'post_chemo_drug_id_0', 'onchange' => 'drugs_details(0, this.value, \'post_chemo\')', 'required']) }}
{{ Form::select('post_chemo_drug_route[]', $drug_routes, '', ['class' => 'form-control compulsory', 'required']) }}
{{ Form::select('post_chemo_drug_factor_id[]', $factors, '', ['class' => 'form-control compulsory', 'onchange' => 'check_factor(0, \'post_chemo\')', 'required', 'id' => 'post_chemo_drug_factor_id_0']) }}
{{ Form::number('post_chemo_drug_dose[]', '', ['class' => 'form-control compulsory', 'min' => 0, 'required', 'step' => 0.0001]) }}
{{ Form::textarea('post_chemo_drug_duration[]', '', ['class' => 'form-control compulsory', 'rows' => '3', 'required']) }}
{{ Form::textarea('post_chemo_drug_instructions[]', '', ['class' => 'form-control', 'rows' => '3']) }}
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