<form class="row g-3 auto-width store-bed" action="{{ route('ipd-admissions-beds.store', $ipd_id) }}" method="post"
    id="add_bed" data-id="{!! $ipd_id !!}">
    @csrf
    @method('post')
    <div class="col-md-8">
        <label for="check_in_date_time" class="form-label">Check In Date</label>
        <input type="datetime" class="form-control datepicker" value="{{ date('d/m/Y h:i A') }}" id="check_in_date_time"
            name="check_in_date_time" aria-describedby="inputGroupPrepend">
    </div>
    <input type="hidden" name="reason" value="{!! $reason??'' !!}">
    <input type="hidden" name="current_bed" value="{!! $current_bed??'' !!}">
    <input type="hidden" name="current_bed_status" value="{!! $current_bed_status??'' !!}">
    <input type="hidden" name="type" value="{!! $type??'' !!}">
    <input type="hidden" name="current_check_out_date_time" value="{!! $check_out_date_time??'' !!}">

    <div class="col-md-4">
        <label for="is_active" class="form-label">Active</label>
        <select class="form-control" name="is_active">
            <option value="1">Yes</option>
            <option value="0">No</option>
        </select>
    </div>
    <input type="hidden" name="bed_no_id" value="{!! $bed_no_id !!}">
</form>
