{{ __('label.hospital_form_name') }} * {{ Form::text('name',null,['class' => $errors->has('name') ? 'form-control is-invalid' : 'form-control']) }} @error('name') @enderror

{{ __('label.hospital_form_contact') }} * {{ Form::text('contact_name',null,['class' => $errors->has('contact_name') ? 'form-control is-invalid' : 'form-control']) }} @error('contact_name') @enderror

{{ __('label.hospital_form_email') }} * {{ Form::email('email',null,['class' => $errors->has('email') ? 'form-control is-invalid' : 'form-control']) }} @error('email') @enderror

{{ __('label.hospital_form_alter_email') }} {{ Form::email('alter_email',null,['class' => 'form-control']) }}

{{ __('label.hospital_form_photo') }} *
{{ Form::file('photo',null,['class' => $errors->has('photo') ? 'form-control is-invalid' : 'form-control']) }} @error('photo') @enderror

{{ __('label.hospital_form_number') }} * {{ Form::text('number',null,['class' => $errors->has('number') ? 'form-control is-invalid' : 'form-control']) }} @error('number') @enderror

{{ __('label.hospital_form_city') }} * {{ Form::text('city',null,['class' => $errors->has('city') ? 'form-control is-invalid' : 'form-control']) }} @error('city') @enderror

{{ __('label.hospital_form_state') }} * {{ Form::text('state',null,['class' => $errors->has('state') ? 'form-control is-invalid' : 'form-control']) }} @error('state') @enderror

{{ __('label.area') }} * {{ Form::text('area',null,['class' => $errors->has('area') ? 'form-control is-invalid' : 'form-control']) }} @error('area') @enderror

{{ __('label.hospital_form_address') }} * {{ Form::textarea('address',null,['class' => $errors->has('name') ? 'form-control is-invalid' : 'form-control']) }} @error('address') @enderror

{{ __('label.hospital_form_benefits') }} {{ Form::textarea('benefits',null,['class' => 'form-control']) }}