@extends('corporate.sidebar') @section('content') Medical Customer Back @if(session('error')) {{ session('error') }} @endif @csrf Individual Corporate @error('type') {{ $message }} @enderror Client Details Name * @error('name') {{ $message }} @enderror Contact Number * @error('phone') {{ $message }} @enderror Secondary Contact Number Address Age @error('age') {{ $message }} @enderror NIC (Optional) Contact Person's Name * @error('contact_person_name') {{ $message }} @enderror Designation Medical / Testing Details Testing(s) Done * {{ old('testing_details') }} @error('testing_details') {{ $message }} @enderror Any Abnormality Reports {{ old('abnormality_report') }} Checkup / Testing Date * @error('checkup_date') {{ $message }} @enderror Next Reminder Use a preset or set a custom period 3 Days 1 Week 2 Weeks 1 Month 6 Months 1 Year Every @error('recurring_value') {{ $message }} @enderror Unit Days Months @error('recurring_unit') {{ $message }} @enderror Next reminder date: {{ date('M d, Y', strtotime('+6 months')) }} Notes (Optional) {{ old('notes') }} Save Customer Cancel @endsection