@extends('Supervisor.sidebar') @section('content') Renew — {{ $customer->name }} Back @if(session('error')) {{ session('error') }} @endif @csrf New Medical Record Testing(s) Done * {{ old('testing_details', $customer->latestRecord->testing_details ?? '') }} @error('testing_details') {{ $message }} @enderror @if($customer->type === 'individual') Any Abnormality Reports {{ old('abnormality_report', $customer->latestRecord->abnormality_report ?? '') }} @endif Checkup / Testing Date * @error('checkup_date') {{ $message }} @enderror Next Reminder Set the next follow-up schedule 3 Days 1 Week 2 Weeks 1 Month 6 Months 1 Year Every @error('recurring_value') {{ $message }} @enderror Unit latestRecord->recurring_unit ?? 'months') == 'days' ? 'selected' : '' }}>Days latestRecord->recurring_unit ?? 'months') == 'months' ? 'selected' : '' }}>Months @error('recurring_unit') {{ $message }} @enderror Next reminder date: {{ date('M d, Y', strtotime('+6 months')) }} Notes (Optional) {{ old('notes') }} Save Renewal Cancel @endsection