@include('patient.header')
{!! Form::open([ 'url' => '#', 'name' => 'validateForm', 'id' => 'validateForm', 'enctype' => 'multipart/form-data', ]) !!} Upload

Upload RX Image

@if ($patientTotalRequestCheckFlag)
Select your image file here or browse
Max. File Size: 5MB
Select your image file here or browse
Max. File Size: 5MB
Select your image file here or browse
Max. File Size: 5MB
@else
Select your image file here or browse

Max. File Size: 5MB
@endif {{-- 3 RX file add --}}

Rx is commonly known to most as the symbol for a medical prescription you can upload image file here.

{!! Form::close() !!}
@include('patient.footer')