{# {{ form_start(form) }}
    {{ form_widget(form) }}
    <button class="btn">{{ button_label|default('Save') }}</button>
{{ form_end(form) }} #}

<div class="form-group row">
	{{ form_label(form.patient, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}

	<div class="col-8 col-xl-4">
		{{ form_widget(form.patient, {'attr': { 'class': 'form-control' }}) }}
		{{ form_errors(form.patient) }}
	</div>
</div>

<div class="form-group row">
	{{ form_label(form.patientCategory, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.patientCategory, {'attr': { 'class': 'form-control'}}) }}
		{{ form_errors(form.patientCategory) }}
	</div>
</div>

<div class="form-group row">
	{{ form_label(form.department, '', {'label_attr': { 'class': 'col-2 col-form-label
	font-weight-bold' }}) }}

	<div class="col-8 col-xl-4">
		{{ form_widget(form.department, {'attr': { 'class': 'form-control select-picker', 'data-ajax-url':
		path('department_json') }}) }}
		{{ form_errors(form.department) }}
	</div>
</div>
<div class="form-group row">
	{{ form_label(form.sub_department, '', {'label_attr': { 'class': 'col-2 col-form-label
	font-weight-bold' }}) }}

	<div class="col-8 col-xl-4">
		{{ form_widget(form.sub_department, {'attr': { 'class': 'form-control' }}) }}
		{{ form_errors(form.sub_department) }}
	</div>
</div>
<div class="form-group row">
	{{ form_label(form.doctor_name, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.doctor_name, {'attr': { 'class': 'form-control','maxlength':'50','oninput':"this.value = this.value.replace(/[^0-9a-zA-Z]/g, '')"}}) }}
		{{ form_errors(form.doctor_name) }}
	</div>
</div>
<div class="form-group row">
	{{ form_label(form.doctor, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.doctor, {'attr': { 'class': 'form-control'}}) }}
		{{ form_errors(form.doctor) }}
	</div>
</div>


<div class="form-group row">
	{{ form_label(form.doctor_type, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.doctor_type, {'attr': { 'class': 'form-control','maxlength':'50','oninput':"this.value = this.value.replace(/[^0-9a-zA-Z]/g, '')"}}) }}
		{{ form_errors(form.doctor_type) }}
	</div>
</div>

<div class="form-group row">
	{{ form_label(form.token_no, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.token_no, {'attr': { 'class': 'form-control','maxlength':'50','oninput':"this.value = this.value.replace(/[^0-9a-zA-Z]/g, '')"}}) }}
		{{ form_errors(form.token_no) }}
	</div>
</div>
<div class="form-group row">
	{{ form_label(form.case_priority, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.case_priority, {'attr': { 'class': 'form-control'}}) }}
		{{ form_errors(form.case_priority) }}
	</div>
</div>
<div class="form-group row">
	{{ form_label(form.room_no, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.room_no, {'attr': { 'class': 'form-control','maxlength':'50','oninput':"this.value = this.value.replace(/[^0-9a-zA-Z]/g, '')"}}) }}
		{{ form_errors(form.room_no) }}
	</div>
</div>
<div class="form-group row">
	{{ form_label(form.date, '', {'label_attr': { 'class': 'col-2 col-form-label font-weight-bold' }}) }}
	<div class="col-8 col-xl-4">
		{{ form_widget(form.date, {'attr': { 'class': 'form-control'}}) }}
		{{ form_errors(form.date) }}
	</div>
</div>