@csrf
Refferal Lab Name
*
This field is required.
Lab Owner Name
*
@foreach($account_title as $list)
account_title_id == $list->id ? 'selected' : '' !!}>{{ $list->name }}
@endforeach
This field is required.
Country
Select Country
@foreach($country as $list)
account_contact->country_id, $list->id) !!}>{{$list->name}}
@endforeach
Email
@if ($errors->has('email'))
{{ $errors->first('email') }}
@endif
Phone no
*
@if ($errors->has('phone_no'))
{{ $errors->first('phone_no') }}
@endif
This field is required.
Whatsapp no
@if ($errors->has('whatsapp_no'))
{{ $errors->first('whatsapp_no') }}
@endif
State
--Select--
City
--Select--
PIN/Postal code
@if ($errors->has('postal_code'))
{{ $errors->first('postal_code') }}
@endif
Address
{!! $referralAgent->first_account_address->address_line1 !!}
@if ($errors->has('address'))
{{ $errors->first('address') }}
@endif
@if($country_id) @endif