@csrf
Your Name
*
@error('patient_name')
{{ $message }}
@enderror
Phone Number
*
@error('call_received_from')
{{ $message }}
@enderror
Email Address
@error('patient_email')
{{ $message }}
@enderror
City
@error('place_area')
{{ $message }}
@enderror
Type your essential message here...
{{ old('call_remark') }}
@error('call_remark')
{{ $message }}
@enderror
Make An Appointment