{!! html() ->select('patient[mtb_medical_subject_id]', $data['medical_subject_list'], '') ->class('form-select rounded-0 mb-2') !!}

{!! html() ->select('patient[yy]', $data['yy_list'], '') ->class('form-select rounded-0 mb-2') !!} {!! html() ->select('patient[mm]', $data['mm_list'], '') ->class('form-select rounded-0 mb-2') !!} {!! html() ->select('patient[dd]', $data['dd_list'], '') ->class('form-select rounded-0') !!}