 <div class="row pricing-list-item border-item mb-4 col-12">
                     <div class="form-group col-lg-6">
            <label>{{ meta('dating', getCurrentLocale()) ?? __('insulins.dating') }} </label>
            <input type="date" class="form-control {{ $errors->has('dating') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][dating]" id="dating" placeholder="{{ meta('dating', getCurrentLocale()) ??__('insulins.dating') }}" value='{{ old("dating", $insulin->dating ?? "") }}'/>
        </div>
            
             <div class="form-group col-lg-5">
            <label>{{ meta('fasting_blood', getCurrentLocale()) ?? __('insulins.fasting_blood') }} </label>
            <input type="text" class="form-control {{ $errors->has('fasting_blood') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][fasting_blood]" placeholder="{{ meta('fasting_blood', getCurrentLocale()) ??__('insulins.fasting_blood') }}" value='{{ old("fasting_blood", $insulin->fasting_blood ?? "") }}'/>
        </div>
<div class="form-group col-lg-1" style="font-size: 30px;margin-top:30px;" onclick="remove(this)"><i class="fas fa-times-circle"></i></div>
  
      
            
             <div class="form-group col-lg-6">
            <label>{{ meta('fasting_insulin', getCurrentLocale()) ?? __('insulins.fasting_insulin') }} </label>
            <input type="text" class="form-control {{ $errors->has('fasting_insulin') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][fasting_insulin]" placeholder="{{ meta('fasting_insulin', getCurrentLocale()) ??__('insulins.fasting_insulin') }}" value='{{ old("fasting_insulin", $insulin->fasting_insulin ?? "") }}'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label>{{ meta('homa_ir', getCurrentLocale()) ?? __('insulins.homa_ir') }} </label>
            <input type="text" class="form-control {{ $errors->has('homa_ir') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][homa_ir]" placeholder="{{ meta('homa_ir', getCurrentLocale()) ??__('insulins.homa_ir') }}" value='{{ old("homa_ir", $insulin->homa_ir ?? "") }}'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label>{{ meta('tg_hdl', getCurrentLocale()) ?? __('insulins.tg_hdl') }} </label>
            <input type="text" class="form-control {{ $errors->has('tg_hdl') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][tg_hdl]" placeholder="{{ meta('tg_hdl', getCurrentLocale()) ??__('insulins.tg_hdl') }}" value='{{ old("tg_hdl", $insulin->tg_hdl ?? "") }}'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label>{{ meta('hgbaic', getCurrentLocale()) ?? __('insulins.hgbaic') }} </label>
            <input type="text" class="form-control {{ $errors->has('hgbaic') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][hgbaic]" placeholder="{{ meta('hgbaic', getCurrentLocale()) ??__('insulins.hgbaic') }}" value='{{ old("hgbaic", $insulin->hgbaic ?? "") }}'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label>{{ meta('waist_circ', getCurrentLocale()) ?? __('insulins.waist_circ') }} </label>
            <input type="text" class="form-control {{ $errors->has('waist_circ') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][waist_circ]" placeholder="{{ meta('waist_circ', getCurrentLocale()) ??__('insulins.waist_circ') }}" value='{{ old("waist_circ", $insulin->waist_circ ?? "") }}'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label>{{ meta('resistance', getCurrentLocale()) ?? __('insulins.resistance') }} </label>
            <input type="text" class="form-control {{ $errors->has('resistance') ? 'is-invalid' : '' }}" name="insulin[{{$data}}][resistance]" placeholder="{{ meta('resistance', getCurrentLocale()) ??__('insulins.resistance') }}" value='{{ old("resistance", $insulin->resistance ?? "") }}'/>
        </div>
        </div>