 <div class="row pricing-list-item border-item mb-4 col-12">
                     <div class="form-group col-lg-6">
            <label><?php echo e(meta('dating', getCurrentLocale()) ?? __('insulins.dating')); ?> </label>
            <input type="date" class="form-control <?php echo e($errors->has('dating') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][dating]" id="dating" placeholder="<?php echo e(meta('dating', getCurrentLocale()) ??__('insulins.dating')); ?>" value='<?php echo e(old("dating", $insulin->dating ?? "")); ?>'/>
        </div>
            
             <div class="form-group col-lg-5">
            <label><?php echo e(meta('fasting_blood', getCurrentLocale()) ?? __('insulins.fasting_blood')); ?> </label>
            <input type="text" class="form-control <?php echo e($errors->has('fasting_blood') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][fasting_blood]" placeholder="<?php echo e(meta('fasting_blood', getCurrentLocale()) ??__('insulins.fasting_blood')); ?>" value='<?php echo e(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><?php echo e(meta('fasting_insulin', getCurrentLocale()) ?? __('insulins.fasting_insulin')); ?> </label>
            <input type="text" class="form-control <?php echo e($errors->has('fasting_insulin') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][fasting_insulin]" placeholder="<?php echo e(meta('fasting_insulin', getCurrentLocale()) ??__('insulins.fasting_insulin')); ?>" value='<?php echo e(old("fasting_insulin", $insulin->fasting_insulin ?? "")); ?>'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label><?php echo e(meta('homa_ir', getCurrentLocale()) ?? __('insulins.homa_ir')); ?> </label>
            <input type="text" class="form-control <?php echo e($errors->has('homa_ir') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][homa_ir]" placeholder="<?php echo e(meta('homa_ir', getCurrentLocale()) ??__('insulins.homa_ir')); ?>" value='<?php echo e(old("homa_ir", $insulin->homa_ir ?? "")); ?>'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label><?php echo e(meta('tg_hdl', getCurrentLocale()) ?? __('insulins.tg_hdl')); ?> </label>
            <input type="text" class="form-control <?php echo e($errors->has('tg_hdl') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][tg_hdl]" placeholder="<?php echo e(meta('tg_hdl', getCurrentLocale()) ??__('insulins.tg_hdl')); ?>" value='<?php echo e(old("tg_hdl", $insulin->tg_hdl ?? "")); ?>'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label><?php echo e(meta('hgbaic', getCurrentLocale()) ?? __('insulins.hgbaic')); ?> </label>
            <input type="text" class="form-control <?php echo e($errors->has('hgbaic') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][hgbaic]" placeholder="<?php echo e(meta('hgbaic', getCurrentLocale()) ??__('insulins.hgbaic')); ?>" value='<?php echo e(old("hgbaic", $insulin->hgbaic ?? "")); ?>'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label><?php echo e(meta('waist_circ', getCurrentLocale()) ?? __('insulins.waist_circ')); ?> </label>
            <input type="text" class="form-control <?php echo e($errors->has('waist_circ') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][waist_circ]" placeholder="<?php echo e(meta('waist_circ', getCurrentLocale()) ??__('insulins.waist_circ')); ?>" value='<?php echo e(old("waist_circ", $insulin->waist_circ ?? "")); ?>'/>
        </div>
            
             <div class="form-group col-lg-6">
            <label><?php echo e(meta('resistance', getCurrentLocale()) ?? __('insulins.resistance')); ?> </label>
            <input type="text" class="form-control <?php echo e($errors->has('resistance') ? 'is-invalid' : ''); ?>" name="insulin[<?php echo e($data); ?>][resistance]" placeholder="<?php echo e(meta('resistance', getCurrentLocale()) ??__('insulins.resistance')); ?>" value='<?php echo e(old("resistance", $insulin->resistance ?? "")); ?>'/>
        </div>
        </div><?php /**PATH /home/omaralyomhost/public_html/green_apple/resources/views/admin/ajax/insulin.blade.php ENDPATH**/ ?>