@csrf

{{ __("clinic-consumable.modal.h5_request") }}

{{ __("clinic-consumable.modal.p_request_1") }}

{{ __("clinic-consumable.modal.p_request_2") }}

{!! __("clinic-consumable.modal.p_required") !!}

{{ __("clinic-consumable.modal.label_request") }}^★

{{ __("clinic-consumable.modal.h5_request_confirm") }}

{{ __("clinic-consumable.modal.p_confirm_message") }}

{!! __("clinic-consumable.modal.label_request") !!}^★