{!! html()
->select('patient[yy]', $data['yy_list'], '1970')
->class('form-select')
->style('width: 30%;')
!!}
{!! html()
->select('patient[mm]', $data['mm_list'], '')
->class('form-select')
!!}
{!! html()
->select('patient[dd]', $data['dd_list'], '')
->class('form-select')
!!}