<!DOCTYPE html>
<html>
<head>
    <title>{{ $details['subject'] }}</title>
</head>
<body>
    <?php
        $data = $details['data'];
    ?>

    <div><b>Order Date:</b>{{ $data->order_date }}</div>
    <div><b>PUrchase Order #:</b>{{ $data->purchase_order_number }}</div>
    <div><b>Company Name:</b>{{ $data->company_name }}</div>
    <div><b>Group Npi:</b>{{ $data->group_npi }}</div>
    <div><b>Order Phyisician Name:</b>{{ $data->order_phyisician_name }}</div>
    <div><b>Physician Npi:</b>{{ $data->physician_npi }}</div>
    <div><b>Purchasing Contact Name:</b>{{ $data->purchasing_contact_name }}</div>
    <div><b>Phone Number:</b>{{ $data->phone_number }}</div>
    <div><b>Email:</b>{{ $data->email }}</div>
    <div><b>Shipping Address:</b>{{ $data->shipping_address }}</div>
    <div><b>Line 2:</b>{{ $data->line_2 }}</div>
    <div><b>City:</b>{{ $data->city }}</div>
    <div><b>State:</b>{{ $data->state }}</div>
    <div><b>Zip:</b>{{ $data->zip }}</div>
    <div><b>Quantity:</b>{{ $data->quantity }}</div>
    <div><b>Memo:</b>{{ $data->memo }}</div>
    <div><b>Delivery Option:</b>{{ $data->delivery_option }}</div>
    <div><b>Agrees To Terms:</b>{{ $data->agrees_to_terms }}</div>


</body>
</html>