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@@ -2,38 +2,298 @@
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@section('content-inner')
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@section('content-inner')
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<div class="row mt-3">
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<div class="row mt-3">
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- <div class="col-8">
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-
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- <div class="table-responsive p-0 bg-white table-sm stag-table border-top">
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- <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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- <thead>
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- <tr>
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- <th colspan="2" class="px-2">Record Details</th>
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- </tr>
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- </thead>
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- <tbody>
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- <?php foreach($record as $k => $v): ?>
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- <?php
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- if($k === 'id' || $k === 'uid') continue;
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- $displayValue = $record->$k;
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- if(substr($k, -3) === '_at') {
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- $displayValue = friendly_date_time($record->$k);
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- }
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- ?>
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- <tr>
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- <td class="px-2 text-secondary border-right w-50">{{ ucwords(str_replace("_", " ", $k)) }}</td>
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- <td class="px-2 font-weight-bold w-50">{{ $displayValue }}</td>
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- </tr>
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- <?php endforeach; ?>
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- </tbody>
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- </table>
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- </div>
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+ <div class="col-12">
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+
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+ <div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Info
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Bill Service Type</td><td class="w-75 px-2 font-weight-bold"><?= $record->bill_service_type ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Client Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->client_id ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Effective Date</td><td class="w-75 px-2 font-weight-bold"><?= $record->effective_date ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Code</td><td class="w-75 px-2 font-weight-bold"><?= $record->code ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Modifier</td><td class="w-75 px-2 font-weight-bold"><?= $record->modifier ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Number Of Units</td><td class="w-75 px-2 font-weight-bold"><?= $record->number_of_units ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Note
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Note Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->note_id ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Note Ally Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->note_ally_id ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Care Month
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Care Month Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->care_month_id ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Pros
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Cm Or Rm</td><td class="w-75 px-2 font-weight-bold"><?= $record->cm_or_rm ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Hcp Pro Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->hcp_pro_id ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Cm Pro Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->cm_pro_id ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Rme Pro Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->rme_pro_id ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Rmm Pro Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->rmm_pro_id ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Service Location
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Service Location</td><td class="w-75 px-2 font-weight-bold"><?= $record->service_location ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Reasons
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Reason1</td><td class="w-75 px-2 font-weight-bold"><?= $record->reason1 ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Reason2</td><td class="w-75 px-2 font-weight-bold"><?= $record->reason2 ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Reason3</td><td class="w-75 px-2 font-weight-bold"><?= $record->reason3 ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">HCP Signature
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+ <span class="ml-auto"><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_signAsHcp' title='Sign as HCP'class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Sign As HCP</span></a></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Is Signed By Hcp</td><td class="w-75 px-2 font-weight-bold"><?= $record->is_signed_by_hcp ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Signed By Hcp At</td><td class="w-75 px-2 font-weight-bold"><?= friendly_date_time($record->signed_by_hcp_at) ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">CM Signature
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+ <span class="ml-auto"><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_signAsCm' title='Sign as CM'class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Sign As CM</span></a></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Is Signed By Cm</td><td class="w-75 px-2 font-weight-bold"><?= $record->is_signed_by_cm ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Signed By Cm At</td><td class="w-75 px-2 font-weight-bold"><?= friendly_date_time($record->signed_by_cm_at) ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">RME Signature
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+ <span class="ml-auto"><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_signAsRme' title='Sign as RME'class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Sign As RME</span></a></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Is Signed By Rme</td><td class="w-75 px-2 font-weight-bold"><?= $record->is_signed_by_rme ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Signed By Rme At</td><td class="w-75 px-2 font-weight-bold"><?= friendly_date_time($record->signed_by_rme_at) ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">RMM Signature
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+ <span class="ml-auto"><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_signAsRmm' title='Sign as RMM'class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Sign As RMM</span></a></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Is Signed By Rmm</td><td class="w-75 px-2 font-weight-bold"><?= $record->is_signed_by_rmm ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Signed By Rmm At</td><td class="w-75 px-2 font-weight-bold"><?= friendly_date_time($record->signed_by_rmm_at) ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">HCP Payment
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Hcp Expected Payment Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->hcp_expected_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Has Hcp Been Paid</td><td class="w-75 px-2 font-weight-bold"><?= $record->has_hcp_been_paid ?><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payHcpAmount' title='Pay HCP Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay HCP Amount</span></a>
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+<a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payHcpDifferentAmount' title='Pay HCP Different Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay HCP Different Amount</span></a></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Hcp Payment Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->hcp_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Hcp Payment Pro Transaction Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->hcp_payment_pro_transaction_id ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">CM Payment
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Cm Expected Payment Amount </td><td class="w-75 px-2 font-weight-bold"><?= $record->cm_expected_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Has Cm Been Paid</td><td class="w-75 px-2 font-weight-bold"><?= $record->has_cm_been_paid ?><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payCmAmount' title='Pay CM Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay CM Amount</span></a>
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+<a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payCmDifferentAmount' title='Pay CM Different Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay CM Different Amount</span></a></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Cm Payment Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->cm_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Cm Payment Pro Transaction Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->cm_payment_pro_transaction_id ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">RME Payment
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Rme Expected Payment Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->rme_expected_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Has Rme Been Paid</td><td class="w-75 px-2 font-weight-bold"><?= $record->has_rme_been_paid ?><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payRmeAmount' title='Pay RME Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay RME Amount</span></a>
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+<a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payRmeDifferentAmount' title='Pay RME Different Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay RME Different Amount</span></a></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Rme Payment Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->rme_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Rme Payment Pro Transaction Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->rme_payment_pro_transaction_id ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">RMM Payment
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+ <span class="ml-auto"><!-- __GROUP_ACTION__ --></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Rmm Expected Payment Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->rmm_expected_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Has Rmm Been Paid</td><td class="w-75 px-2 font-weight-bold"><?= $record->has_rmm_been_paid ?><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payRmmAmount' title='Pay RMM Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay RMM Amount</span></a>
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+<a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_payRmmDifferentAmount' title='Pay RMM Different Amount' class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Pay RMM Different Amount</span></a></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Rmm Payment Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->rmm_payment_amount ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Rmm Payment Pro Transaction Id</td><td class="w-75 px-2 font-weight-bold"><?= $record->rmm_payment_pro_transaction_id ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Cancelled?
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+ <span class="ml-auto"><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_markCancelled' title='Cancel'class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Cancel</span></a></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Is Cancelled</td><td class="w-75 px-2 font-weight-bold"><?= $record->is_cancelled ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Marked Cancelled At</td><td class="w-75 px-2 font-weight-bold"><?= friendly_date_time($record->marked_cancelled_at) ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Submitted?
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+ <span class="ml-auto"><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_markSubmitted' title='Submit'class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Submit</span></a></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Is Submitted</td><td class="w-75 px-2 font-weight-bold"><?= $record->is_submitted ?></td></tr>
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+<tr><td class="w-25 px-2 text-secondary border-right">Marked Submitted At</td><td class="w-75 px-2 font-weight-bold"><?= friendly_date_time($record->marked_submitted_at) ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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+<div class="table-responsive p-0 bg-white table-sm mb-3">
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+ <table class="table table-hover text-nowrap table-striped border-left border-right border-bottom">
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+ <thead>
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+ <tr>
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+ <th colspan="2" class="px-2">Collected Amount
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+ <span class="ml-auto"><a up-modal=".form-contents" up-width="800" up-history="false" href='/bills/view/<?= $record->uid ?>/ACTION_putCollectedAmount' title='Put collected amount'class='mx-2 font-weight-normal text-primary text-xs'><i class='fa fa-circle'></i> <span>Put Collected Amount</span></a></span>
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+ </th>
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+ </tr>
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+ </thead>
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+ <tbody>
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+ <tr><td class="w-25 px-2 text-secondary border-right">Collected Amount</td><td class="w-75 px-2 font-weight-bold"><?= $record->collected_amount ?></td></tr>
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+ </tbody>
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+ </table>
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+</div>
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+
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- </div>
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- <div class="col-4">
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- <div class="border-left h-100 pl-3">
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- @include('pro/bills/actions')
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- </div>
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</div>
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</div>
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</div>
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</div>
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