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@@ -25,7 +25,7 @@
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<input type="hidden" name="_return" value="{{route('my_clients-add_new')}}">
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<div class='form-group mb-3'>
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<label class='control-label'>Team</label>
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-<select class='form-control' name='teamUid' >
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+<select class='form-control' name='teamUid' value='{{ old('teamUid') ? old('teamUid') : '' }}' >
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<option value=''>-- Select --</option>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('team')->get(); ?>
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<?php foreach($dbOptions as $o): ?>
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@@ -35,7 +35,7 @@
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Mcp Pro</label>
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-<select class='form-control' name='mcpProUid' >
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+<select class='form-control' name='mcpProUid' value='{{ old('mcpProUid') ? old('mcpProUid') : '' }}' >
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<option value=''>-- Select --</option>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('pro')->get(); ?>
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<?php foreach($dbOptions as $o): ?>
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@@ -45,7 +45,7 @@
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Ally Pro</label>
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-<select class='form-control' name='allyProUid' >
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+<select class='form-control' name='allyProUid' value='{{ old('allyProUid') ? old('allyProUid') : '' }}' >
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<option value=''>-- Select --</option>
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<?php $dbOptions = \Illuminate\Support\Facades\DB::table('pro')->get(); ?>
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<?php foreach($dbOptions as $o): ?>
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@@ -55,39 +55,39 @@
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name Display</label>
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-<input class='form-control' type='text' name='nameDisplay' >
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+<input class='form-control' type='text' name='nameDisplay' value='{{ old('nameDisplay') ? old('nameDisplay') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name Display</label>
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-<input class='form-control' type='text' name='name.nameDisplay' >
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+<input class='form-control' type='text' name='name.nameDisplay' value='{{ old('name.nameDisplay') ? old('name.nameDisplay') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name Prefix</label>
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-<input class='form-control' type='text' name='name.namePrefix' >
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+<input class='form-control' type='text' name='name.namePrefix' value='{{ old('name.namePrefix') ? old('name.namePrefix') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name First</label>
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-<input class='form-control' type='text' name='name.nameFirst' >
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+<input class='form-control' type='text' name='name.nameFirst' value='{{ old('name.nameFirst') ? old('name.nameFirst') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name Middle</label>
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-<input class='form-control' type='text' name='name.nameMiddle' >
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+<input class='form-control' type='text' name='name.nameMiddle' value='{{ old('name.nameMiddle') ? old('name.nameMiddle') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name Last</label>
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-<input class='form-control' type='text' name='name.nameLast' >
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+<input class='form-control' type='text' name='name.nameLast' value='{{ old('name.nameLast') ? old('name.nameLast') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name Suffix</label>
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-<input class='form-control' type='text' name='name.nameSuffix' >
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+<input class='form-control' type='text' name='name.nameSuffix' value='{{ old('name.nameSuffix') ? old('name.nameSuffix') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Name Credential</label>
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-<input class='form-control' type='text' name='name.nameCredential' >
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+<input class='form-control' type='text' name='name.nameCredential' value='{{ old('name.nameCredential') ? old('name.nameCredential') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Gender</label>
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-<select class='form-control' name='gender' >
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+<select class='form-control' name='gender' value='{{ old('gender') ? old('gender') : '' }}' >
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<option value=''>-- Select --</option>
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<option value='M'>M</option>
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<option value='F'>F</option>
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@@ -95,19 +95,19 @@
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Date Of Birth</label>
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-<input class='form-control' type='date' name='dateOfBirth' >
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+<input class='form-control' type='date' name='dateOfBirth' value='{{ old('dateOfBirth') ? old('dateOfBirth') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Cell Number</label>
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-<input class='form-control' type='tel' name='cellNumber' >
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+<input class='form-control' type='tel' name='cellNumber' value='{{ old('cellNumber') ? old('cellNumber') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Email Address</label>
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-<input class='form-control' type='email' name='emailAddress' >
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+<input class='form-control' type='email' name='emailAddress' value='{{ old('emailAddress') ? old('emailAddress') : '' }}' >
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</div>
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<div class='form-group mb-3'>
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<label class='control-label'>Medicare Number</label>
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-<input class='form-control' type='text' name='medicareNumber' >
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+<input class='form-control' type='text' name='medicareNumber' value='{{ old('medicareNumber') ? old('medicareNumber') : '' }}' >
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</div>
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<div class="form-group mb-3">
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<button class="btn btn-sm btn-primary mr-3 px-5">Submit</button>
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