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+<div class="d-flex px-3 py-2 bg-light align-items-baseline border-bottom">
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+ <h4 class="font-weight-bold text-nowrap m-0">Watchpat Medical Necessity</h4>
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+ <div moe class="ml-3">
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+ <a start show href="#"><i class="fa fa-edit"></i> Edit</a>
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+ <form url="/api/client/updateWatchPatSignsAndSymptoms">
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <div class="font-weight-bold font-size-14 text-secondary border-bottom px-2 pb-2 mb-2 text-nowrap">Watchpat Medical Necessity</div>
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+
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+ TODO
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+ <div class="mt-2 border-top pt-2 text-center">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+</div>
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+
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+<div class="px-3 pt-2 pb-1">
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+ TODO
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+</div>
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