Erx UI - PDF generation + view

app/Http/Controllers/PatientController.php

@@ -27,6 +27,8 @@ use Illuminate\Http\Request;
 use Illuminate\Support\Facades\DB;
 use Illuminate\Support\Facades\File;
 
+use PDF;
+
 class PatientController extends Controller
 {
 
@@ -420,6 +422,16 @@ class PatientController extends Controller
         return view('app.patient.prescriptions.index', compact('patient', 'type', 'currentErx'));
     }
 
+    public function downloadPrescriptionAsPdf(Request $request, Erx $prescription){
+        if($request->input('html')) {
+            return view('app.patient.prescriptions.pdf.pdf-preview', compact('prescription'));
+        }
+        else {
+            $pdf = PDF::loadView('app.patient.prescriptions.pdf.pdf-preview', compact('prescription'));
+            return $pdf->download($prescription->created_at .'_' . 'erx.pdf');
+        }
+    }
+
     public function supplyOrders(Request $request, Client $patient, SupplyOrder $supplyOrder = null)
     {
         $products = Product::where('is_active', true)->orderBy('created_at', 'desc')->get();

resources/views/app/patient/prescriptions/index.blade.php

@@ -31,7 +31,8 @@
                 <tbody>
                 <tr v-for="(prescription, index) in prescriptions" :class="currentPrescription && currentPrescription.id === prescription.id ? 'bg-aliceblue' : ''">
                     <td class="px-2">
-                        <a href="#" v-on:click.prevent="currentPrescription=prescription">@{{prescription.created_at_friendly_short}}</a>
+                        <a href="#" v-on:click.prevent="currentPrescription=prescription"
+                           :class="currentPrescription && currentPrescription.id === prescription.id ? 'font-weight-bold' : ''">@{{prescription.created_at_friendly_short}}</a>
                     </td>
                     <td class="px-2">@{{prescription.erx_category}}</td>
                     <td class="px-2">
@@ -94,6 +95,39 @@
                 </tbody>
             </table>
             <div v-if="currentPrescription" class="min-width-500px ml-2 border align-self-stretch p-3">
+                <div class="d-flex align-items-center">
+                    <h3 class="font-size-16 m-0">
+                        <div v-if="currentPrescription.clinical_detail_json" class="d-inline-flex align-items-baseline">
+                            <div class="d-flex align-items-baseline" v-if="currentPrescription.erx_category === 'DRUG'">
+                                <b class="mr-2 font-size-16">@{{currentPrescription.clinical_detail_json.medication ?? '-'}}</b>
+                                <span class="text-secondary mr-1 font-size-16">@{{currentPrescription.clinical_detail_json.strength ?? '-'}}</span>
+                                <span class="text-secondary mr-1 font-size-16">@{{currentPrescription.clinical_detail_json.amount ?? '-'}}</span>
+                                <span class="text-secondary mr-1 font-size-16">@{{currentPrescription.clinical_detail_json.route ?? '-'}}</span>
+                            </div>
+                            <div class="d-flex align-items-baseline" v-if="currentPrescription.erx_category === 'LAB' || currentPrescription.erx_category === 'IMAGING'">
+                                <b class="mr-2 font-size-16">@{{currentPrescription.clinical_detail_json.test ?? '-'}}</b>
+                                <span class="text-secondary mr-1 font-size-16">@{{currentPrescription.clinical_detail_json.icds ?? '-'}}</span>
+                            </div>
+                            <div class="d-flex align-items-baseline" v-if="currentPrescription.erx_category === 'REFERRAL'">
+                                <b class="mr-2 font-size-16">@{{currentPrescription.clinical_detail_json.to ?? '-'}}</b>
+                                <span class="text-secondary mr-1 font-size-16">@{{currentPrescription.clinical_detail_json.memo ?? '-'}}</span>
+                            </div>
+                            <div class="d-flex align-items-baseline" v-if="currentPrescription.erx_category === 'SUPPLY'">
+                                <b class="mr-2 font-size-16">@{{currentPrescription.clinical_detail_json.item ?? '-'}}</b>
+                                <span class="text-secondary mr-1 font-size-16">@{{currentPrescription.clinical_detail_json.quantity ?? '-'}}</span>
+                            </div>
+                            <div class="d-flex align-items-baseline" v-if="currentPrescription.erx_category === 'OTHER'">
+                                <b class="mr-2 font-size-16">@{{currentPrescription.clinical_detail_json.title ?? '-'}}</b>
+                                <span class="text-secondary mr-1 font-size-16">@{{currentPrescription.clinical_detail_json.memo ?? '-'}}</span>
+                            </div>
+                        </div>
+                        <div v-else>-</div>
+                    </h3>
+                    <a class="ml-auto" href="#" v-on:click.prevent="currentPrescription=null">
+                        <i class="fa fa-times-circle on-hover-opaque"></i>
+                    </a>
+                </div>
+                <hr class="my-3">
                 <div class="pb-2 d-flex align-items-center">
                     <span class="width-150px text-secondary text-sm">Created</span>
                     <span>@{{currentPrescription.created_at_friendly}}</span>
@@ -189,6 +223,24 @@
                         <div v-else>-</div>
                     </div>
                 </div>
+                <div class="pb-2 d-flex align-items-center">
+                    <span class="width-150px text-secondary text-sm">UID</span>
+                    <div class="d-inline-flex align-items-baseline">
+                        @{{ currentPrescription.uid }}
+                    </div>
+                </div>
+                <div class="pb-2 d-flex align-items-center">
+                    <span class="width-150px text-secondary text-sm">PDF</span>
+                    <div class="d-inline-flex align-items-baseline">
+                        <a class="pdf-viewer-trigger" native target="_blank"
+                           :href="'/prescription-download-as-pdf/' + currentPrescription.uid">View</a>
+                        <span class="mx-2 text-secondary">|</span>
+                        <a native target="_blank"
+                           :href="'/prescription-download-as-pdf/' + currentPrescription.uid">Download</a>
+                        <span class="mx-2 text-secondary">|</span>
+                        <a href="#" v-on:click.prevent="showSendFaxPopup()">Send Fax</a>
+                    </div>
+                </div>
             </div>
         </div>
         @include('app.patient.prescriptions.drug-form')

resources/views/app/patient/prescriptions/pdf/DRUG.blade.php

@@ -0,0 +1,66 @@
+<section style="padding-top: 0.1rem;">
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
+        <tr>
+            <td style="width: 70%">
+                <b>Patient Information</b>
+            </td>
+            <td style="">
+                <div style="text-align: right">Date: <b>{{date('Y-m-d')}}</b></div>
+            </td>
+        </tr>
+    </table>
+
+    <div style="font-size: 14px; margin-top: 0.6rem; line-height: 1.4; opacity: 0.6">
+        <span>{{ $patient->displayName() }}, {{$patient->sex}}, {{$patient->age_in_years}} years old</span><br>
+        <?php
+        $addressParts = [];
+        if (!!$patient->mailing_address_line1) $addressParts[] = $patient->mailing_address_line1;
+        if (!!$patient->mailing_address_line2) $addressParts[] = $patient->mailing_address_line2;
+        $addressParts = implode(", ", $addressParts) . ", ";
+        $addressPart2 = [];
+        if (!!$patient->mailing_address_city) $addressPart2[] = $patient->mailing_address_city;
+        if (!!$patient->mailing_address_state) $addressPart2[] = $patient->mailing_address_state;
+        $addressParts .= implode(", ", $addressPart2);
+        ?>
+        <span>{!! $addressParts !!}</span>
+    </div>
+</section>
+
+<?php $clinical = json_decode($prescription->clinical_detail_json); ?>
+<div style="margin: 1.5rem 0 1rem; font-weight: bold; opacity: 0.5"><span style="font-size: 24px">R</span><span style="font-size: 16px">x</span></div>
+<section style="font-size: 15px;">
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
+        <tr>
+            <td style="width: 20px; vertical-align: top; opacity: 0.75; font-size: 14px">
+                <span>1. </span>
+            </td>
+            <td style="vertical-align: top">
+                <div>
+                    <p style="margin: 0 0 0.5rem;">
+                        <b>{{ $clinical->medication }} {{ $clinical->strength }}
+                            @if($clinical->route)
+                                - {{ $clinical->route }}
+                            @endif
+                        </b>
+                    </p>
+                    <div style="">
+                        @if($clinical->frequency)
+                            <p style="margin: 0.5rem 0;">Frequency: {{ $clinical->frequency }}</p>
+                        @endif
+                        @if($clinical->dispense)
+                            <p style="margin: 0.5rem 0;">Dispense: {{ $clinical->dispense }}</p>
+                        @endif
+                        @if($clinical->refills)
+                            <p style="margin: 0.5rem 0;">Refills: {{ $clinical->refills }}</p>
+                        @endif
+                        @if($clinical->purpose)
+                            <p style="margin: 0.5rem 0;">Purpose: <b>{{ $clinical->purpose }}</b></p>
+                        @endif
+                    </div>
+                </div>
+            </td>
+        </tr>
+    </table>
+</section>
+

resources/views/app/patient/prescriptions/pdf/IMAGING.blade.php

@@ -0,0 +1,203 @@
+<section style="padding-top: 0.1rem;">
+
+    <div style="margin: 0 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Specimen/Physician Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Order Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{date('Y-m-d h:i a')}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">NPI:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->hcp_npi}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Test Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Ordering Physician:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Fax:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Patient Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_line1}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">DoB:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->dob}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_city}} {{$patient->home_address_state}} {{$patient->home_address_zip}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Gender:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->sex}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Mobile Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->cell_number ? $patient->cell_number : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient ID:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->chart_number ? $patient->chart_number : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Home Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->phone_home ? $patient->phone_home : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">SSN:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->ssn ? $patient->ssn : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Work Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Billing Information</span>
+        &nbsp;&nbsp;&nbsp;&nbsp;
+        <span style="font-size: 16px; opacity: 0.5;">Bill to: Patient</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Guarantor Information</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Relationship:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Self</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Order Information</span>
+    </div>
+
+    <?php $clinical = json_decode($prescription->clinical_detail_json); ?>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Fasting:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">ICD Codes:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">
+                {{@$clinical->icds ?: ''}}
+            </td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Collect at Draw Site:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+
+</section>
+
+
+<hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+<div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+    <span style="font-size: 16px">Studies/Imaging</span>
+</div>
+
+<section style="font-size: 15px;">
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
+        <?php $testIndex = 1; ?>
+        <tr>
+            <td style="width: 20px; vertical-align: top; opacity: 0.75; font-size: 14px">
+                <span>{{$testIndex++}}. </span>
+            </td>
+            <td style="vertical-align: top">
+                <div style="padding-bottom: 0.3rem;">{{$clinical->test}} <span style="padding-left: 15px; color: #666">{{$clinical->memo}}</span></div>
+            </td>
+        </tr>
+    </table>
+</section>
+

resources/views/app/patient/prescriptions/pdf/LAB.blade.php

@@ -0,0 +1,203 @@
+<section style="padding-top: 0.1rem;">
+
+    <div style="margin: 0 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Specimen/Physician Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Order Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{date('Y-m-d h:i a')}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">NPI:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->hcp_npi}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Test Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Ordering Physician:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Fax:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Patient Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_line1}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">DoB:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->dob}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_city}} {{$patient->home_address_state}} {{$patient->home_address_zip}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Gender:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->sex}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Mobile Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->cell_number ? $patient->cell_number : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient ID:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->chart_number ? $patient->chart_number : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Home Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->phone_home ? $patient->phone_home : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">SSN:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->ssn ? $patient->ssn : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Work Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Billing Information</span>
+        &nbsp;&nbsp;&nbsp;&nbsp;
+        <span style="font-size: 16px; opacity: 0.5;">Bill to: Patient</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Guarantor Information</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Relationship:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Self</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Order Information</span>
+    </div>
+
+    <?php $clinical = json_decode($prescription->clinical_detail_json); ?>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Fasting:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">ICD Codes:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">
+                {{@$clinical->icds ?: ''}}
+            </td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Collect at Draw Site:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+
+</section>
+
+
+<hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+<div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+    <span style="font-size: 16px">Lab</span>
+</div>
+
+<section style="font-size: 15px;">
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
+        <?php $testIndex = 1; ?>
+        <tr>
+            <td style="width: 20px; vertical-align: top; opacity: 0.75; font-size: 14px">
+                <span>{{$testIndex++}}. </span>
+            </td>
+            <td style="vertical-align: top">
+                <div style="padding-bottom: 0.3rem;">{{$clinical->test}} <span style="padding-left: 15px; color: #666">{{$clinical->memo}}</span></div>
+            </td>
+        </tr>
+    </table>
+</section>
+

resources/views/app/patient/prescriptions/pdf/OTHER.blade.php

@@ -0,0 +1,203 @@
+<section style="padding-top: 0.1rem;">
+
+    <div style="margin: 0 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Specimen/Physician Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Order Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{date('Y-m-d h:i a')}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">NPI:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->hcp_npi}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Test Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Ordering Physician:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Fax:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Patient Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_line1}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">DoB:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->dob}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_city}} {{$patient->home_address_state}} {{$patient->home_address_zip}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Gender:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->sex}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Mobile Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->cell_number ? $patient->cell_number : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient ID:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->chart_number ? $patient->chart_number : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Home Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->phone_home ? $patient->phone_home : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">SSN:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->ssn ? $patient->ssn : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Work Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Billing Information</span>
+        &nbsp;&nbsp;&nbsp;&nbsp;
+        <span style="font-size: 16px; opacity: 0.5;">Bill to: Patient</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Guarantor Information</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Relationship:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Self</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Order Information</span>
+    </div>
+
+    <?php $clinical = json_decode($prescription->clinical_detail_json); ?>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Fasting:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">ICD Codes:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">
+                {{@$clinical->icds ?: ''}}
+            </td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Collect at Draw Site:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+
+</section>
+
+
+<hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+<div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+    <span style="font-size: 16px">Details</span>
+</div>
+
+<section style="font-size: 15px;">
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
+        <?php $testIndex = 1; ?>
+        <tr>
+            <td style="width: 20px; vertical-align: top; opacity: 0.75; font-size: 14px">
+                <span>{{$testIndex++}}. </span>
+            </td>
+            <td style="vertical-align: top">
+                <div style="padding-bottom: 0.3rem;">{{$clinical->title}} <span style="padding-left: 15px; color: #666">{{$clinical->memo}}</span></div>
+            </td>
+        </tr>
+    </table>
+</section>
+

resources/views/app/patient/prescriptions/pdf/REFERRAL.blade.php

@@ -0,0 +1,203 @@
+<section style="padding-top: 0.1rem;">
+
+    <div style="margin: 0 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Specimen/Physician Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Order Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{date('Y-m-d h:i a')}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">NPI:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->hcp_npi}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Test Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Ordering Physician:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Fax:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Patient Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_line1}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">DoB:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->dob}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_city}} {{$patient->home_address_state}} {{$patient->home_address_zip}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Gender:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->sex}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Mobile Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->cell_number ? $patient->cell_number : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient ID:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->chart_number ? $patient->chart_number : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Home Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->phone_home ? $patient->phone_home : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">SSN:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->ssn ? $patient->ssn : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Work Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Billing Information</span>
+        &nbsp;&nbsp;&nbsp;&nbsp;
+        <span style="font-size: 16px; opacity: 0.5;">Bill to: Patient</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Guarantor Information</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Relationship:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Self</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Order Information</span>
+    </div>
+
+    <?php $clinical = json_decode($prescription->clinical_detail_json); ?>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Fasting:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">ICD Codes:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">
+                {{@$clinical->icds ?: ''}}
+            </td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Collect at Draw Site:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+
+</section>
+
+
+<hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+<div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+    <span style="font-size: 16px">Referral Details</span>
+</div>
+
+<section style="font-size: 15px;">
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
+        <?php $testIndex = 1; ?>
+        <tr>
+            <td style="width: 20px; vertical-align: top; opacity: 0.75; font-size: 14px">
+                <span>{{$testIndex++}}. </span>
+            </td>
+            <td style="vertical-align: top">
+                <div style="padding-bottom: 0.3rem;">{{$clinical->to}} <span style="padding-left: 15px; color: #666">{{$clinical->memo}}</span></div>
+            </td>
+        </tr>
+    </table>
+</section>
+

resources/views/app/patient/prescriptions/pdf/SUPPLY.blade.php

@@ -0,0 +1,203 @@
+<section style="padding-top: 0.1rem;">
+
+    <div style="margin: 0 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Specimen/Physician Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Order Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{date('Y-m-d h:i a')}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">NPI:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->hcp_npi}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Test Date:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Ordering Physician:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$prescription->hcpPro->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Practice Fax:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">202-935-1033</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75"><span style="font-size: 16px">Patient Information</span></div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_line1}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">DoB:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->dob}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->home_address_city}} {{$patient->home_address_state}} {{$patient->home_address_zip}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Gender:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->sex}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Mobile Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->cell_number ? $patient->cell_number : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Patient ID:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->chart_number ? $patient->chart_number : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Home Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->phone_home ? $patient->phone_home : '-'}}</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">SSN:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->ssn ? $patient->ssn : '-'}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Work Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Billing Information</span>
+        &nbsp;&nbsp;&nbsp;&nbsp;
+        <span style="font-size: 16px; opacity: 0.5;">Bill to: Patient</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Code:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Primary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Secondary Ins. Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Worker's Comp:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Policy #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Group #:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Emp/Group Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75;">Insured:</td>
+            <td style="padding-bottom: 0.25rem; width: 25%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Guarantor Information</span>
+    </div>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Name:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">{{$patient->displayName()}}</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Relationship:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Self</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Address:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Phone:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">City, State, ZIP:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">-</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+    <hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+    <div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+        <span style="font-size: 16px">Order Information</span>
+    </div>
+
+    <?php $clinical = json_decode($prescription->clinical_detail_json); ?>
+
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px;">
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Fasting:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">ICD Codes:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">
+                {{@$clinical->icds ?: ''}}
+            </td>
+        </tr>
+        <tr>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;">Collect at Draw Site:</td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;">Yes&nbsp;&nbsp;/&nbsp;&nbsp;No</td>
+            <td style="padding-bottom: 0.25rem; width: 20%; opacity: 0.75;"></td>
+            <td style="padding-bottom: 0.25rem; width: 30%; opacity: 0.75; font-weight: bold;"></td>
+        </tr>
+    </table>
+
+
+</section>
+
+
+<hr style="margin: 1rem 0; border-top-width: 0; border-bottom-width: 1px; border-color: #bbb">
+
+<div style="margin: 1.25rem 0 1rem; font-weight: bold; opacity: 0.75">
+    <span style="font-size: 16px">Supply Details</span>
+</div>
+
+<section style="font-size: 15px;">
+    <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
+        <?php $testIndex = 1; ?>
+        <tr>
+            <td style="width: 20px; vertical-align: top; opacity: 0.75; font-size: 14px">
+                <span>{{$testIndex++}}. </span>
+            </td>
+            <td style="vertical-align: top">
+                <div style="padding-bottom: 0.3rem;">{{$clinical->item}} <span style="padding-left: 15px;">{{$clinical->quantity}}</span><span style="padding-left: 15px; color: #666">{{$clinical->memo}}</span></div>
+            </td>
+        </tr>
+    </table>
+</section>
+

routes/web.php

@@ -45,6 +45,7 @@ Route::get("/appointment-confirmation/{appointmentUid}", 'GuestController@appoin
 Route::post("/process-appointment-confirmation", 'GuestController@processAppointmentConfirmation')->name('process-appointment_confirmation');
 
 Route::get('/ticket-download-as-pdf/{ticket}', 'TicketController@downloadAsPdf')->name('ticket-download-as-pdf');
+Route::get('/prescription-download-as-pdf/{prescription}', 'PatientController@downloadPrescriptionAsPdf')->name('prescription-download-as-pdf');
 Route::get('/get-ticket-faxes/{ticket}', 'TicketController@getTicketFaxes')->name('get-ticket-faxes');
 
 Route::middleware('pro.auth')->group(function () {