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@@ -671,6 +671,31 @@ $isOldClient = (date_diff(date_create(config('app.point_impl_date')), date_creat
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</form>
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</div>
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</section>
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+ <section class="mr-4 align-self-start mt-2 ml-auto">
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+ <label>Intake Data:</label> <span class="text-secondary"></span>
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+ <div visit-moe moe relative wide class="ml-2 hide-inside-popup">
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+ <a start show><i class="fa fa-edit"></i></a>
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+ <form url="/api/client/updateCanvasData" class="mcp-theme-1" right>
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+ <input type="hidden" name="uid" value="{{$patient->uid}}">
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+ <input type="hidden" name="key" name="INTAKE_DATA">
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+ <input type="hidden" name="data">
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Weight</label>
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+ <input name="data" data-field-name="weight" class="form-control"/>
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+ </div>
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+ <div class="mb-2">
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+ <label class="text-secondary text-sm">Height</label>
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+ <input name="data" data-field-name="height" class="form-control"/>
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+ </div>
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+ <div>
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+ <button submit class="btn btn-sm btn-primary mr-1">Submit</button>
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+ <button cancel class="btn btn-sm btn-default border">
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+ Cancel
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+ </button>
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+ </div>
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+ </form>
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+ </div>
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+ </section>
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<ul class="vbox mt-2 align-self-start patient-header-address ">
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<li class="d-flex align-items-start">
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<span class="aligned-icon">
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=