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@@ -10,12 +10,37 @@
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<form url="/api/careMonth/create">
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<input type="hidden" name="clientUid" value="{{ $patient->uid }}">
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<div class="mb-2">
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- <input type="number" min="1" max="12" class="form-control form-control-sm" name="startMonth"
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- value="" placeholder="Start Month">
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+ <select name="startMonth" class="form-control form-control-sm">
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+ <option value="">-- Start Month --</option>
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+ <option value="1">January</option>
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+ <option value="2">February</option>
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+ <option value="3">March</option>
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+ <option value="4">April</option>
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+ <option value="5">May</option>
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+ <option value="6">June</option>
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+ <option value="7">July</option>
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+ <option value="8">August</option>
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+ <option value="9">September</option>
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+ <option value="10">October</option>
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+ <option value="11">November</option>
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+ <option value="12">December</option>
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+ </select>
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</div>
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<div class="mb-2">
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- <input type="number" min="2020" max="2100" class="form-control form-control-sm" name="startYear"
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- value="" placeholder="Start Year">
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+ <select name="startYear" class="form-control form-control-sm">
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+ <option value="">-- Start Year --</option>
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+ <option value="2020">2020</option>
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+ <option value="2021">2021</option>
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+ <option value="2022">2022</option>
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+ <option value="2023">2023</option>
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+ <option value="2024">2024</option>
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+ <option value="2025">2025</option>
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+ <option value="2026">2026</option>
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+ <option value="2027">2027</option>
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+ <option value="2028">2028</option>
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+ <option value="2029">2029</option>
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+ <option value="2030">2030</option>
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+ </select>
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</div>
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<div class="d-flex align-items-center">
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<button class="btn btn-sm btn-primary mr-2" submit>Save</button>
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