|
|
@@ -1,12 +1,35 @@
|
|
|
<section style="padding-top: 0.1rem;">
|
|
|
|
|
|
+ <div style="margin: 0 0 1rem; font-weight: bold; "><span style="font-size: 16px">Specimen/Physician Information</span></div>
|
|
|
+
|
|
|
+ <table cellpadding="0" cellspacing="0" border="0" style="width: 100%; font-size: 14px; margin-bottom: 1rem;">
|
|
|
+ <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>
|
|
|
+
|
|
|
<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>
|
