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@@ -136,7 +136,7 @@
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<select class="form-control form-control-sm" name="sex">
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<option value="">--select--</option>
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<option value="M" @if($patient->sex === 'M') selected @endif>Male</option>
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- <option value="F" @if($patient->sex === 'F') selected @endif>Female</option>
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+ <option value="F" @if($patient->sex === 'F') selected @endif>Female</option>
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</select>
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</div>
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<div>
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@@ -358,6 +358,12 @@
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@endif
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@endif
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</div>
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+ <div class="mb-1">
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+ MCP Pro: <b>{{ $patient->mcp->name_display ?? ''}}</b>
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+ </div>
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+ <div class="mb-1">
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+ RD Pro: <b>{{ $patient->rd->name_display ?? ''}}</b>
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+ </div>
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</div>
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<hr class="m-negator-3 my-3">
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@@ -411,7 +417,7 @@
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<label class="mb-1 text-secondary text-sm">Claim Address Zip</label>
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<input type="text" class="form-control form-control-sm" value="{{ $patient->claim_address_zip }}" name="claimAddressZip" />
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</div>
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-
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+
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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">Cancel</button>
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@@ -435,8 +441,8 @@
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<div>
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Claim Address Zip: <b>{{ $patient->claim_address_zip ?? '' }}</b>
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</div>
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-
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-
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+
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+
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</div>
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</div>
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