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@@ -1,103 +1,166 @@
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@extends ('layouts.patient')
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-
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-@section('section-title')
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-Notes
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-@endsection
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-
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@section('inner-content')
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@foreach ($patient->notes as $note)
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-<div class="card mb-2">
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- <div class="card-header">
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- {{$note->title}}
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- <span moe>
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- <a href="" show start><i class="fa fa-edit"></i></a>
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- <form url="/api/note/putTitle">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="form-group">
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- <label for="" class="control-label">Title</label>
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- <input type="text" name="title" value="{{$note->title}}" class="form-control">
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- </div>
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- <div class="form-group">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </span>
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- | {{$note->effective_dateest}}
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- <span moe>
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- <a href="" show start><i class="fa fa-calendar"></i></a>
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- <form url="/api/note/putEffectiveDateEST">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="form-group">
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- <label for="" class="control-label">Effective date EST </label>
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- <input type="date" name="effectiveDateEST" value="{{$note->effectiveTime}}" class="form-control">
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- </div>
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- <div class="form-group">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </span>
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- <span moe>
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- <a href="" show start><i class="fa fa-clock"></i></a>
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- <form url="/api/note/putEffectiveTime">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="form-group">
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- <label for="" class="control-label">Effective time </label>
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- <input type="time" name="effectiveTime" value="" class="form-control">
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- </div>
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- <div class="form-group">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </span>
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- | HCP: {{$note->hcpPro->name_display}}
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- <div moe>
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- <a href="" show start><i class="fa fa-edit"></i></a>
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- <form url="/api/note/putHcp">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="form-group">
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- <label for="" class="control-label">Ally Pro</label>
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- <select name="hcpProUid" class="form-control">
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- <option value="">-- select hcp pro --</option>
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- @foreach ($pros as $pro)
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- <option value="{{$pro->uid}}">{{$pro->name_display}}</option>
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- @endforeach
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- </select>
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- </div>
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- <div class="form-group">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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+<div class="card mb-3">
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+ <div class="card-header d-flex align-items-center px-3">
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+ <div>
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+ {{$note->title}}
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+ <div moe>
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+ <a href="" show start><i class="fa fa-edit"></i></a>
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+ <form url="/api/note/putTitle">
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+ <input type="hidden" name="uid" value="{{$note->uid}}">
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+ <div class="mb-2">
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+ <input type="text" name="title" value="{{$note->title}}" class="form-control form-control-sm"
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+ placeholder="Title">
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+ </div>
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+ <div class="form-group mb-0">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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</div>
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- | Ally: {{$note->allyPro->name_display}}
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- <div moe>
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- <a href="" show start><i class="fa fa-edit"></i></a>
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- <form url="/api/note/putAlly">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="form-group">
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- <label for="" class="control-label">Ally Pro</label>
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- <select name="allyProUid" class="form-control">
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- <option value="">-- select ally pro --</option>
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- @foreach ($pros as $pro)
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- <option value="{{$pro->uid}}">{{$pro->name_display}}</option>
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- @endforeach
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- </select>
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- </div>
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- <div class="form-group">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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+ <span class="mx-2 text-secondary">|</span>
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+ <div>
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+ {{$note->effective_dateest}}
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+ <span moe>
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+ <a href="" show start><i class="fa fa-calendar"></i></a>
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+ <form url="/api/note/putEffectiveDateEST">
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+ <input type="hidden" name="uid" value="{{$note->uid}}">
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+ <div class="mb-2">
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+ <label for="" class="text-secondary text-sm">Effective date EST</label>
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+ <input type="date" name="effectiveDateEST" value="{{$note->effectiveTime}}" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-0">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </span>
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+ <span moe>
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+ <a href="" show start><i class="fa fa-clock"></i></a>
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+ <form url="/api/note/putEffectiveTime">
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+ <input type="hidden" name="uid" value="{{$note->uid}}">
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+ <div class="mb-2">
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+ <label for="" class="text-secondary text-sm">Effective time </label>
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+ <input type="time" name="effectiveTime" value="" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-0">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </span>
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+ </div>
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+ <span class="mx-2 text-secondary">|</span>
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+ <div>
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+ HCP: {{$note->hcpPro->name_display}}
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+ <div moe>
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+ <a href="" show start><i class="fa fa-edit"></i></a>
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+ <form url="/api/note/putHcp">
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+ <input type="hidden" name="uid" value="{{$note->uid}}">
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+ <div class="mb-2">
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+ <select name="hcpProUid" class="form-control form-control-sm">
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+ <option value="">-- Select HCP Pro --</option>
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+ @foreach ($pros as $pro)
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+ <option value="{{$pro->uid}}">{{$pro->name_display}}</option>
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+ @endforeach
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+ </select>
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+ </div>
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+ <div class="mb-0">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ <span class="mx-2 text-secondary">|</span>
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+ <div>
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+ Ally: {{$note->allyPro->name_display}}
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+ <div moe>
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+ <a href="" show start><i class="fa fa-edit"></i></a>
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+ <form url="/api/note/putAlly">
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+ <input type="hidden" name="uid" value="{{$note->uid}}">
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+ <div class="mb-2">
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+ <label for="" class="control-label">Ally Pro</label>
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+ <select name="allyProUid" class="form-control form-control-sm">
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+ <option value="">-- Select Ally Pro --</option>
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+ @foreach ($pros as $pro)
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+ <option value="{{$pro->uid}}">{{$pro->name_display}}</option>
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+ @endforeach
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+ </select>
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+ </div>
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+ <div class="mb-0">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ </div>
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+ <div class="ml-auto">
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+ <div moe>
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+ <a class="" href="" show start>Sign as HCP</a>
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+ <form url="/api/note/signAsHcp">
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+ <input type="hidden" name="uid" value="{{$note->uid}}">
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+ <p>Sign this note as HCP?</p>
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+ <div class="mb-0">
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+ <button class="btn btn-success btn-sm" submit>Sign</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ <span class="mx-2 text-secondary">|</span>
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+ <div moe>
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+ <a class="" href="" show start>Sign as Ally</a>
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+ <form url="/api/note/signAsAlly">
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+ <input type="hidden" name="uid" value="{{$note->uid}}">
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+ <p>Sign this note as Ally?</p>
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+ <div class="mb-0">
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+ <button class="btn btn-success btn-sm" submit>Sign</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ <span class="mx-2 text-secondary">|</span>
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+ <div moe>
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+ <a class="" href="" show start>Create Bill</a>
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+ <form url="/api/bill/createForNote">
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+ <input type="hidden" name="noteUid" value="{{$note->uid}}">
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+ <div class="mb-2">
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+ <label for="" class="text-secondary text-sm">Effective Date</label>
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+ <input type="date" name="effectiveDate" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-2">
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+ <input type="text" name="code" placeholder="Code" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-2">
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+ <input type="text" name="reason1" placeholder="Reason 1" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-2">
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+ <input type="text" name="reason2" placeholder="Reason 2" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-2">
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+ <input type="text" name="serviceLocation" placeholder="Service Location" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-2">
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+ <input type="text" name="modifier" placeholder="Modifier" class="form-control form-control-sm">
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+ </div>
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+ <div class="mb-2">
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+ <input type="number" name="numberOfUnits" placeholder="Number of Units" class="form-control form-control-sm">
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+ </div>
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+ <div class="">
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+ <button class="btn btn-primary btn-sm" submit>Submit</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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</div>
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</div>
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- <div class="card-body">
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+ <div class="card-body p-3">
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<div>
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- <div class="mt-2">
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+ <div class="mb-2">
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<div>
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{!! $note->free_text_html !!}
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</div>
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@@ -105,12 +168,12 @@ Notes
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@if($note->bills->count())
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<div class="mt-2">
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- <table class="table table-sm tabe-striped">
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- <thead>
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+ <table class="table table-sm tabe-striped mb-0">
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+ <thead class="bg-light">
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<tr>
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- <th>Bill service type</th>
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- <th>Code</th>
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- <th></th>
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+ <th class="border-bottom-0">Bill service type</th>
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+ <th class="border-bottom-0">Code</th>
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+ <th class="border-bottom-0"></th>
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</tr>
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</thead>
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<tbody>
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@@ -118,7 +181,48 @@ Notes
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<tr>
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<td>{{$bill->bill_service_type}}</td>
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<td>{{$bill->code}}</td>
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- <td></td>
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+ <td>
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+ <div class="d-flex align-items-center">
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+ @if(!$bill->is_cancelled)
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+ @if($bill->is_signed_by_hcp)
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+ <span class="text-secondary">
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+ <i class="fa fa-check"></i>
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+ HCP Signed
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+ </span>
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+ @else
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+ <div moe>
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+ <a class="" href="" show start>Sign as HCP</a>
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+ <form url="/api/bill/signAsHcp">
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+ <input type="hidden" name="uid" value="{{$bill->uid}}">
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+ <p>Sign this bill as HCP?</p>
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+ <div class="mb-0">
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+ <button class="btn btn-success btn-sm" submit>Sign</button>
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+ <button class="btn btn-default border btn-sm" cancel>Cancel</button>
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+ </div>
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+ </form>
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+ </div>
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+ @endif
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+ <span class="mx-2 text-secondary">|</span>
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+ @endif
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+ @if($bill->is_cancelled)
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+ <span class="text-secondary">
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+ Cancelled
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+ </span>
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+ @else
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+ <div moe>
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+ <a class="" href="" show start>Cancel</a>
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+ <form url="/api/bill/markCancelled">
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+ <input type="hidden" name="uid" value="{{$bill->uid}}">
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+ <p>Cancel this bill?</p>
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+ <div class="mb-0">
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+ <button class="btn btn-danger btn-sm" submit>Yes</button>
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+ <button class="btn btn-default border btn-sm" cancel>No</button>
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+ </div>
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+ </form>
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+ </div>
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+ @endif
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+ </div>
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+ </td>
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</tr>
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@endforeach
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</tbody>
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@@ -127,75 +231,6 @@ Notes
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@endif
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</div>
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</div>
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- <div class="card-footer">
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- <div moe>
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- <a class="btn btn-outline-primary btn-sm" href="" show start>Sign as HCP</a>
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- <form url="/api/note/signAsHcp">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="form-group">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- <div moe>
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- <a class="btn btn-outline-primary btn-sm" href="" show start>Sign as Ally</a>
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- <form url="/api/note/signAsAlly">
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- <input type="hidden" name="uid" value="{{$note->uid}}">
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- <div class="form-group">
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- <button class="btn btn-primary btn-sm" submit>Submit</button>
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- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
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- </div>
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- </form>
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- </div>
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- <div moe>
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- <a class="btn btn-outline-primary btn-sm" href="" show start>Create Bill</a>
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- <form url="/api/bill/createForNote">
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- <input type="hidden" name="noteUid" value="{{$note->uid}}">
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- <div class="row">
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- <div class="col-md-6">
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- <div class="form-group">
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- <label for="" class="control-label">effective date</label>
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- <input type="date" name="effectiveDate" class="form-control">
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- </div>
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- <div class="form-group">
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- <label for="" class="control-label">code</label>
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- <input type="text" name="code" class="form-control">
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- </div>
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- <div class="form-group">
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- <label for="" class="control-label">reason 1</label>
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- <input type="text" name="reason1" class="form-control">
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- </div>
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- <div class="form-group">
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- <label for="" class="control-label">reason 2</label>
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- <input type="text" name="reason2" class="form-control">
|
|
|
- </div>
|
|
|
- </div>
|
|
|
- <div class="col-md-6">
|
|
|
- <div class="form-group">
|
|
|
- <label for="" class="control-label">Service location</label>
|
|
|
- <input type="text" name="serviceLocation" class="form-control">
|
|
|
- </div>
|
|
|
- <div class="form-group">
|
|
|
- <label for="" class="control-label">Modifier</label>
|
|
|
- <input type="text" name="modifier" class="form-control">
|
|
|
- </div>
|
|
|
- <div class="form-group">
|
|
|
- <label for="" class="control-label">Number of units</label>
|
|
|
- <input type="number" name="numberOfUnits" class="form-control">
|
|
|
- </div>
|
|
|
- </div>
|
|
|
- <div class="col-md-12">
|
|
|
- <div class="form-group">
|
|
|
- <button class="btn btn-primary btn-sm" submit>Submit</button>
|
|
|
- <button class="btn btn-danger btn-sm" cancel>Cancel</button>
|
|
|
- </div>
|
|
|
- </div>
|
|
|
- </div>
|
|
|
-
|
|
|
- </form>
|
|
|
- </div>
|
|
|
- </div>
|
|
|
</div>
|
|
|
@endforeach
|
|
|
-@endsection
|
|
|
+@endsection
|
