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@@ -97,6 +97,23 @@
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</div>
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</div>
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</div>
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</div>
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+ <div class="sm-section">
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+ <div class="form-group m-0">
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+ <label class="font-weight-normal mb-1">Status:</label>
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+ <select name="status" class="form-control input-sm">
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+ <option value="ACTIVE">Active</option>
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+ <option {{request()->input('status') === 'INACTIVE' ? 'selected' : ''}} value="INACTIVE">Inactive</option>
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+ <option {{request()->input('status') === 'ENTRY_ERROR' ? 'selected' : ''}} value="ENTRY_ERROR">Entry Error</option>
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+ <option {{request()->input('status') === 'DUMMY' ? 'selected' : ''}} value="DUMMY">Test Chart</option>
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+ <option {{request()->input('status') === 'DECEASED' ? 'selected' : ''}} value="DECEASED">Deceased</option>
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+ <option {{request()->input('status') === 'DUPLICATE' ? 'selected' : ''}} value="DUPLICATE">Duplicate</option>
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+ <option {{request()->input('status') === 'NO_LONGER_INTERESTED' ? 'selected' : ''}} value="NO_LONGER_INTERESTED">No Longer Interested</option>
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+ <option {{request()->input('status') === 'BAD_RECORD' ? 'selected' : ''}} value="BAD_RECORD">Bad Record</option>
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+ <option {{request()->input('status') === 'NO_LONGER_ELIGIBLE' ? 'selected' : ''}} value="NO_LONGER_ELIGIBLE">No Longer Eligible</option>
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+ </select>
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+ </div>
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+ </div>
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+
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<div>
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<div>
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<div class="form-group m-0">
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<div class="form-group m-0">
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<label class="font-weight-normal mb-1"> </label>
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<label class="font-weight-normal mb-1"> </label>
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