|
@@ -0,0 +1,52 @@
|
|
|
+<section style="padding-top: 0.1rem;">
|
|
|
+
|
|
|
+ <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>
|
|
|
+
|
|
|
+ <div style="font-size: 14px; margin-top: 0.6rem; line-height: 1.4; opacity: 0.6">
|
|
|
+ <span>{{ $patient->displayName() }}, {{$patient->sex}}, {{$patient->age_in_years}} years old</span><br>
|
|
|
+ <?php
|
|
|
+ $addressParts = [];
|
|
|
+ if (!!$patient->mailing_address_line1) $addressParts[] = $patient->mailing_address_line1;
|
|
|
+ if (!!$patient->mailing_address_line2) $addressParts[] = $patient->mailing_address_line2;
|
|
|
+ $addressParts = implode(", ", $addressParts) . ", ";
|
|
|
+ $addressPart2 = [];
|
|
|
+ if (!!$patient->mailing_address_city) $addressPart2[] = $patient->mailing_address_city;
|
|
|
+ if (!!$patient->mailing_address_state) $addressPart2[] = $patient->mailing_address_state;
|
|
|
+ $addressParts .= implode(", ", $addressPart2);
|
|
|
+ ?>
|
|
|
+ <span>{!! $addressParts !!}</span>
|
|
|
+ </div>
|
|
|
+</section>
|
|
|
+
|
|
|
+<?php $otherData = json_decode($ticket->data); ?>
|
|
|
+<div style="margin: 1.5rem 0 1rem; font-weight: bold; opacity: 0.5"><span style="font-size: 24px">R</span><span style="font-size: 16px">x</span></div>
|
|
|
+<section style="font-size: 15px;">
|
|
|
+ <table cellpadding="0" cellspacing="0" border="0" style="width: 100%">
|
|
|
+ <tr>
|
|
|
+ <td style="width: 20px; vertical-align: top; opacity: 0.75; font-size: 14px">
|
|
|
+ <span>1. </span>
|
|
|
+ </td>
|
|
|
+ <td style="vertical-align: top">
|
|
|
+ <div>
|
|
|
+ <p style="margin: 0 0 0.5rem;">
|
|
|
+ <b>{{ $otherData->title }}</b>
|
|
|
+ </p>
|
|
|
+ <div style="">
|
|
|
+ @if($otherData->description)
|
|
|
+ <p style="margin: 0.5rem 0;">{{ $otherData->description }}</p>
|
|
|
+ @endif
|
|
|
+ </div>
|
|
|
+ </div>
|
|
|
+ </td>
|
|
|
+ </tr>
|
|
|
+ </table>
|
|
|
+</section>
|