184 lines
9.2 KiB
PHP
Executable File
184 lines
9.2 KiB
PHP
Executable File
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<!--sidebar end-->
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<!--main content start-->
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<style type="text/css">
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#patient-profile .patient-img {
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width: 75px;
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}
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#patient-profile .patient-info-heading {
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font-weight: 900;
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display: inline-block;
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width: 200px;
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}
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.edit_btn i.fa.fa-pencil{
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position: absolute;
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right: 15px;
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top: 10px;
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color: #2e9cf1;
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cursor: pointer;
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font-size: 16px;
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}
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.edit_btn.bg-white i.fa.fa-pencil{
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color: #fff !important;
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}
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</style>
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<div class="app-content content">
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<section class="content-wrapper">
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<div class="content-body">
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<section id="patient-profile">
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<div class="row match-height">
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<div class="col-lg-12 col-md-12">
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<div class="card" style="height: 160px;">
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<div class="card-body">
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="row">
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<div class="col-lg-3 col-md-3 d-flex justify-content-around">
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<div class="patient-img-name text-center">
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<img src="uploads/cardiology-patient-icon-vector-6244713.jpg" id="img1" alt="" class="card-img-top mb-1 patient-img img-fluid rounded-circle">
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<h4><label for="exampleInputEmail1">Referral ID: <span class="patientIdClass">
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<?php
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echo "REF".$datas->patient_id;
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?>
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</span></label></h4>
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</div>
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</div>
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<div class="col-lg-5 col-md-5 d-flex justify-content-around">
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<div class="patient-info">
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<ul class="list-unstyled">
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<li>
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<div class="patient-info-heading">Name:</div> <?=$datas->first_name.' '.$datas->last_name?>
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</li>
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<li>
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<div class="patient-info-heading">Birth:</div> <?php echo formateDate($datas->dob); ?>
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</li>
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<li>
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<div class="patient-info-heading">Email: </div> <?=$datas->patient_email?>
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</li>
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<li>
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<div class="patient-info-heading">Gender :</div> <?=$datas->gender?>
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</li>
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</ul>
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</div>
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</div>
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<div class="col-lg-4 col-md-4 d-flex justify-content-around">
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<div class="patient-info">
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<ul class="list-unstyled">
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<li>
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<div class="patient-info-heading"><a href="approval?id=<?=$_GET['id']?>&approve=true" value="services" class="btn btn-info pull-right"><?php echo lang('Approve'); ?></a>
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</li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-lg-6 col-md-6 col-sm-6">
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<div class="row">
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<div class="col-lg-12 col-md-12">
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<div class="card pull-up">
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<div class="card-content">
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<div class="card-body">
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<h2 class="card-title">Designate Information</h2>
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="row">
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<div class="col-12 text-left">
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<ul class="list-unstyled patient-info-card">
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<li><span class="patient-info-heading">First Name :</span> <?=$datas->designate_first_name?></li>
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<li><span class="patient-info-heading">Last Name :</span> <?=$datas->designate_last_name?></li>
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<li><span class="patient-info-heading">Telephone :</span> <?=$datas->designate_telephone?></li>
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<li><span class="patient-info-heading">Cell :</span> <?=$datas->designate_last_name?></li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<!-- </div>
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<div class="row"> -->
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<div class="col-lg-6 col-md-6 col-sm-6">
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<div class="row">
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<div class="col-lg-12 col-md-12">
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<div class="card pull-up">
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<div class="card-content">
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<div class="card-body">
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<h2 class="card-title">Payer Info</h2>
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<div class="edit_btn">
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<i class="fa fa-pencil" aria-hidden="true"></i>
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</div>
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<div class="row">
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<div class="col-12 text-left">
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<ul class="list-unstyled patient-info-card">
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<li><span class="patient-info-heading">Level Of care Needed :</span><?=$datas->level_of_care?></li>
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<li><span class="patient-info-heading">Referal Source :</span><?=$datas->referral_source?></li>
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<li><span class="patient-info-heading">Referral Recive Date :</span><?=$datas->referral_date?></li>
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<li><span class="patient-info-heading">Referral Contact :</span><?=$datas->referral_contact?></li>
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<li><span class="patient-info-heading">Referral Type :</span><?=$datas->referral_types?></li>
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<li><span class="patient-info-heading">Level Of Service Needed :</span><?=$datas->level_service?></li>
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<li><span class="patient-info-heading">Service Activity Needed :</span><?=$datas->service_activity?></li>
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<li><span class="patient-info-heading">Therapy Type :</span><?=$datas->therapy_type ?></li>
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<li><span class="patient-info-heading">Type Of Access :</span><?=$datas->type_access ?></li>
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</ul>
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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>
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</div>
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</div>
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</div>
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</div>
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</section>
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</div>
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</section>
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</div>
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