194 lines
9.1 KiB
PHP
194 lines
9.1 KiB
PHP
<!DOCTYPE html>
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<html lang="{{ str_replace('_', '-', app()->getLocale()) }}">
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<head>
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@include('layout.header')
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</head>
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<body>
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<div class="row" id="x" style="display: none;">
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<div class="col-12">
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<span class="d-flex align-items-center purchase-popup">
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<i class="typcn typcn-delete-outline" id="bannerClose"></i>
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</span>
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</div>
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</div>
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<div class="container-scroller">
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@include('layout.navbar')
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<!-- partial -->
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@include('layout.breadscrum')
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<div class="container-fluid page-body-wrapper">
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@include('layout.sidebar')
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<!-- partial -->
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<div class="main-panel">
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<div class="content-wrapper">
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<div class="row">
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<div class="col-md-12 grid-margin stretch-card">
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<div class="card">
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<div class="card-body">
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<h4 class="card-title">Patient Information</h4>
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<div class="row">
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<div class="col-md-4">
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<div class="form-group row">
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<label for="patient_name" class="col-sm-5 col-form-label">Patient Name</label>
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<select class="form-control form-control-sm col-sm-7" id="patient_name">
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<option value="none">Select</option>
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<option>Mr A</option>
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<option>Mr B</option>
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</select>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group row">
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<label for="labid" class="col-sm-5 col-form-label">Lab ID</label>
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<select class="form-control form-control-sm col-sm-7" id="lab_id">
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<option value="none">Select</option>
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<option>001-30082022</option>
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<option>002-30082022</option>
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</select>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group row">
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<label for="status" class="col-sm-5 col-form-label">Status</label>
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<select class="form-control form-control-sm col-sm-7" id="sample_status">
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<option value="none">All</option>
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<option>In progress</option>
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<option>Completed</option>
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</select>
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group row">
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<label for="phonenumber" class="col-sm-5 col-form-label">Phone Number</label>
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<input type="text" class="form-control form-control-sm col-sm-7" id="phone_number" placeholder="Phone number">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group row">
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<label for="example" class="col-sm-5 col-form-label">Request Date:</label>
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<input type="text" class="form-control form-control-sm col-sm-7" id="request_date" placeholder="">
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</div>
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</div>
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<div class="col-md-4">
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<div class="form-group row">
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<label for="exampleInputUsername2" class="col-sm-5 col-form-label">Doctor</label>
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<select class="form-control form-control-sm col-sm-7" id="doctor">
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<option value="">Select</option>
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<option>Dr. A</option>
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<option>Dr. B</option>
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</select>
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</div>
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</div>
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</div>
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<div class="row float-right">
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<div class="col-md-12">
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<button type="button" class="btn btn-info btn-icon-text">
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<i class="typcn typcn-search btn-icon-prepend"></i>
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Search
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</button>
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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-md-12">
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<div class="card">
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<div class="table-responsive pt-3">
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<table class="table table-striped project-orders-table">
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<thead>
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<tr>
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<th>Patient ID</th>
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<th>Lab ID</th>
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<th>Patient Name</th>
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<th>Age</th>
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<th>Sex</th>
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<th>Request Date</th>
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<th>Telephone</th>
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<th>Request by</th>
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<th>Status</th>
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<th>Price (Riel)</th>
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<th>Price ($)</th>
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<th>Action</th>
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</tr>
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</thead>
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<tbody>
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<tr>
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<td>210222004</td>
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<td>220221-01091</td>
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<td>ALY KRIYA</td>
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<td>26y</td>
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<td>Male</td>
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<td>21-Feb-2022</td>
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<td>098898989</td>
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<td>Chomnor Dara</td>
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<td><label class="badge badge-success">COMPLETED</label></td>
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<td></td>
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<td>19$</td>
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<td>
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<div class="btn-group" role="group" aria-label="Basic example" >
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<button type="button" class="btn btn-sm btn-info " title="Edit">
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<i class="typcn typcn-edit"></i>
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</button>
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<button type="button" class="btn btn-sm btn-info " title="Prview Result">
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<i class="typcn typcn-eye"></i>
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</button>
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<button type="button" class="btn btn-sm btn-warning " title="Enter Result">
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<i class="typcn typcn-plus"></i>
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</button>
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<button type="button" class="btn btn-sm btn-danger " title="Delete">
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<i class="typcn typcn-delete-outline"></i>
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</button>
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</div>
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</td>
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</tr>
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<tr>
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<td>210222004</td>
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<td>220221-01091</td>
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<td>ALY KRIYA</td>
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<td>26y</td>
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<td>Male</td>
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<td>21-Feb-2022</td>
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<td>098898989</td>
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<td>Chomnor Dara</td>
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<td><label class="badge badge-primary">In progress</label></td>
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<td></td>
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<td>19$</td>
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<td>
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<div class="btn-group" role="group" aria-label="Basic example" >
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<button type="button" class="btn btn-sm btn-info " title="Edit">
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<i class="typcn typcn-edit"></i>
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</button>
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<button type="button" class="btn btn-sm btn-info " title="Prview Result">
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<i class="typcn typcn-eye"></i>
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</button>
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<button type="button" class="btn btn-sm btn-warning " title="Enter Result">
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<i class="typcn typcn-plus"></i>
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</button>
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<button type="button" class="btn btn-sm btn-danger " title="Delete">
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<i class="typcn typcn-delete-outline"></i>
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</button>
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</div>
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</td>
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</tr>
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</tbody>
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</table>
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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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@include('layout.footer')
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</div>
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</div>
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</div>
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@include('layout.common_script')
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</body>
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</html>
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