42 lines
2.3 KiB
HTML
42 lines
2.3 KiB
HTML
|
<link rel="stylesheet" href="/bahmni_config/openmrs/apps/registration/registrationCardLayout/css/custom-display.css"/>
|
||
|
|
<link rel="stylesheet" href="/bahmni_config/openmrs/apps/registration/registrationCardLayout/css/custom-print.css"
|
||
|
|
media="print"/>
|
||
|
|
<div class="placeholder-text" style="font-size: 14px;">
|
||
|
|
<table>
|
||
|
|
<tr style="border: none">
|
||
|
|
<td width="25%" style="font-weight: bold; border: none" ng-if="patient.fatherName">Father's Name</td>
|
||
|
|
<td width="30%" style="border: none">{{patient.fatherName.value}}</td>
|
||
|
|
</tr>
|
||
|
|
<tr style="border: none" ng-if="patient.motherName">
|
||
|
|
<td width="25%" style="font-weight: bold; border: none">Mother's Name</td>
|
||
|
|
<td width="30%" style="border: none">{{patient.motherName.value}}</td>
|
||
|
|
</tr>
|
||
|
|
<tr style="border: none" ng-if="patient.motherName && patient.fatherName ">
|
||
|
|
<td width="25%" style="font-weight: bold; border: none">Guardian's Name</td>
|
||
|
|
<td width="30%" style="border: none">{{patient.relativeName.value}}</td>
|
||
|
|
</tr>
|
||
|
|
<tr style="border: none" ng-if="patient.spouseName">
|
||
|
|
<td width="25%" style="font-weight: bold; border: none">Spouse's Name</td>
|
||
|
|
<td width="30%" style="border: none">{{patient.spouseName.value}}</td>
|
||
|
|
</tr>
|
||
|
|
<tr style="border: none" ng-if="patient.occupation">
|
||
|
|
<td width="25%" style="font-weight: bold; border: none">Occupation</td>
|
||
|
|
<td width="30%" style="border: none">{{patient.occupation.value.display.split(',')[1]}}</td>
|
||
|
|
</tr>
|
||
|
|
<tr style="border: none">
|
||
|
|
<td width="25%" style="font-weight: bold; border: none">Address</td>
|
||
|
|
<td width="30%" style="border: none"><span style="text-transform: capitalize;font-size: 14px;">
|
||
|
|
{{address.address1 ? address.address1 + "," : ""}}
|
||
|
|
{{patient.address.address3 ? patient.address.address3 + "," : ""}}
|
||
|
|
{{address.address4 ? address.address4 + "," : ""}}
|
||
|
|
{{address.address5 ? address.address5 + "," : ""}}
|
||
|
|
{{address.countyDistrict ? address.countyDistrict + "," : ""}}
|
||
|
|
{{address.stateProvince}}
|
||
|
|
</span>
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
</table>
|
||
|
|
</div>
|
||
|
|
<hr style="border-bottom: 1px solid #e8e0e0">
|
||
|
|
</div>
|