117 lines
5.4 KiB
HTML
117 lines
5.4 KiB
HTML
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<link rel="stylesheet" href="/bahmni_config/openmrs/apps/registration/registrationCardLayout/css/print.css"/>
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<table cellpadding="0" cellspacing="1" class="registrationCard-print-table">
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<tbody>
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<tr>
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<td class="print-table-right">
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<table style="border-bottom: 1px solid black;">
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<tr>
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<td class="logo">
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<p>
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<img src="/bahmni_config/openmrs/apps/registration/registrationCardLayout/images/registrationCardHeader.png"
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width="556"/>
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</p>
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</td>
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</tr>
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</table>
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<table class="padding-small">
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<tr>
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<td width="65%">
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<table>
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<tr>
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<td class="data-td">
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<span class="label_tag">Patient Id: </span>
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<span>{{patient.primaryIdentifier.identifier}}</span>
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</td>
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<td class="data-td"></td>
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<td class="data-td"></td>
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<td class="data-td">
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<span class="label_tag">Issue Date:</span>
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<span>{{patient.registrationDate | bahmniDate}}</span>
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</td>
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</tr>
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<tr>
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<td class="data-td">
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<span class="label_tag">Name: </span>
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<span>{{patient.givenName + (patient.middleName ? (" " + patient.middleName) : "") + (patient.familyName ? (" " + patient.familyName) : "")}}</span>
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</td>
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</tr>
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<tr>
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<td class="data-td">
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<span class="label_tag">Age: </span>
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<span>{{patient.age | age}}</span>
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</td>
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<td class="data-td"></td>
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<td class="data-td"></td>
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</td>
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<td class="data-td">
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<span class="label_tag">Gender: </span>
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<span>{{patient.gender}}</span>
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</td>
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</tr>
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<tr>
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<td class="data-td">
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<span class="label_tag">Contact No:</span>
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<span>{{patient.phoneNumber}}</span>
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</td>
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</tr>
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</table>
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</td>
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<td width="2%"></td>
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<td class="registrationCard-photo" width="30%" align="right">
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<img ng-src="{{patient.image}}" style="width: 30mm; height: 32mm; "
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onerror="this.onerror=null;this.src='../images/blank.jpeg';"/>
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</td>
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</tr>
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</table>
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<table class="padding-small"
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style="border-bottom: 1px solid black; width: 100% !important; padding-bottom: 5px;">
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<tr>
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<td>
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<span class="label_tag">Address:</span>
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<span>
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{{patient.address.address1 ? patient.address.address1 + "," : ""}}
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{{patient.address.address2 ? patient.address.address2 + "," : ""}}
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{{patient.address.address3 ? patient.address.address3 + "," : ""}}
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{{patient.address.address4 ? patient.address.address4 + "," : ""}}
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{{patient.address.address5 ? patient.address.address5 + "," : ""}}
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{{patient.address.countyDistrict ? patient.address.countyDistrict + "," : ""}}
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{{patient.address.stateProvince}}
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</span>
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</td>
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</tr>
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</table>
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<table>
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<tr>
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<td align="center" style="padding: 5px">
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<img id="barcode"
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jsbarcode-value="{{patient.primaryIdentifier.identifier}}"
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jsbarcode-width="3"
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jsbarcode-height="100"
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jsbarcode-margin="0"
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jsbarcode-displayValue="false"
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jsbarcode-textAlign="left"
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jsbarcode-textMargin="0"
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jsbarcode-fontSize="10"
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/>
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</td>
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</tr>
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<tr>
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<td align="center">
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<p style="text-align: center;">{{ "REGISTRATION_SLIP_DISCLAIMER" | translate }}
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<p>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</tbody>
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</table>
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<script type="text/javascript" src="/bahmni_config/openmrs/apps/JsBarcode.all.min.js"></script>
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<script>
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(function () {
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JsBarcode("#barcode").init();
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})();
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</script>
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