341 lines
15 KiB
PHP
341 lines
15 KiB
PHP
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<!-- end app-header -->
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<!-- begin app-container -->
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<input type="hidden" name="patient_id" value="<?=$patient_id?>">
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<div class="app-container">
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<!-- begin app-nabar -->
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<aside class="app-navbar">
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<? include "application/views/template/menu/sidemain.php"; ?>
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</aside>
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<!-- end app-navbar -->
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<!-- begin app-main -->
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<div class="app-main" id="main">
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<!-- begin container-fluid -->
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<div class="container-fluid">
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<div class="row">
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<div class="col-md-12">
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<div class="alert border-0 alert-primary bg-gradient m-b-30 alert-dismissible fade show border-radius-none" role="alert">
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RECORD: <strong><?=$firstname?> <?=$lastname?> </strong> some other small info like phone number
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</div>
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</div>
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</div>
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<!-- end row -->
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<!-- begin row -->
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<div class="row">
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<div class="col-lg-6 col-xxl-4 m-b-30">
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<div class="card card-statistics h-100 mb-0">
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<div class="card-header d-flex justify-content-between">
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<div class="card-heading">
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<h4 class="card-title">Edit Patient</h4>
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</div>
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<div class="dropdown">
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<!-- a class="btn btn-round btn-inverse-primary btn-xs" href="#">View all </a -->
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</div>
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</div>
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<div class="card-body">
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<div class="card-body">
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<form method="POST" action="/patient/addnew">
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<div class="form-row">
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<div class="form-group col-md-6">
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<label for="inputEmail4">Firstname</label>
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<input type="text" class="form-control" id="firstname" name="firstname" value="<?=$firstname?>" placeholder="Firstname">
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4">Lastname</label>
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<input type="text" class="form-control" id="lastname" name="lastname" value="<?=$lastname?>" placeholder="Lastname">
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-12">
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<label for="inputEmail4">Email</label>
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<input type="email" class="form-control" id="inputEmail4" value="<?=$email?>" placeholder="Email">
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-9">
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</div>
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<div class="form-group col-md-3">
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<button type="submit" class="btn btn-primary">Update</button>
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</div>
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</div>
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</form>
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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="col-lg-6 col-xxl-4 m-b-30">
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<div class="card card-statistics h-100 mb-0">
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<div class="card-header d-flex justify-content-between">
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<div class="card-heading">
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<h4 class="card-title">Reminders</h4>
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</div>
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</div>
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<div class="card-body">
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<form method="POST" action="/patient/">
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<div class="form-row">
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<div class="form-group col-md-12">
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<textarea name="reminder_text" class="form-control" id="remindr_text" placeholder="Reminder Text"></textarea>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-12">
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<label for="sel1">Select Reminder:</label>
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<select class="form-control" id="sel1" name="reminder_type">
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<option value='0'>Email</option>
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<option value='1' selected>Email + Notification</option>
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<option value='2'>Email</option>
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<option value='3'>SMS Notification</option>
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</select>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-9">
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</div>
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<div class="form-group col-md-3">
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<button type="submit" class="btn btn-primary">Set Reminder</button>
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</div>
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</div>
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</form>
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<ul class="activity">
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<li class="activity-item primary">
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<div class="activity-info">
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<h5 class="mb-0">Meeting with Amanda and team.</h5>
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<span>10:30 Jan</span>
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</div>
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</li>
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<li class="activity-item info">
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<div class="activity-info">
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<h5 class="mb-0"> Assign task for Smith. </h5>
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<span>
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Wed, 10 Mar
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</span>
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</div>
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</li>
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<li class="activity-item success">
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<div class="activity-info">
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<h5 class="mb-0"> Complete milestone 3 and update. </h5>
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<span>
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Mon, 14 Jun
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</span>
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</div>
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</li>
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<li class="activity-item success">
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<div class="activity-info">
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<h5 class="mb-0">Meeting with Amanda and team.</h5>
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<span>
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Fri, 01 Dec
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</span>
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</div>
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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 class="col-lg-6 col-xxl-4 m-b-30">
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<div class="card card-statistics h-30 mb-0">
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<div class="card-header d-flex justify-content-between">
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<div class="card-heading">
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<h4 class="card-title">Attach Record</h4>
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</div>
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</div>
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<div class="card-body">
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<form method="POST" action="/patient/">
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<div class="form-row">
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<div class="form-group col-md-12">
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<input type="text" class="form-control" id="patientAPPID" value="" placeholder="Enter patient ID from the APP">
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</div>
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</div>
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<div class="form-row">
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<button type="submit" class="btn btn-primary">Attach Record to Patient App</button>
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</div>
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</form>
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<ul class="activity">
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<li class="activity-item success">
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<div class="activity-info">
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<h5 class="mb-0"> Complete milestone 3 and update. </h5>
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<span>
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Mon, 14 Jun
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</span>
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</div>
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</li>
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</ul>
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</div>
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</div>
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<hr>
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<div class="card card-statistics h-50 mb-0">
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<div class="card-header d-flex justify-content-between">
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<div class="card-heading">
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<h4 class="card-title">Recent Encounters</h4>
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</div>
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<div class="dropdown">
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<a class="btn btn-round btn-inverse-primary btn-xs" href="/patient/chart/<?=$patient_id?>">Encounters</a>
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</div>
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</div>
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<div class="card-body">
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<div class="row active-task m-b-20">
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<div class="col-xs-1">
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<div class="bg-type mb-1 mb-xs-0 mt-1">
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<span>PP</span>
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</div>
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</div>
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<div class="col-11">
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<small class="d-block mb-1">Car dealer</small>
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<h5 class="mb-0"><a href="#">Unread utf-8 in more quick overview</a></h5>
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<ul class="list-unstyled list-inline">
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<li class="list-inline-item">
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<small> Created by Lizzy Halfman</small>
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</li>
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<li class="list-inline-item">|</li>
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<li class="list-inline-item">
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<small>Saturday, March 17 2019</small>
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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="row active-task m-b-20">
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<div class="col-xs-1">
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<div class="bg-type bg-info mb-1 mb-xs-0 mt-1">
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<span>AP</span>
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</div>
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</div>
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<div class="col-11">
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<small class="d-block mb-1">Mentor admin </small>
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<h5 class="mb-0"><a href="#">I need a payment option, for each seller per item</a></h5>
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<ul class="list-unstyled list-inline">
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<li class="list-inline-item">
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<small> Created by Brian Joedon</small>
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</li>
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<li class="list-inline-item">|</li>
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<li class="list-inline-item">
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<small>Saturday, March 17 2019</small>
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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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<!-- end row -->
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<!-- event Modal -->
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<div class="modal fade" id="eventModal" tabindex="-1" role="dialog" aria-labelledby="verticalCenterTitle" aria-hidden="true">
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<div class="modal-dialog modal-dialog-centered" role="document">
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<div class="modal-content">
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<div class="modal-header">
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<h5 class="modal-title" id="verticalCenterTitle">Add New Event</h5>
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<button type="button" class="close" data-dismiss="modal" aria-label="Close">
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<span aria-hidden="true">×</span>
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</button>
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</div>
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<div class="modal-body">
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<form>
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<div class="form-group">
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<label for="modelemail">Event Name</label>
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<input type="email" class="form-control" id="modelemail">
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</div>
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<div class="form-group">
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<label>Choose Event Color</label>
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<select class="form-control">
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<option>Primary</option>
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<option>Warning</option>
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<option>Success</option>
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<option>Danger</option>
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</select>
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</div>
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</form>
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-danger" data-dismiss="modal">Close</button>
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<button type="button" class="btn btn-success">Save changes</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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<!-- end container-fluid -->
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</div>
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<!-- end app-main -->
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</div>
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<!-- end app-container -->
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<!-- begin footer -->
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