@extends('layouts.print')
@section('title', 'Patient '.$patient->serial_number)
@section('subtitle', 'Patient Registration Form')
@section('meta')
Serial No: {{ $patient->serial_number }}
@endsection
@section('content')
Patient Details
| First Name | {{ $patient->first_name }} | Father / Husband | {{ $patient->father_name ?? '—' }} |
| Phone | {{ $patient->phone ?? '—' }} | Age | {{ $patient->age ?? '—' }} |
| Gender | {{ $patient->gender ? ucfirst($patient->gender) : '—' }} | Reference | {{ $patient->reference_name ?? '—' }} {{ $patient->reference_phone ? '('.$patient->reference_phone.')' : '' }} |
| City | {{ $patient->city ?? '—' }} | Area | {{ $patient->area ?? '—' }} |
| Address | {{ $patient->address ?? '—' }} |
@if($visit)
Visit Details
| Visit Date | {{ $visit->visit_date->format('d M Y') }} | Doctor | {{ $visit->doctor_name ?? '—' }} |
| Disease | {{ $visit->disease ?? '—' }} | Follow-up | {{ $visit->follow_up_date?->format('d M Y') ?? '—' }} |
@endif
Fee Details
| Patient Fee | Received | Remaining | Discount |
| {{ number_format($patient->patient_fee, 2) }} |
{{ number_format($patient->received_fee, 2) }} |
{{ number_format($patient->remaining_fee, 2) }} |
{{ number_format($patient->discount_fee, 2) }} |
@if($patient->patientTests->count())
Suggested Tests
| Test | Suggested Date | Notes |
@foreach($patient->patientTests as $pt)
| {{ $pt->test->name ?? '—' }} | {{ $pt->suggested_date->format('d M Y') }} | {{ $pt->notes ?? '—' }} |
@endforeach
@endif
{{ config('clinic.consent_heading') }}
{{ config('clinic.consent_text') }}
| Patient / Family Signature: ____________________ | Staff Signature: ____________________ |
| Date: ____________________ | |
@endsection