@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 FeeReceivedRemainingDiscount
{{ 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

@foreach($patient->patientTests as $pt) @endforeach
TestSuggested DateNotes
{{ $pt->test->name ?? '—' }}{{ $pt->suggested_date->format('d M Y') }}{{ $pt->notes ?? '—' }}
@endif
{{ config('clinic.consent_heading') }}
{{ config('clinic.consent_text') }}
Patient / Family Signature: ____________________Staff Signature: ____________________
Date: ____________________
@endsection