51 lines
1.6 KiB
Handlebars
51 lines
1.6 KiB
Handlebars
<p></p>
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<table class="table table-condensed table-striped">
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<thead>
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<tr>
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<th colspan="8" style="text-align:center;background-color:#f9e37d;">Import File</th>
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<th colspan="7" style="text-align:center;background-color:#2d6ed2;color:white">Netforce</th>
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</tr>
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<tr>
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<th>#</th>
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<th>Date</th>
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<th>HN</th>
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<th>PID</th>
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<th>Patient</th>
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<th>EPO</th>
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<th>Service</th>
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<th>Fee</th>
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<th>Date</th>
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<th>HN</th>
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<th>Patient</th>
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<th>EPO</th>
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<th>Service</th>
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<th>Fee</th>
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<th>Expense</th>
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</tr>
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</thead>
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<tbody>
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{{#each lines }}
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<tr>
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<td>{{no}}</td>
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<td>{{date}}</td>
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<td>{{hn}}</td>
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<td>{{pid}}</td>
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<td>{{patient_name}}
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<td>{{currency mdc_amt zero=""}}</td>
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<td>{{currency srv_amt zero=""}}</td>
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<td>{{currency fee_amt zero=""}}</td>
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<td>{{nf_date}}</td>
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<td>{{nf_hn}}</td>
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<td>{{nf_patient_name}}
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<td>{{currency nf_mdc_amt zero=""}}</td>
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<td>{{currency nf_srv_amt zero=""}}</td>
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<td>{{currency nf_fee_amt zero=""}}</td>
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<td>{{expense_number}}</td>
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</tr>
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{{/each}}
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</tbody>
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<tfoot>
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</tfoot>
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</table>
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