254 lines
9.5 KiB
HTML
254 lines
9.5 KiB
HTML
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<!DOCTYPE html>
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<html xmlns="http://www.w3.org/1999/xhtml"
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xmlns:th="http://www.thymeleaf.org"
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layout:decorate="~{layouts/blank-layout}">
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<head>
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<title th:text="${pageTitle}">Profile Update</title>
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</head>
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<div layout:fragment="page_subtitle">
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<h1 class="title">Profile Update</h1>
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</div>
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<body layout:fragment="page_content" id="page_profileUpdate">
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<div class="col-sm-12 col-md-12 col-lg-12">
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<div class="card">
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<div class="card-header card-header-danger card-header-icon">
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<div class="card-icon d-flex">
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<h4 class="card-title m-1">Medical Center Update</h4>
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<button class="btn btn-sm btn-primary btn-pill ml-auto"
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sec:authorize="hasAnyAuthority('SYSTEM','MC_ADMIN')"
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th:onclick="|window.location.href='@{#{'/manageUsers/doctorProfiles'}}'|">
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<i class="material-icons">group_add</i> Add/Remove Doctors
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</button>
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</div>
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</div>
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<div class="card-body">
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<form id="mcProfileUpdate" th:action="@{'profileUpdate'}" th:object="${form}" th:method="POST" autocomplete="off" enctype="multipart/form-data">
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<input type="hidden" th:field="*{mcProfId}" />
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<input type="hidden" th:field="*{mcRegNo}" />
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<input type="hidden" th:field="*{mcName}" />
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<input type="hidden" th:field="*{mcOwners[0].mcOwnerId}"/>
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<input type="hidden" th:field="*{mcOwners[1].mcOwnerId}"/>
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<div class="cd-section" id="basicInfo">
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<th:block th:utext="#{title.mc.dtl}"></th:block>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<label th:text="#{lbl.mc.name}"></label>
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<h6 th:text="${form?.mcName}"></h6>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<label th:text="#{'Registration No.'}"></label>
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<h6 th:text="${form?.mcRegNo}"></h6>
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</div>
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</div>
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<br>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.employer.email}"></label> <input type="email"
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maxlength="100" class="form-control" required="required"
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th:field="*{email}" />
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.contact}"></label> <input type="text"
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class="form-control input-contact limit-number" maxlength="50"
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required="required" th:field="*{contactNo}"
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data-init-country="BD" />
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-md-12 col-lg-12">
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<div class="form-group">
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<label class="required bmd-label-floating" th:text="#{lbl.mc.adr}"></label>
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<textarea class="form-control" required="required" maxlength="100"
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th:field="*{addr1}"></textarea>
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</div>
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</div>
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</div>
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<div class="bd-callout bd-callout-success">
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<h3 class="mt-0">Opening Hours </h3>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.week.days} + ' '+ #{lbl.from}"></label>
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<input th:field="*{weekDaysFrom}" class="form-control custom-select"
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required="required" type="time">
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.week.days}+ ' '+ #{lbl.to}"></label>
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<input th:field="*{weekDaysTo}" class="form-control custom-select"
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required="required" type="time">
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.week.end}+' '+ #{lbl.from}"></label>
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<input th:field="*{weekEndFrom}" class="form-control custom-select"
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required="required" type="time">
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.week.end}+' '+ #{lbl.to}"></label>
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<input th:field="*{weekEndTo}" class="form-control custom-select"
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required="required" type="time">
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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="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.mc.country}"></label> <select
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th:field="*{country.cntryCode}" class="form-control"
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required="required">
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<option value="" />
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<option th:each="cntry : ${@staticreference.allCountry()}"
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th:value="${cntry.cntryCode}" th:text="${cntry.cntryDesc}" />
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</select>
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6" th:each="doc, row : ${form.regFile}">
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<extra:file extra:document="${doc.fileType}" th:field="*{regFile[__${row.index}__]}"></extra:file>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6"
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th:each="doc, row : ${form.mcFile}">
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<extra:file extra:document="${doc.fileType}"
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th:field="*{mcFile[__${row.index}__]}"></extra:file>
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</div>
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</div>
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</div>
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<div class="cd-section" id="ownerDetails">
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<th:block th:utext="#{title.owner.dtl}"></th:block>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating" th:text="#{lbl.name}"></label>
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<input th:field="*{mcOwners[0].fullname}" maxlength="255"
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style="text-transform: uppercase;" type="text"
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class="form-control input-letter" required="required" />
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating" th:text="#{lbl.design}"></label>
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<input th:field="*{mcOwners[0].designation}" type="text"
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maxlength="100" class="form-control" required="required" />
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating" th:text="#{lbl.email}"></label>
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<input th:field="*{mcOwners[0].email}" type="email"
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maxlength="100" class="form-control" required="required" />
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.contact}"></label> <input type="text"
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class="form-control input-contact limit-number" maxlength="50"
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required="required" th:field="*{mcOwners[0].contactNo}"
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data-init-country="BD" />
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6"
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th:each="doc, row : ${form.mcOwnerFile}">
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<extra:file extra:document="${doc.fileType}"
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th:field="*{mcOwnerFile[__${row.index}__]}"></extra:file>
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</div>
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</div>
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</div>
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<th:block th:utext="#{title.pic.dtl}"></th:block>
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<div class="cd-section" id="picDetails">
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<div id="picOwner">
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating" th:text="#{lbl.name}"></label>
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<input th:field="*{mcOwners[1].fullname}" maxlength="255"
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style="text-transform: uppercase;" type="text"
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class="form-control input-letter" required="required" />
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating" th:text="#{lbl.design}"></label>
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<input th:field="*{mcOwners[1].designation}" type="text"
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maxlength="100" class="form-control" required="required" />
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating" th:text="#{lbl.email}"></label>
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<input th:field="*{mcOwners[1].email}" type="email"
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maxlength="100" class="form-control" required="required" />
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<label class="required bmd-label-floating"
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th:text="#{lbl.contact}"></label> <input type="text"
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class="form-control input-contact limit-number" maxlength="50"
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required="required" th:field="*{mcOwners[1].contactNo}"
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data-init-country="BD" />
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6"
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th:each="doc, row : ${form.mcPicFile}">
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<extra:file extra:document="${doc.fileType}"
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th:field="*{mcPicFile[__${row.index}__]}"></extra:file>
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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="row pb-3 pr-3 align-items-center">
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<div class="ml-auto">
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<a class="btn waves-effect waves-light btn-secondary" href="#" th:href="@{#{url.worker.appointment.list}}"><i class="material-icons">keyboard_backspace</i>
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Back to Home Page</a>
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<button type="submit" class="btn btn-primary">Submit</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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</body>
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<nav id="cd-vertical-nav">
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<ul>
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<li><a href="#basicInfo" data-number="1"> <span
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class="cd-dot"></span> <span class="cd-label">
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<li><a href="#ownerDetails" data-number="2"> <span
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class="cd-dot"></span> <span class="cd-label">Medical
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Center Details</span>
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</a></li>
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</span>
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</a></li>
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<li><a href="#ownerDetails" data-number="2"> <span
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class="cd-dot"></span> <span class="cd-label">Owner Details</span>
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</a></li>
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<li><a href="#picDetails" data-number="2"> <span
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class="cd-dot"></span> <span class="cd-label">PIC Details</span>
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</a></li>
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</ul>
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</nav>
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</html>
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