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- <!DOCTYPE html>
- <html lang="en">
- <head>
- <meta charset="utf-8">
- <meta http-equiv="X-UA-Compatible" content="IE=edge">
- <meta name="viewport" content="width=device-width, initial-scale=1">
- <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">
- <title>Ouch - Invoice PDF</title>
- </head>
- <body>
- <div style="font-family: Arial, Helvetica, sans-serif; width: 600px; margin: 20px auto; border: solid 1px #ccc;">
- <div>
- <h1 style="text-align: center; background: #f3f3f3; margin-top: 0px; padding: 10px 0px;">Invoice</h1>
- <div style="padding: 0px 10px 15px 10px; display: table;">
- <div style="width: 350px; float: left;"><img src="{{asset('/img/ouchlogo.png')}}" style="width: 120px;"></div>
- <div style="width: 350px; float: right;">
- <p style="font-size: 15px;"><b>Invoice ID</b> <span style="width: 150px; float: right; color: #787878;">:
- {{$invoice_number}}</span></p>
- <p style="font-size: 15px;"><b>Invoice Date</b> <span style="width:150px; float: right; color: #787878;">:
- {{$invoice_date}}</span></p>
- </div>
- </div>
- <div style="border-bottom: solid 3px #393939;"></div>
- <div style="padding: 0px 10px; margin-top: 15px; border-bottom: solid 1px #c1c1c1;">
- <div style="width: 300px; float: left;">
- <h3 style="color: #20a4cc;">Invoice To :</h3>
- <p style="font-size: 15px; color: #787878;">{{($patient_type == 'S') ? $someone['name'] : $patient['name']}}</p>
- <p style="font-size: 15px; color: #787878; word-break: break-all;">{{($patient_type == 'S') ? '-' : $patient['email']}}</p>
- <p style="font-size: 15px; color: #787878;">{{($patient_type == 'S') ? $someone['mobile'] : $patient['mobile']}}</p>
- </div>
- <div style="width: 300px; float: right; ">
- <h3 style="color: #20a4cc;">Appointment Details :</h3>
- <p style="font-size: 15px;"><b>Appointment ID</b> <span style="width: 150px; float: right; color: #787878;">:
- {{$id}}</span></p>
- <p style="font-size: 15px;"><b>Date</b> <span style="width: 150px; float: right; color: #787878;">:
- {{\Carbon\Carbon::parse($appointment_time)->format('d-m-Y')}}</span></p>
- <p style="font-size: 15px;"><b>Clinic Name</b> <span style="width: 150px; float: right; color: #787878;">:
- {{$mc_data['mc_clinic']}} {{$mc_data['mc_clinic']}} {{$mc_data['mc_clinic']}}</span></p>
- </div>
- </div>
- <br/><br/><br/><br/><br/><br/><br/><br/><br/>
- <div style="padding: 10px; width: 600px; border-bottom: solid 3px #393939;">
- <div style="width: 300px; float: left;">
- <p style="font-size: 15px;"><b>Patient Name</b> <span style="width: 150px; float: right; color: #787878;">:
- {{($patient_type == 'S') ? $someone['name'] : $patient['name']}}</span></p>
- </div>
- <div style="width: 300px; float: right;">
- <p style="font-size: 15px;"><b>Doctor Name</b> <span style="width: 150px; float: right; color: #787878;">:
- Dr. {{$mc_data['mc_doctor']}} {{$mc_data['mc_doctor']}} {{$mc_data['mc_doctor']}} {{$mc_data['mc_doctor']}}</span></p>
- </div>
- </div><br/><br/><br/><br/>
- <div style="width: 600px; border-bottom: solid 3px #393939;">
- <h3 style="color: #20a4cc; padding-left: 10px; margin-bottom: 0px; margin-top: 35px;">Billing Details :</h3>
- <div>
- <div style="width: 300px; float: left;">
- <p style="border-bottom: solid 1px #c1c1c1; border-top: solid 1px #c1c1c1; padding: 10px 0px 10px 10px; background: #f3f3f3;"><b>Billing
- Description</b></p>
- <p style="padding-left: 10px; font-size: 15px; display: block; color: #787878;">{{$mc_data['mc_service_name']}}</p>
- </div>
- <div style="width: 300px">
- <p style="border-bottom: solid 1px #c1c1c1; border-top: solid 1px #c1c1c1; padding: 10px 0px; background: #f3f3f3;"><b>Amount</b></p>
- <p style="font-size: 15px; display: block; color: #787878;">{{$currency}} {{money($mc_data['mc_service_charges'])}}</p>
- </div>
- </div>
- @foreach($additional_charges as $additional)
- <div>
- <div style="width: 70%; float: left;">
- <p style="border-bottom: solid 1px #c1c1c1; border-top: solid 1px #c1c1c1; padding: 10px 0px 10px 10px; background: #f3f3f3;"><b>Billing
- Description</b></p>
- <p style="padding-left: 10px; font-size: 15px; display: block; color: #787878;">{{$additional['service_name']}} (Additional)</p>
- </div>
- <div style="width: 30%; ">
- <p style="border-bottom: solid 1px #c1c1c1; border-top: solid 1px #c1c1c1; padding: 10px 0px; background: #f3f3f3;"><b>Amount</b></p>
- <p style="font-size: 15px; display: block; color: #787878;">{{$currency}} {{money($additional['charges'])}}</p>
- </div>
- </div>
- @endforeach
- <div style="border-top: solid 1px #e2e2e2;">
- <div style="width: 70%; text-align: right; float: left;">
- <p style="font-size: 15px; display: block; color:#393939; padding-right: 15px;"><b>Sub Total</b></p>
- <p style="font-size: 15px; display: block; color:#393939; padding-right: 15px;"><b>Total Tax</b></p>
- </div>
- <div style="width: 30%; ">
- <p style="font-size: 15px; display: block; color: #787878;">{{$currency}} {{money(floatval($charges)+floatval($additional_charge))}}</p>
- <p style="font-size: 15px; display: block; color: #787878;">{{$currency}} {{money(floatval($tax)+floatval($additional_charge_tax))}}</p>
- </div>
- </div>
- <div style="border-top: solid 1px #e2e2e2; background: #f3f3f3;">
- <div style="width: 70%; text-align: right; float: left;">
- <p style="font-size: 15px; display: block; color:#393939; padding-right: 15px;"><b>Total Amount</b></p>
- </div>
- <div style="width: 30%; ">
- <p style="font-size: 15px; display: block; color: #393939;"><b>{{$currency}} {{money(floatval($total_charge)+floatval($total_additional_charge))}}</b></p>
- </div>
- </div>
- </div><br/><br/><br/><br/>
- <div>
- <div style="padding: 20px 10px 10px 10px; width: 100%; ">
- <h3 style="color: #20a4cc;">Payment Details :</h3>
- <p style="font-size: 15px;">Amount Paid by Patient <span style="width: 31%; float: right; color: #787878;">{{$currency}} {{money(floatval($total_charge)+floatval($patient_amount))}}</span></p>
- <p style="font-size: 15px;">Amount from Insurance <span style="width: 31%; float: right; color: #787878;">{{$currency}} {{money($insurance_amount)}}</span></p>
- </div>
- </div>
- </div>
- </div>
- </body>
- </html>
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