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- <p>
- <label>
- ${config.label}
- <span>(${ ui.message("emr.formValidation.messages.requiredField.label") })</span>
- </label>
- <select name="${config.formFieldName}" size="4">
- <option value=""></option>
- <option value ="90005AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA">Single</option>
- <option value ="90006AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA">Married</option>
- <option value ="90007AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA">Divorced</option>
- <option value ="90008AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA">Separated</option>
- <option value ="90009AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA">Widowed</option>
- </select>
- <span class="field-error"></span>
- </p>
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