@php $unit = config('app.name'); $logoPath = public_path('images/logo.png'); $hasLogo = file_exists($logoPath); @endphp

@if($hasLogo)

@endif

Patient Registration Form

Serial No: {{ $patient->serial_number }}
Printed: {{ now()->format('d M Y') }}

Patient Details

First Name	{{ $patient->first_name }}	Father / Husband Name	{{ $patient->father_name ?? '—' }}
Phone	{{ $patient->phone ?? '—' }}	Age	{{ $patient->age ?? '—' }}
Gender	{{ $patient->gender ? ucfirst($patient->gender) : '—' }}	Reference Name	{{ $patient->reference_name ?? '—' }}
Reference Phone	{{ $patient->reference_phone ?? '—' }}	City	{{ $patient->city ?? '—' }}
Area	{{ $patient->area ?? '—' }}	Full Address	{{ $patient->address ?? '—' }}

@if($visit)

Visit Details

Visit Date	{{ $visit->visit_date->format('d M Y') }}	Doctor Name	{{ $visit->doctor_name ?? '—' }}
Disease / Health Issue	{{ $visit->disease ?? '—' }}	Follow-up Date	{{ $visit->follow_up_date?->format('d M Y') ?? '—' }}
Status	{{ $visit->statusLabel() }}	Notes	{{ $visit->notes ?? '—' }}

@endif

Fee Details

Patient Fee	Received Fee	Remaining Fee	Discount Fee
{{ 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

Test	Suggested Date	Notes
{{ $pt->test->name ?? '—' }}	{{ $pt->suggested_date->format('d M Y') }}	{{ $pt->notes ?? '—' }}

@endif

Patient / Family Signature: ____________________	Staff Signature: ____________________
Date: ____________________

{{ $unit }}