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372 lines
18 KiB
372 lines
18 KiB
<?xml version="1.0"?>
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<odoo>
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<record id="action_report_crm_lead" model="ir.actions.report">
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<!-- Report action of report crm lead-->
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<field name="name">Adult Care Details</field>
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<field name="model">crm.lead</field>
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<field name="report_type">qweb-pdf</field>
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<field name="report_name">adult_daycare_center.adult_care_crm_lead_report</field>
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<field name="report_file">adult_daycare_center.adult_care_crm_lead_report</field>
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<field name="binding_model_id" ref="model_crm_lead"/>
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<field name="binding_type">report</field>
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</record>
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<template id="adult_care_crm_lead_report">
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<!-- Report template of adult care crm lead-->
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<t t-call="web.html_container">
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<t t-call="web.external_layout">
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<div class="page">
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<t t-foreach="docs" t-as="data">
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<center>
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<span style="font-size:25px;">
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<strong>
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<t t-esc="data['name']"/>
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-
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<t t-esc="data['partner_id'].name"/>
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</strong>
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</span>
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</center>
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<br/>
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<span>
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<strong style="font-size:25px;">Personal
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Information
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</strong>
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<table class="table table-borderless">
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<tr>
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<td>
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<strong>Birthdate</strong>
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</td>
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<td>
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<t t-esc="data['birth_date']"/>
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</td>
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<td>
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<strong>Gender</strong>
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</td>
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<td>
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<t t-esc="data['gender']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Address</strong>
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</td>
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<td><t t-esc="data['street']"/>,
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<t t-esc="data['city']"/>
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</td>
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<td>
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<strong>Medicaid</strong>
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</td>
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<td>
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<t t-esc="data['medicaid']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Medicare</strong>
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</td>
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<td>
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<t t-esc="data['medicare']"/>
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</td>
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<td>
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<strong>Marital Status</strong>
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</td>
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<td>
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<t t-esc="data['marital_status']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Supplemental Income</strong>
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</td>
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<td>
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<t t-esc="data['supplemental_income']"/>
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</td>
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<td>
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<strong>Interest in Program</strong>
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</td>
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<td>
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<t t-esc="data['interest_program']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Previous Experience</strong>
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</td>
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<td>
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<t t-esc="data['previous_experience']"/>
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</td>
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<td>
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<strong>Where and When</strong>
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</td>
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<td>
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<t t-esc="data['where_when']"/>
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</td>
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</tr>
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</table>
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<br/>
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</span>
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<span>
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<strong style="font-size:25px;">Relative and
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Emergency Detail
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</strong>
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<table class="table table-borderless">
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<tr>
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<td>
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<strong>Present Living Arrangement
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</strong>
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</td>
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<td>
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<t t-esc="data['present_living']"/>
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</td>
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<td>
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<strong>Emergency Name</strong>
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</td>
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<td>
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<t t-esc="data['emergency_name']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Living with whom</strong>
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</td>
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<td><t t-esc="data['living_with_whom']"/>,
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<t t-esc="data['city']"/>
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</td>
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<td>
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<strong>Applicant Relationship</strong>
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</td>
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<td>
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<t t-esc="data['applicant_relationship']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Living with Relationship
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</strong>
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</td>
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<td>
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<t t-esc="data['living_with']"/>
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</td>
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<td>
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<strong>Address Emergency</strong>
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</td>
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<td>
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<t t-esc="data['emergency_address']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Responsible Relative</strong>
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</td>
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<td>
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<t t-esc="data['relationship_responsible_relative']"/>
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</td>
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<td>
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<strong>Phone Emergency</strong>
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</td>
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<td>
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<t t-esc="data['emergency_phone']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Nearest Relative</strong>
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</td>
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<td>
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<t t-esc="data['nearest_relative']"/>
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</td>
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<td>
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<strong>Emergency Name</strong>
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</td>
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<td>
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<t t-esc="data['first_emergency_name']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Relationship with Relative
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</strong>
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</td>
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<td>
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<t t-esc="data['nearest_relative_relation']"/>
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</td>
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<td>
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<strong>Applicant Relationship #1
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</strong>
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</td>
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<td>
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<t t-esc="data['second_applicant_relationship']"/>
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</td>
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</tr>
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</table>
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<br/>
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</span>
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<span>
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<strong style="font-size:25px;">Medical and
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Transportation Detail
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</strong>
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<table class="table table-borderless">
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<tr>
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<td>
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<strong>Physician Name</strong>
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</td>
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<td>
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<t t-esc="data['physician_name']"/>
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</td>
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<td>
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<strong>Transportation</strong>
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</td>
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<td>
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<t t-esc="data['transportation']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Physician Address</strong>
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</td>
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<td><t t-esc="data['physician_address']"/>,
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<t t-esc="data['city']"/>
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</td>
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<td>
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<strong>Arrival Time</strong>
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</td>
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<td>
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<t t-esc="data['arrival_time']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Phone</strong>
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</td>
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<td>
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<t t-esc="data['physician_phone']"/>
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</td>
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<td>
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<strong>Departure Time</strong>
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</td>
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<td>
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<t t-esc="data['departure_time']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Physician Last Vist</strong>
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</td>
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<td>
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<t t-esc="data['physician_last_visit']"/>
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</td>
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<td>
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<strong>Special Diet</strong>
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</td>
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<td>
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<t t-esc="data['special_diet']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Dentist Name</strong>
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</td>
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<td>
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<t t-esc="data['dentist_name']"/>
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</td>
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<td>
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<strong>Transportation</strong>
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</td>
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<td>
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<t t-esc="data['transportation']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Dentist Address</strong>
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</td>
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<td>
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<t t-esc="data['dentist_address']"/>
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</td>
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<td>
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<strong>Responsible</strong>
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</td>
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<td>
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<t t-esc="data['responsible']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Dentist Phone</strong>
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</td>
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<td>
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<t t-esc="data['dentist_phone']"/>
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</td>
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<td>
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<strong>Phone Pay</strong>
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</td>
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<td>
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<t t-esc="data['paid_by_name']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Date of Dentist</strong>
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</td>
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<td>
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<t t-esc="data['dentist_last_visit']"/>
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</td>
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<td>
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<strong>Your Email</strong>
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</td>
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<td>
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<t t-esc="data['your_email']"/>
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</td>
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</tr>
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<tr>
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<td>
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<strong>Hospital Name</strong>
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</td>
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<td>
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<t t-esc="data['hospital_name']"/>
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</td>
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<td>
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<strong>Today date</strong>
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</td>
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<td>
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<t t-esc="data['today_date']"/>
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</td>
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</tr>
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</table>
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<br/>
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</span>
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<span>
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<strong style="font-size:25px;">Other Information
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</strong>
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<table class="table table-borderless">
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<tr>
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<td colspan="2">
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<strong>Diet Detail</strong>
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</td>
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<td colspan="2">
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<t t-esc="data['diet_detail']"/>
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</td>
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</tr>
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<tr>
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<td colspan="2">
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<strong>List of Allergies</strong>
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</td>
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<td colspan="2">
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<t t-esc="data['allergies']"/>
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</td>
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</tr>
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<tr>
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<td colspan="2">
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<strong>Time Request</strong>
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</td>
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<td colspan="2">
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<t t-esc="data['time_request']"/>
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</td>
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</tr>
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</table>
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</span>
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</t>
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</div>
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</t>
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</t>
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</template>
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</odoo>
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