@php use Carbon\Carbon; @endphp @extends('layouts.app') @auth @section('content')

Confidential Facts

Peer Code

Clinics

Year

Serial Number

>>>

Risk Change ?

General ID

Fuchia ID

PrEP Code

Name

Father's Name

Sex

Registration Date

Date Of Birth

Register Age(year)

Register Age(month)

Current Age(Year)

Current Age(Month)

Main Risk

Sub Risk

Patient Visit Date

Change Risk

State/ Region

Township

Ward/Village(detail)

Phone No.1

Phone No.2

Phone No.3

Log Sheet History

NO.	General ID	Visit Date

CBS History

NO.	General ID	Visit Date

@endsection @endauth