187 lines
10 KiB
PHP
187 lines
10 KiB
PHP
|
<!doctype html>
|
||
|
|
<html>
|
||
|
|
|
||
|
|
<head>
|
||
|
|
<meta charset="utf-8">
|
||
|
|
<title>Letter</title>
|
||
|
|
<meta name="viewport" content="width=device-width, initial-scale=1">
|
||
|
|
</head>
|
||
|
|
|
||
|
|
<body style="margin: 0">
|
||
|
|
<div style="font-size:12px;line-height: 17px; font-family: Arial, sans-serif; color: #404040;">
|
||
|
|
<div style="width: 100%; margin: auto;">
|
||
|
|
<div>
|
||
|
|
<img style="display: block; height: auto; margin: 0 auto;" src="{{ asset('public/images/pdf/logo.jpg') }}" alt="logo" width="700" height="34">
|
||
|
|
</div>
|
||
|
|
<div>
|
||
|
|
<div style="margin-top: 16px;">
|
||
|
|
<p style="margin: 0;">To,</p>
|
||
|
|
<p style="margin: 8px 0 0;"><strong>Hospital / Centre Name:</strong> {{ $certificate?->hospital?->name }}</p>
|
||
|
|
<p style="margin: 8px 0 0;"><strong>City:</strong> {{ $certificate?->hospital?->city }}</p>
|
||
|
|
</div>
|
||
|
|
<div style="margin-top: 24px;">
|
||
|
|
<p style="margin: 0;"><strong>Subject: Request for Jain Health Care [JHC] Benefit as per the
|
||
|
|
Agreement</strong></p>
|
||
|
|
<p style="margin: 8px 0 0;">Dear Sir/Madam,</p>
|
||
|
|
<p style="margin: 8px 0 0;">We request and recommend Jain Health Care (JHC) benefits for the following
|
||
|
|
patient who belongs to our community.</p>
|
||
|
|
</div>
|
||
|
|
<div style="margin-top: 16px;">
|
||
|
|
<table style="width: 100%;border-collapse: collapse;" cellspacing="0" cellpadding="0">
|
||
|
|
<tr>
|
||
|
|
<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
|
||
|
|
Patient's Full Name
|
||
|
|
</td>
|
||
|
|
<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
|
||
|
|
{{ $certificate?->full_name }}
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
|
||
|
|
Aadhar Card No.
|
||
|
|
</td>
|
||
|
|
<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
|
||
|
|
{{ $certificate?->aadhar_card_number }}
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
|
||
|
|
Cell No.
|
||
|
|
</td>
|
||
|
|
<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
|
||
|
|
{{ $certificate?->user?->mobile }}
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
|
||
|
|
Treatment
|
||
|
|
</td>
|
||
|
|
<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
|
||
|
|
{{ $certificate?->medical_problem }}
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
|
||
|
|
Issue Date & Time
|
||
|
|
</td>
|
||
|
|
<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
|
||
|
|
{{ $certificate?->generated_date }}
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
|
||
|
|
Expiration Date & Time
|
||
|
|
</td>
|
||
|
|
<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
|
||
|
|
{{ $expireDate ?? '-' }}
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
|
||
|
|
Request No
|
||
|
|
</td>
|
||
|
|
<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
|
||
|
|
{{ '#'.requestNumberFormat($certificate->id) }}
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
</table>
|
||
|
|
</div>
|
||
|
|
<div style="margin-top: 16px;">
|
||
|
|
<p style="margin: 0;"><strong>{{ $certificate?->full_name }}</strong> will present a letter from our Sangh along with a copy
|
||
|
|
of their Aadhar card at your administration
|
||
|
|
office.</p>
|
||
|
|
</div>
|
||
|
|
<div style="margin-top: 16px;">
|
||
|
|
<table style="width: 100%;" cellspacing="0" cellpadding="0">
|
||
|
|
<tr>
|
||
|
|
<td colspan="2">Thank you for your cooperation.</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<strong>Shree Mumbai Jain Sangh Sangathan Sangh</strong>
|
||
|
|
</td>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<strong>Shree Evershine Paradise S.M.T Jain</strong>
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<img style="display: block; width: 130px; height: auto;" src="{{ asset('public/images/pdf/sing-1.jpg') }}" alt="sign" width="135"
|
||
|
|
height="80">
|
||
|
|
</td>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<img style="display: block; width: 130px; height: auto;" src="{{ asset('public/images/pdf/sing-2.jpg') }}" alt="sign" width="135"
|
||
|
|
height="80">
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<strong>Authorized Signatory Signatory</strong>
|
||
|
|
</td>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<strong>Authorized</strong>
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
<tr>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<strong>Mr. Nitin Vora</strong>
|
||
|
|
</td>
|
||
|
|
<td style="vertical-align: top;padding: 4px 0;width: 60%;">
|
||
|
|
<strong>Mr. Bakul Jhaveri</strong>
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
</table>
|
||
|
|
</div>
|
||
|
|
<div style="margin-top: 20px;">
|
||
|
|
<p style="margin: 0;"><strong>Note:</strong></p>
|
||
|
|
<ul style="padding: 0 0 0 14px;margin: 12px 0 0;">
|
||
|
|
<li style="font-size: 12px;">This letter is digitally signed & system generated.</li>
|
||
|
|
<li style="font-size: 12px;">This letter is valid for 48 hours from the date of issuance.</li>
|
||
|
|
<li style="font-size: 12px;">If the treatment is covered under medical insurance, benefits may not be
|
||
|
|
applicable.</li>
|
||
|
|
<li style="font-size: 12px;">Trust is not responsible for any financial liability related to any
|
||
|
|
treatment.</li>
|
||
|
|
<li style="font-size: 12px;">The final decision on benefits rests with the hospital management.</li>
|
||
|
|
</ul>
|
||
|
|
</div>
|
||
|
|
<div style="margin-top: 35px;">
|
||
|
|
<table
|
||
|
|
style="font-size: 11px;line-height: 16px; color: #bd5915;width: 100%; text-align: center; border-collapse: collapse;">
|
||
|
|
<tr>
|
||
|
|
<td style="padding-right: 8px;vertical-align: top">
|
||
|
|
<P style="margin: 0;font-weight: 500;">Shree Mumbai jain Sangh Sangathan</P>
|
||
|
|
<p style="margin: 4px 0 0;padding-top: 4px; font-weight: 500;border-top: solid 1px #bd5915;"> Trust
|
||
|
|
Registration No.: E-39965
|
||
|
|
(M) PAN No. ABDT 50760R URN
|
||
|
|
80G :
|
||
|
|
ABDT50760RF20221
|
||
|
|
</p>
|
||
|
|
<p style="margin:4px 0 0;">Regd. Add.: 301/302, krishna Chambers, Plot No.3, 59 New Marine Lines,
|
||
|
|
Mumbai 400 026 INDIA</p>
|
||
|
|
<p style="margin:4px 0 0;">Email: <a style="color: #03a9f4;"
|
||
|
|
href="mailto:srijainsanghathan@gmail.com">srijainsanghathan@gmail.com</a></p>
|
||
|
|
</td>
|
||
|
|
<td style="padding-left: 8px;vertical-align: top;">
|
||
|
|
<p style="margin: 0;font-weight: 500;">Shree Evershine Paradise Shwetamber Murtipujak Tapagachha Sangh
|
||
|
|
</p>
|
||
|
|
<p style="margin: 4px 0 0;padding-top: 4px; font-weight: 500;border-top: solid 1px #bd5915;">
|
||
|
|
Registration No.: E-19926
|
||
|
|
(Mumbai) dt. 14.01.2002 PAN : AACT55325G
|
||
|
|
</p>
|
||
|
|
<p style="margin:4px 0 0;">120, Feet Road, Thakur Village, Opp. Viceroy Court, kandivali(East), Mumbai
|
||
|
|
- 400
|
||
|
|
101</p>
|
||
|
|
<p style="margin: 4px 0 0;">Email: <a style="color: #03a9f4;"
|
||
|
|
href="mailto:arhamvasuphujya@gmail.com">arhamvasuphujya@gmail.com</a></p>
|
||
|
|
</td>
|
||
|
|
</tr>
|
||
|
|
</table>
|
||
|
|
</div>
|
||
|
|
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
</div>
|
||
|
|
</body>
|
||
|
|
|
||
|
|
</html>
|