調整疾病類別項目
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@ -34,6 +34,23 @@
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@endif
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<div class="card">
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<div class="card-body">
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<div class="mb-3">
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<label class="form-label">疾病類別</label>
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<div class="form-control" >
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<div class="form-check">
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<input class="form-check-input" type="radio" name="disease_type" id="diseaseType1" value="1" {{ old('disease_type') == "1" ? 'checked' : '' }} required>
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<label class="form-check-label" for="diseaseType1">
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代謝症候群(代謝症候群者)
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="radio" name="disease_type" id="diseaseType5" value="5" {{ old('disease_type') == "5" ? 'checked' : '' }} required>
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<label class="form-check-label" for="diseaseType5">
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代謝症候群(糖尿病前期者)
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</label>
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</div>
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</div>
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</div>
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<div class="mb-3">
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<label for="regHospitalName" class="form-label">就醫院所</label>
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<input type="text" class="form-control" id="regHospitalName" name="hospital_name" required value="{{ old('hospital_name') }}" placeholder="範例:XX醫院">
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@ -14,6 +14,12 @@
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<div class="row justify-content-center">
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<div class="col-md-8 main-area">
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<h3 style="color: brown">【健康知識學起來 輕鬆領取桃園幣活動額滿公告】</h3>
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<p>
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感謝各位的熱情參與,本項活動反應熱烈,目前兌換名額已全數額滿!敬請持續關注後續活動資訊,謝謝您的支持與配合!
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</p>
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<p> </p>
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<h3>健康識能有獎徵答活動</h3>
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<p>
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為提升市民慢性病防治識能,
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@ -40,7 +40,13 @@
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<div class="form-check">
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<input class="form-check-input" type="radio" name="disease_type" id="diseaseType1" value="1" {{ old('disease_type') == "1" ? 'checked' : '' }} required>
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<label class="form-check-label" for="diseaseType1">
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代謝症候群
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代謝症候群(代謝症候群者)
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="radio" name="disease_type" id="diseaseType5" value="5" {{ old('disease_type') == "5" ? 'checked' : '' }} required>
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<label class="form-check-label" for="diseaseType5">
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代謝症候群(糖尿病前期者)
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</label>
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</div>
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<div class="form-check">
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@ -36,6 +36,23 @@
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@endif
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<div class="card">
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<div class="card-body">
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<div class="mb-3">
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<label class="form-label">疾病類別</label>
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<div class="form-control" >
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<div class="form-check">
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<input class="form-check-input" type="radio" name="disease_type" id="diseaseType1" value="1" {{ old('disease_type') == "1" ? 'checked' : '' }} required>
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<label class="form-check-label" for="diseaseType1">
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代謝症候群(代謝症候群者)
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</label>
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</div>
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<div class="form-check">
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<input class="form-check-input" type="radio" name="disease_type" id="diseaseType5" value="5" {{ old('disease_type') == "5" ? 'checked' : '' }} required>
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<label class="form-check-label" for="diseaseType5">
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代謝症候群(糖尿病前期者)
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</label>
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</div>
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</div>
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</div>
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<div class="mb-3">
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<label for="regHospitalName" class="form-label">就醫院所</label>
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<input type="text" class="form-control" id="regHospitalName" name="hospital_name" required value="{{ old('hospital_name') }}" placeholder="範例:XX醫院">
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