{{--
Order # 12345
--}}
{{-- 
--}}
 }})
--}}
Total: {{ "$".$bill->amount_billed }}
Payee Details:
{{ $bill->payee_name }}
{{ $bill->payee_address1 }}
{{ $bill->payee_city }}
{{ $bill->payee_state }}
{{ $bill->payee_zipcode }}
{{ $bill->payee_tel }}
{{ $bill->payee_name }}
{{ $bill->payee_address1 }}
{{ $bill->payee_city }}
{{ $bill->payee_state }}
{{ $bill->payee_zipcode }}
{{ $bill->payee_tel }}
Payment Method:
Bank Account Name
{{ $bill->bank_account_name }} Bank Account Number
{{ $bill->bank_account_number }}
Bank Account Name
{{ $bill->bank_account_name }} Bank Account Number
{{ $bill->bank_account_number }}
Bill Created:
{{ date('jS M Y', strtotime($bill->created_at)) }}
{{ date('jS M Y', strtotime($bill->created_at)) }}
Order summary
| Form | Physician Comments | ||
| General Comments | {!! $bill->general['physician_comments'] !!} | ||
| Cardiac Comments | {!! $bill->cardiac['physician_comments'] !!} | ||
| Endocrine Comments | {!! $bill->endocrine['physician_comments'] !!} | ||
| Gastrointestinal Comments | {!! $bill->gastrointestinal['physician_comments'] !!} | ||
| Miscellaneous Comments | {!! $bill->misc['physician_comments'] !!} | ||
| Neurological Comments | {!! $bill->neurological['physician_comments'] !!} | ||
| Pulmonary Comments | {!! $bill->pulmonary['physician_comments'] !!} | ||
| Renal Comments | {!! $bill->renal['physician_comments'] !!} | ||
| BS-400 | --}} {{--$20.00 | --}} {{--3 | --}} {{--$60.00 | --}} {{--
| BS-1000 | --}} {{--$600.00 | --}} {{--1 | --}} {{--$600.00 | --}} {{--
| --}} {{-- | --}} {{-- | --}} {{-- Subtotal | --}} {{--$670.99 | --}} {{--
| --}} {{-- | --}} {{-- | --}} {{-- Shipping | --}} {{--$15 | --}} {{--
| Total | {{ "$".$bill->amount_billed }} |