1 | object frmPtAdd: TfrmPtAdd
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2 | Left = 438
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3 | Top = 165
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4 | Width = 289
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5 | Height = 300
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6 | Caption = 'Add A Patient'
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7 | Color = clBtnFace
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8 | Font.Charset = DEFAULT_CHARSET
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9 | Font.Color = clWindowText
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10 | Font.Height = -11
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11 | Font.Name = 'MS Sans Serif'
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12 | Font.Style = []
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13 | KeyPreview = True
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14 | OldCreateOrder = False
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15 | Position = poMainFormCenter
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16 | OnCreate = FormCreate
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17 | OnDestroy = FormDestroy
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18 | OnShow = OnShow
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19 | PixelsPerInch = 96
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20 | TextHeight = 13
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21 | object LNameLabel: TLabel
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22 | Left = 33
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23 | Top = 20
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24 | Width = 70
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25 | Height = 13
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26 | Caption = 'Family/Last:'
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27 | Font.Charset = DEFAULT_CHARSET
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28 | Font.Color = clWindowText
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29 | Font.Height = -11
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30 | Font.Name = 'MS Sans Serif'
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31 | Font.Style = [fsBold]
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32 | ParentFont = False
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33 | end
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34 | object FNameLabel: TLabel
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35 | Left = 33
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36 | Top = 44
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37 | Width = 68
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38 | Height = 13
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39 | Caption = 'Given/First:'
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40 | Font.Charset = DEFAULT_CHARSET
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41 | Font.Color = clWindowText
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42 | Font.Height = -11
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43 | Font.Name = 'MS Sans Serif'
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44 | Font.Style = [fsBold]
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45 | ParentFont = False
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46 | end
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47 | object MNameLabel: TLabel
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48 | Left = 64
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49 | Top = 68
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50 | Width = 34
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51 | Height = 13
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52 | Caption = 'Middle:'
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53 | end
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54 | object SuffixLabel: TLabel
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55 | Left = 70
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56 | Top = 92
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57 | Width = 26
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58 | Height = 13
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59 | Caption = 'Suffix'
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60 | end
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61 | object DOBLabel: TLabel
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62 | Left = 24
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63 | Top = 117
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64 | Width = 73
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65 | Height = 13
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66 | Caption = 'Date of Birth'
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67 | Font.Charset = DEFAULT_CHARSET
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68 | Font.Color = clWindowText
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69 | Font.Height = -11
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70 | Font.Name = 'MS Sans Serif'
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71 | Font.Style = [fsBold]
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72 | ParentFont = False
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73 | end
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74 | object SSNumLabel: TLabel
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75 | Left = 8
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76 | Top = 139
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77 | Width = 79
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78 | Height = 13
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79 | Caption = 'Social Sec Num.'
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80 | Font.Charset = DEFAULT_CHARSET
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81 | Font.Color = clWindowText
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82 | Font.Height = -11
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83 | Font.Name = 'MS Sans Serif'
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84 | Font.Style = []
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85 | ParentFont = False
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86 | end
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87 | object SexLabel: TLabel
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88 | Left = 74
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89 | Top = 164
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90 | Width = 22
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91 | Height = 13
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92 | Caption = 'Sex'
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93 | Font.Charset = DEFAULT_CHARSET
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94 | Font.Color = clWindowText
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95 | Font.Height = -11
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96 | Font.Name = 'MS Sans Serif'
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97 | Font.Style = [fsBold]
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98 | ParentFont = False
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99 | end
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100 | object PrefixLabel: TLabel
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101 | Left = 25
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102 | Top = 187
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103 | Width = 73
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104 | Height = 13
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105 | Caption = 'Patient Type'
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106 | Font.Charset = DEFAULT_CHARSET
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107 | Font.Color = clWindowText
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108 | Font.Height = -11
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109 | Font.Name = 'MS Sans Serif'
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110 | Font.Style = [fsBold]
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111 | ParentFont = False
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112 | Visible = False
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113 | end
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114 | object Label1: TLabel
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115 | Left = 16
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116 | Top = 232
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117 | Width = 39
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118 | Height = 13
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119 | Caption = 'Label1'
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120 | Color = clRed
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121 | Font.Charset = DEFAULT_CHARSET
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122 | Font.Color = clWindowText
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123 | Font.Height = -11
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124 | Font.Name = 'MS Sans Serif'
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125 | Font.Style = [fsBold]
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126 | ParentColor = False
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127 | ParentFont = False
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128 | Visible = False
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129 | end
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130 | object SSNHelpBtn: TSpeedButton
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131 | Left = 245
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132 | Top = 136
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133 | Width = 23
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134 | Height = 22
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135 | Glyph.Data = {
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136 | 36010000424D3601000000000000760000002800000014000000100000000100
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137 | 040000000000C000000000000000000000001000000000000000000000000000
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138 | 8000008000000080800080000000800080008080000080808000C0C0C0000000
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139 | FF0000FF000000FFFF00FF000000FF00FF00FFFF0000FFFFFF00FFFFFF000FFF
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140 | FFFFFFFF0000FFFFF06660FFFFFFFFFF0000FFFFF06660FFFFFFFFFF0000FFFF
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141 | FF000FFFFFFFFFFF0000FFFFF06660FFFFFFFFFF0000FFFFF06660FFFFFFFFFF
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142 | 0000FFFFF066660FFFFFFFFF0000FFFFFF066660FFFFFFFF0000FFFFFFF06666
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143 | 0FFFFFFF0000FFF000FF06660FFFFFFF0000FF06660006660FFFFFFF0000FF06
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144 | 666666660FFFFFFF0000FF06666666660FFFFFFF0000FFF006666600FFFFFFFF
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145 | 0000FFFFF00000FFFFFFFFFF0000FFFFFFFFFFFFFFFFFFFF0000}
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146 | OnClick = SSNHelpBtnClick
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147 | end
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148 | object Label2: TLabel
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149 | Left = 206
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150 | Top = 117
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151 | Width = 65
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152 | Height = 13
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153 | Caption = '(mm/dd/yy)'
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154 | Font.Charset = DEFAULT_CHARSET
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155 | Font.Color = clWindowText
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156 | Font.Height = -11
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157 | Font.Name = 'MS Sans Serif'
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158 | Font.Style = [fsBold]
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159 | ParentFont = False
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160 | end
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161 | object SexComboBox: TComboBox
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162 | Left = 103
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163 | Top = 160
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164 | Width = 167
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165 | Height = 21
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166 | ItemHeight = 13
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167 | TabOrder = 6
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168 | Text = '<Sex>'
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169 | OnChange = SexComboBoxChange
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170 | OnKeyPress = SexComboBoxKeyPress
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171 | Items.Strings = (
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172 | 'MALE'
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173 | 'FEMALE')
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174 | end
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175 | object SSNumEdit: TEdit
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176 | Left = 103
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177 | Top = 136
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178 | Width = 138
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179 | Height = 21
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180 | TabOrder = 5
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181 | OnChange = SSNumEditChange
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182 | OnExit = SSNumEditExit
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183 | OnKeyPress = SSNumEditKeyPress
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184 | end
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185 | object DOBEdit: TEdit
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186 | Left = 103
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187 | Top = 112
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188 | Width = 99
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189 | Height = 21
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190 | TabOrder = 4
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191 | OnChange = DOBEditChange
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192 | OnExit = DOBEditExit
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193 | OnKeyPress = DOBEditKeyPress
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194 | end
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195 | object SuffixEdit: TEdit
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196 | Left = 103
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197 | Top = 88
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198 | Width = 167
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199 | Height = 21
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200 | TabOrder = 3
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201 | OnChange = SuffixEditChange
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202 | OnKeyPress = SuffixEditKeyPress
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203 | end
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204 | object MNameEdit: TEdit
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205 | Left = 103
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206 | Top = 64
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207 | Width = 167
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208 | Height = 21
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209 | TabOrder = 2
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210 | OnChange = MNameEditChange
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211 | OnKeyPress = MNameEditKeyPress
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212 | end
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213 | object FNameEdit: TEdit
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214 | Left = 103
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215 | Top = 40
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216 | Width = 167
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217 | Height = 21
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218 | TabOrder = 1
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219 | OnChange = FNameEditChange
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220 | OnKeyPress = FNameEditKeyPress
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221 | end
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222 | object LNameEdit: TEdit
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223 | Left = 103
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224 | Top = 16
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225 | Width = 167
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226 | Height = 21
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227 | TabOrder = 0
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228 | OnChange = LNameEditChange
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229 | OnKeyPress = LNameEditKeyPress
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230 | end
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231 | object PtTypeComboBox: TComboBox
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232 | Left = 103
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233 | Top = 184
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234 | Width = 167
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235 | Height = 21
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236 | ItemHeight = 13
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237 | TabOrder = 7
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238 | Text = '<Pt Type>'
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239 | Visible = False
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240 | OnChange = PtTypeComboBoxChange
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241 | OnKeyPress = PtTypeComboBoxKeyPress
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242 | Items.Strings = (
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243 | 'ACTIVE DUTY'
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244 | 'ALLIED VETERAN'
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245 | 'COLLATERAL'
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246 | 'EMPLOYEE'
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247 | 'MILITARY RETIREE'
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248 | 'NON-VETERAN (OTHER)'
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249 | 'NSC VETERAN'
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250 | 'SC VETERAN'
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251 | 'TRICARE')
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252 | end
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253 | object VeteranCheckBox: TCheckBox
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254 | Left = 104
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255 | Top = 208
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256 | Width = 161
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257 | Height = 17
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258 | Caption = 'Patient Is A Veteran'
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259 | TabOrder = 8
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260 | Visible = False
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261 | OnClick = VeteranCheckBoxClick
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262 | end
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263 | object OkButton: TButton
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264 | Left = 92
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265 | Top = 231
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266 | Width = 89
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267 | Height = 25
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268 | Caption = '&Add Patient'
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269 | TabOrder = 9
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270 | OnClick = OkButtonClick
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271 | end
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272 | object CloseButton: TButton
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273 | Left = 188
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274 | Top = 231
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275 | Width = 81
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276 | Height = 25
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277 | Caption = '&Cancel'
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278 | TabOrder = 10
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279 | OnClick = CancelButtonClick
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280 | end
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281 | object DKLanguageController1: TDKLanguageController
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282 | Left = 8
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283 | Top = 152
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284 | LangData = {
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285 | 080066726D5074416464010100000001000000070043617074696F6E01160000
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286 | 0006004C6162656C31010100000002000000070043617074696F6E0006004C61
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287 | 62656C32010100000003000000070043617074696F6E000A004C4E616D654C61
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288 | 62656C010100000004000000070043617074696F6E000A00464E616D654C6162
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289 | 656C010100000005000000070043617074696F6E000A004D4E616D654C616265
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290 | 6C010100000006000000070043617074696F6E000B005375666669784C616265
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291 | 6C010100000007000000070043617074696F6E000800444F424C6162656C0101
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292 | 00000008000000070043617074696F6E000A0053534E756D4C6162656C010100
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293 | 000009000000070043617074696F6E0008005365784C6162656C01010000000A
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294 | 000000070043617074696F6E000B005072656669784C6162656C01010000000B
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295 | 000000070043617074696F6E000A0053534E48656C7042746E00000B00536578
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296 | 436F6D626F426F7801020000000D00000005004974656D730C00000004005465
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297 | 787400090053534E756D4564697400000700444F424564697400000A00537566
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298 | 66697845646974000009004D4E616D654564697400000900464E616D65456469
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299 | 74000009004C4E616D654564697400000E00507454797065436F6D626F426F78
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300 | 01020000000F00000005004974656D730E000000040054657874000F00566574
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301 | 6572616E436865636B426F78010100000010000000070043617074696F6E0008
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302 | 004F6B427574746F6E010100000011000000070043617074696F6E000B00436C
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303 | 6F7365427574746F6E010100000012000000070043617074696F6E00}
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304 | end
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305 | end
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