| 1 | object frmPtAdd: TfrmPtAdd
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| 2 | Left = 365
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| 3 | Top = 160
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| 4 | Width = 298
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| 5 | Height = 278
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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 = 95
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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 = [fsBold]
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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 = 224
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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 = 96
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| 265 | Top = 192
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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 = 192
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| 274 | Top = 192
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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 | end
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