65 lines
2.5 KiB
HTML
Executable File
65 lines
2.5 KiB
HTML
Executable File
<body>
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<div style="display: flex;gap: 5px;width: 810px;justify-content: center;margin: 0 auto;">
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<div class="card" style="border: 1px solid #50505059;width: 420px;min-height: 280px; padding:10px 10px 0px 10px;background-image: url('<?php ?>');background-position: center;background-size: cover;">
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<div style="position: absolute;left: 590px;" ><img src="{INSURER_LOGO}" alt="" width="70px" height="70px"></div>
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<h6 style="margin-top: 20px;margin-bottom: 26px;font-weight: 700;font-size: 14px;">{INSURER_NAME}</h6>
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<table style="font-size: 14px;margin-top:9px ;margin-left: 20px;">
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<tbody>
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<tr>
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<td>POLICY NO</td>
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<td>:</td>
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<td>{POLICY_NO}</td>
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</tr>
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<tr>
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<td>Name</td>
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<td>:</td>
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<td>{NAME}</td>
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</tr>
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<tr>
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<td>TPA ID</td>
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<td>:</td>
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<td>{TPA_ID}</td>
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</tr>
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<tr>
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<td>age</td>
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<td>:</td>
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<td>{AGE}</td>
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</tr>
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<tr>
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<td>Employee code</td>
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<td>:</td>
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<td>{EMP_ID}</td>
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</tr>
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<tr>
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<td>Corporate name</td>
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<td>:</td>
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<td>{CORPORATE_NAME}</td>
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</tr>
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<tr>
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<td>Valid form</td>
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<td>:</td>
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<td>{POLICY_DATE}</td>
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</tr>
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</tbody>
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</table>
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<div style="position: relative;left: 204px;top: 30px;"><img src="{TPA_LOGO}" alt="" width="170px" height="30px" style="object-fit: fill;"></div>
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</div>
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<div class="card" style="border: 1px solid #50505059;width:420px;min-height: 280px; padding: 0px 20px 5px 0px;">
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<h6 style="text-align: center;font-weight: 700;margin: 0px;font-size: 14px;"><u>Terms&conditions</u></h6>
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<ul style="font-size: 11px;text-align: justify;font-weight: bolder;font-weight: 600;line-height: 13px;margin-bottom: 5px;">
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<li>Submit this card & photo ID for availing cashless insurrer empanelled hospitals</li>
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<li>Cashless facility is subject to approved by {TPA_NAME} as per policy terms and conditions</li>
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<li>Validdity of this card is subject to valid policy renewal of policy</li>
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</ul>
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</div>
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</div>
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</body> |