This commit is contained in:
sonika 2023-08-23 12:37:30 +05:30
parent d54831b1e6
commit 8ba4faf8b1
3 changed files with 8 additions and 8 deletions

View File

@ -224,7 +224,7 @@ export default function FamilyFormSection(){
variant="outlined" variant="outlined"
label="Phone" type="tel" label="Phone" type="tel"
className='collapsable-form-style' className='collapsable-form-style'
name='phone' name='spousePhone'
onChange={formik.handleChange} onChange={formik.handleChange}
value={formik.values.spousePhone} value={formik.values.spousePhone}
onBlur={formik.handleBlur} onBlur={formik.handleBlur}

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@ -62,7 +62,7 @@ export default function MedicalHistoryForm(){
<TextField <TextField
variant="outlined" variant="outlined"
label="Family physician" label="Family physician"
name='familyphysician' name='physicianname'
onChange={formik.handleChange} onChange={formik.handleChange}
value={formik.values.physicianname} value={formik.values.physicianname}
onBlur={formik.handleBlur} onBlur={formik.handleBlur}
@ -72,7 +72,7 @@ export default function MedicalHistoryForm(){
<TextField <TextField
variant="outlined" variant="outlined"
label="City" label="City"
name='city' name='physiciancity'
onChange={formik.handleChange} onChange={formik.handleChange}
value={formik.values.physiciancity} value={formik.values.physiciancity}
onBlur={formik.handleBlur} onBlur={formik.handleBlur}
@ -82,7 +82,7 @@ export default function MedicalHistoryForm(){
<TextField <TextField
variant="outlined" variant="outlined"
label="State" label="State"
name='state' name='physicianstate'
onChange={formik.handleChange} onChange={formik.handleChange}
value={formik.values.physicianstate} value={formik.values.physicianstate}
onBlur={formik.handleBlur} onBlur={formik.handleBlur}
@ -93,7 +93,7 @@ export default function MedicalHistoryForm(){
variant="outlined" variant="outlined"
label="Phone" label="Phone"
type="tel" type="tel"
name='phone' name='physicianphone'
onChange={formik.handleChange} onChange={formik.handleChange}
value={formik.values.physicianphone} value={formik.values.physicianphone}
onBlur={formik.handleBlur} onBlur={formik.handleBlur}

View File

@ -55,7 +55,7 @@ export default function PainAnalysisSection4(){
<TextField <TextField
variant="outlined" variant="outlined"
label="How did your Chief complaint start?(ex-fell on ice)" label="How did your Chief complaint start?(ex-fell on ice)"
name='familyphysician' name='chiefComplaint'
onChange={formik.handleChange} onChange={formik.handleChange}
value={formik.values.chiefComplaint} value={formik.values.chiefComplaint}
onBlur={formik.handleBlur} onBlur={formik.handleBlur}
@ -260,9 +260,9 @@ export default function PainAnalysisSection4(){
<TextField <TextField
variant="outlined" variant="outlined"
label="What is your goal from treatment?(ex-play golf without pain)" label="What is your goal from treatment?(ex-play golf without pain)"
name='familyphysician' name='treatmentGoal'
onChange={formik.handleChange} onChange={formik.handleChange}
value={formik.values.chiefComplaint} value={formik.values.treatmentGoal}
onBlur={formik.handleBlur} onBlur={formik.handleBlur}
/> />
</Grid> </Grid>