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"
label="Phone" type="tel"
className='collapsable-form-style'
name='phone'
name='spousePhone'
onChange={formik.handleChange}
value={formik.values.spousePhone}
onBlur={formik.handleBlur}

View File

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

View File

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