{{-- Same layout as opd-details-print header; scoped so ADMISSIONFROMNIKHIL global td/th rules do not apply --}}
<style type="text/css">
/* Inherit same stack/size as admission body (OtScheduledController inject) */
.ot-print-letterhead {
	width: 100%;
	max-width: 100%;
	box-sizing: border-box;
	margin: 0 0 14px 0;
	padding: 0;
	border: 0;
	font-family: inherit;
	font-size: inherit;
	line-height: inherit;
}
/* Thin rule under patient block (same weight as table lines) */
/* Optional document title between hospital header and patient strip */
.ot-doc-form-title {
	margin: 10px 0 8px 0;
	padding: 0;
	font-family: inherit;
	font-size: 1.05em;
	font-weight: 700;
	line-height: 1.3;
	color: #000000;
	text-align: center;
	text-decoration: underline;
}
.ot-letterhead-bottom-rule {
	display: block;
	width: 100%;
	max-width: 100%;
	height: 0;
	margin: 0;
	padding: 0;
	border: 0;
	border-top: 1px solid #ada9a9;
	clear: both;
	box-sizing: border-box;
	-webkit-print-color-adjust: exact;
	print-color-adjust: exact;
}
/* Header grid: L/R/T box; bottom line comes from patient table so print preview always shows a rule */
.ot-print-letterhead table.ot-header-grid {
	width: 100% !important;
	max-width: none !important;
	border-collapse: collapse;
	margin-bottom: 0 !important;
	border: 1px solid #ada9a9;
	border-bottom: none;
	box-sizing: border-box;
	font-size: calc(100% - 1px);
}
.ot-print-letterhead .ot-header-grid td,
.ot-print-letterhead .ot-header-grid th {
	border: none !important;
	padding: 1px 2px !important;
	vertical-align: middle;
}
.ot-print-letterhead .ot-header-grid td.tdbrd1 {
	border: 1px solid #ada9a9 !important;
}
/* Left logo: centered horizontally and vertically inside bordered cell */
.ot-print-letterhead .ot-header-grid td.ot-logo-cell {
	text-align: center !important;
	vertical-align: middle !important;
	padding: 8px 8px !important;
}
.ot-print-letterhead .ot-header-grid td.ot-logo-cell .ot-logo-holder {
	display: inline-block;
	text-align: center;
	line-height: 0;
	vertical-align: middle;
}
.ot-print-letterhead .ot-header-grid td.ot-logo-cell img {
	display: block;
	margin: 0 auto;
	max-width: 100%;
	height: auto;
	vertical-align: middle;
	-webkit-print-color-adjust: exact;
	print-color-adjust: exact;
}
/* Right NABH: circular logo + lines centered in bordered cell */
.ot-print-letterhead .ot-header-grid td.ot-nabh-cell {
	text-align: center !important;
	vertical-align: middle !important;
	padding: 8px 8px !important;
}
.ot-print-letterhead .ot-header-grid .ot-nabh-stack {
	display: inline-block;
	text-align: center;
	max-width: 100%;
	vertical-align: middle;
}
.ot-print-letterhead .ot-header-grid .ot-nabh-img {
	display: block;
	margin: 0 auto 4px auto;
	width: 80%;
	max-width: 80%;
	height: auto;
	-webkit-print-color-adjust: exact;
	print-color-adjust: exact;
}
.ot-print-letterhead .ot-header-grid .ot-nabh-stack .txtnabhlogo {
	text-align: center !important;
	margin: 0;
	padding: 0;
	line-height: 1.08;
}
/* Patient strip: gap below hospital header (and below optional form title) */
.ot-patient-strip {
	width: 100%;
	margin: 12px 0 0 0;
	padding: 0;
	box-sizing: border-box;
}
.ot-patient-frame {
	display: block;
	width: 100%;
	max-width: 100%;
	box-sizing: border-box;
	margin: 0;
	padding: 0;
	border: 1px solid #ada9a9;
	-webkit-print-color-adjust: exact;
	print-color-adjust: exact;
}
.ot-patient-strip .ot-patient-tbl {
	width: 100% !important;
	max-width: 100%;
	box-sizing: border-box;
	border-collapse: collapse;
	margin: 0 !important;
	border: none !important;
	-webkit-print-color-adjust: exact;
	print-color-adjust: exact;
}
/* Inner grid only (frame draws outer rectangle) */
.ot-patient-strip .ot-patient-tbl td {
	border-right: 1px solid #ada9a9;
	border-bottom: 1px solid #ada9a9;
	border-top: none;
	border-left: none;
	padding: 10px !important;
	vertical-align: middle !important;
	font-family: inherit !important;
	font-size: inherit !important;
	line-height: inherit !important;
}
.ot-patient-strip .ot-patient-tbl tr td:last-child {
	border-right: none;
}
.ot-patient-strip .ot-patient-tbl tr:last-child td {
	border-bottom: none;
}
.ot-patient-strip .ot-pt-label {
	font-weight: 600;
	color: #000000;
}
.ot-patient-strip .ot-pt-heading {
	font-weight: 700;
	color: #000000;
}
.ot-patient-strip .ot-pt-values {
	font-weight: 400;
	color: #000000;
}
/* Name + address values: 1px smaller (admission print) */
.ot-patient-strip .ot-pt-val-sm-minus1 {
	font-size: calc(1em - 1px);
}
/* Single patient row: two logical lines per cell (no inner horizontal rule between former row 1 / row 2) */
.ot-patient-strip .ot-patient-tbl tr.ot-pt-patient-one-row td {
	vertical-align: top !important;
}
.ot-patient-strip .ot-pt-stack {
	display: block;
	line-height: 1.35;
}
.ot-patient-strip .ot-pt-stack-gap {
	margin-top: 8px;
}
.ot-patient-strip .ot-pt-stack--center {
	text-align: center;
}
/* Keep short labels/values on one line in screen + print (avoids MRD/No split, name / Female wrap) */
.ot-patient-strip .ot-pt-line-nowrap {
	white-space: nowrap;
}
.addrfont {
	font-family: inherit;
	font-size: 1em;
	font-style: normal;
	line-height: 1.1;
	font-weight: 400;
	color: #000000;
}
.tophdfnt {
	font-family: inherit;
	font-size: 1.25em;
	font-style: normal;
	line-height: 1.1;
	font-weight: 600;
	color: #000000;
	letter-spacing: 0.02em;
}
/* Doctor columns: serif, bold name, smaller qual + reg (matches prescription-style header) */
.ot-print-letterhead .ot-header-grid table.ot-dr-block {
	width: 100%;
	border-collapse: collapse;
}
.ot-print-letterhead .ot-header-grid table.ot-dr-block td {
	font-family: "Times New Roman", Times, Georgia, serif !important;
	text-align: center;
	vertical-align: middle;
	padding: 1px 4px !important;
	line-height: 1.08 !important;
	color: #000000;
}
.ot-print-letterhead .ot-header-grid table.ot-dr-block td.txtdrname {
	font-size: 1em;
	font-weight: 700;
	line-height: 1.08 !important;
}
.ot-print-letterhead .ot-header-grid table.ot-dr-block td.txtdegree {
	font-size: 0.92em;
	font-weight: 400;
	line-height: 1.08 !important;
}
/* Hospital title + address block: strip vertical gaps between lines */
.ot-print-letterhead .ot-header-grid td.tophdfnt,
.ot-print-letterhead .ot-header-grid td.addrfont {
	line-height: 1.1 !important;
	padding: 1px 4px !important;
}
.ot-print-letterhead .ot-header-grid td.tophdfnt div,
.ot-print-letterhead .ot-header-grid td.addrfont div {
	margin: 0;
	padding: 0;
	line-height: inherit;
}
.txtdrname {
	font-family: inherit;
	font-size: 1em;
	font-style: normal;
	line-height: inherit;
	font-weight: 400;
	color: #000000;
}
.txtnabhlogo {
	font-family: inherit;
	font-size: 0.85em;
	font-style: normal;
	line-height: inherit;
	font-weight: 600;
	letter-spacing: 0.02em;
	color: #000000;
}
.txtdegree {
	border-collapse: collapse;
	font-family: inherit;
	font-size: 0.95em;
	font-style: normal;
	line-height: inherit;
	font-weight: 400;
	color: #000000;
	word-spacing: normal;
}
.tdbrd1 {
	border-collapse: collapse;
	font-family: inherit;
	font-size: inherit;
	font-style: normal;
	line-height: inherit;
	font-weight: 400;
	color: #000000;
}
@media print {
	/* Balanced L/R so content is not flush to paper edge (print preview) */
	@page { size: auto; margin: 0.1in 0.58in 0.1in 0.58in; }
	a[href]:after { content: none !important; }
	.ot-patient-strip {
		margin: 12px 0 0 0 !important;
	}
	.ot-patient-strip .ot-patient-tbl {
		table-layout: auto !important;
		width: 100% !important;
	}
	.ot-patient-strip .ot-patient-tbl td {
		word-break: normal !important;
		overflow-wrap: normal !important;
		hyphens: none !important;
		-webkit-hyphens: none !important;
	}
	.ot-patient-strip .ot-pt-line-nowrap {
		white-space: nowrap !important;
	}
	.ot-patient-strip .ot-pt-val-sm-minus1 {
		font-size: calc(1em - 1px) !important;
	}
}
</style>
<div class="ot-print-letterhead">
<table width="100%" border="0" cellspacing="0" cellpadding="0" style="width:100%;">
  <tr>
    <td align="left" valign="top" style="border:none;padding:0;">
      <table width="100%" border="0" cellspacing="0" cellpadding="0" class="tdbrd1 ot-header-grid">
      <tr>
        <td width="13%" rowspan="2" align="center" valign="middle" class="tdbrd1 ot-logo-cell"><span class="ot-logo-holder"><img src="{{ url('VLOGO2.jpg') }}" width="75" height="86" alt="Vyawahare Netralaya" /></span></td>
        <td colspan="2" align="left" valign="top" class="tdbrd1"><table width="99%" border="0" cellspacing="0" cellpadding="0">
          <tr>
            <td width="64%" class="tophdfnt"><div align="center">Vyawahare Netralaya &amp; Eye Bank, Amravati </div></td>
          </tr>
          <tr>
            <td class="addrfont"><div align="center">V.M.V Road, Rathi Nagar, Amravati | 0721-2664880 | Mob : 9370109617 </div></td>
          </tr>
        </table></td>
        <td width="17%" rowspan="2" align="center" valign="middle" class="tdbrd1 ot-nabh-cell">
          <div class="ot-nabh-stack">
            <img src="{{ url('nabhlogo2.png') }}" alt="NABH" class="ot-nabh-img" />
            <div class="txtnabhlogo">NABH &amp; ISO CERTIFIED</div>
            <div class="txtnabhlogo">EYE HOSPITAL</div>
          </div>
        </td>
      </tr>
      <tr>
        <td width="36%" align="center" valign="middle" class="tdbrd1"><table class="ot-dr-block" width="100%" border="0" cellspacing="0" cellpadding="2">
          <tr>
            <td class="txtdrname">Dr. Neeta Vyawahare</td>
          </tr>
          <tr>
            <td class="txtdegree">MBBS, DO (Opthal)</td>
          </tr>
          <tr>
            <td class="txtdegree">Regd. No. 070595</td>
          </tr>
        </table></td>
        <td width="34%" align="center" valign="middle" class="tdbrd1"><table class="ot-dr-block" width="100%" border="0" cellspacing="0" cellpadding="2">
          <tr>
            <td class="txtdrname">Dr. Pravin Vyawahare</td>
          </tr>
          <tr>
            <td class="txtdegree">MBBS, MS (Opthal)</td>
          </tr>
          <tr>
            <td class="txtdegree">Regd. No. 65374</td>
          </tr>
        </table></td>
        </tr>
    </table>
    </td>
  </tr>
</table>
@if(!empty($letterheadFormTitle))
<h3 class="ot-doc-form-title">{!! nl2br(e($letterheadFormTitle)) !!}</h3>
@endif

<div class="ot-patient-strip">
<div class="ot-patient-frame">
 <table class="ot-patient-tbl" width="100%" border="0" cellpadding="4" cellspacing="0">
    <tr class="ot-pt-patient-one-row">
      <td width="21%" align="left" valign="top">
        <div class="ot-pt-stack">
          <div class="ot-pt-line-nowrap"><span class="ot-pt-label">Name/Age/Gender</span></div>
          <div class="ot-pt-stack-gap"><span class="ot-pt-label">Address</span></div>
        </div>
      </td>
      <td width="39%" align="left" valign="top">
        <div class="ot-pt-stack">
          <div class="ot-pt-heading ot-pt-line-nowrap ot-pt-val-sm-minus1">{{ strtoupper($patientName) }} / {{ $age }} / {{ $gender }}</div>
          <div class="ot-pt-stack-gap ot-pt-values ot-pt-val-sm-minus1">{{ strtoupper($address) }}</div>
        </div>
      </td>
      <td width="10%" align="left" valign="top">
        <div class="ot-pt-stack">
          <div class="ot-pt-line-nowrap"><span class="ot-pt-label">MRD No</span></div>
          <div class="ot-pt-stack-gap ot-pt-line-nowrap"><span class="ot-pt-label">UHID No</span></div>
        </div>
      </td>
      <td width="10%" align="center" valign="top">
        <div class="ot-pt-stack ot-pt-stack--center">
          <div class="ot-pt-heading ot-pt-line-nowrap">{{ e($mrdNo) }}</div>
          <div class="ot-pt-stack-gap ot-pt-heading ot-pt-line-nowrap">{{ e($uhid ?? '') }}</div>
        </div>
      </td>
      <td width="7%" align="center" valign="top">
        <div class="ot-pt-stack ot-pt-stack--center">
          <div class="ot-pt-line-nowrap"><span class="ot-pt-label">DOA</span></div>
          <div class="ot-pt-stack-gap ot-pt-line-nowrap"><span class="ot-pt-label">Mobile</span></div>
        </div>
      </td>
      <td width="13%" align="center" valign="top">
        <div class="ot-pt-stack ot-pt-stack--center">
          <div class="ot-pt-values ot-pt-line-nowrap">{{ e($displayDate) }}</div>
          <div class="ot-pt-stack-gap ot-pt-values ot-pt-line-nowrap">{{ e($phone) }}</div>
        </div>
      </td>
    </tr>
  </table>
</div>
</div>

<div class="ot-letterhead-bottom-rule" aria-hidden="true"></div>
</div>