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Direktori : /proc/self/root/home2/selectio/www/thedentalpark.com/appointment/admin/ |
Current File : //proc/self/root/home2/selectio/www/thedentalpark.com/appointment/admin/checkout.html |
<!doctype html> <html lang="en" dir="ltr"> <head> <meta charset="utf-8" /> <title>Doctris - Doctor Appointment Booking System</title> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <meta name="description" content="Premium Bootstrap 5 Landing Page Template" /> <meta name="keywords" content="Appointment, Booking, System, Dashboard, Health" /> <meta name="author" content="Shreethemes" /> <meta name="email" content="support@shreethemes.in" /> <meta name="website" content="https://shreethemes.in/" /> <meta name="Version" content="v1.4.0" /> <!-- favicon --> <link rel="shortcut icon" href="https://shreethemes.in/doctris/layouts/assets/images/favicon.ico"> <!-- Css --> <link href="../assets/libs/simplebar/simplebar.min.css" rel="stylesheet"> <!-- Bootstrap Css --> <link href="../assets/css/bootstrap.min.css" class="theme-opt" rel="stylesheet" type="text/css" /> <!-- Icons Css --> <link href="../assets/css/icons.min.css" rel="stylesheet" type="text/css" /> <link href="../assets/libs/remixicon/fonts/remixicon.css" rel="stylesheet" type="text/css" /> <link href="../assets/libs/%40iconscout/unicons/css/line.css" type="text/css" rel="stylesheet" /> <!-- Style Css--> <link href="../assets/css/style.min.css" class="theme-opt" rel="stylesheet" type="text/css" /> </head> <body> <!-- Loader --> <!-- <div id="preloader"> <div id="status"> <div class="spinner"> <div class="double-bounce1"></div> <div class="double-bounce2"></div> </div> </div> </div> --> <!-- Loader --> <div class="page-wrapper doctris-theme toggled"> <!-- sidebar-wrapper --> <nav id="sidebar" class="sidebar-wrapper"> <div class="sidebar-content" data-simplebar style="height: calc(100% - 60px);"> <div class="sidebar-brand"> <a href="index.html"> <img src="../assets/images/logo-dark.png" height="22" class="logo-light-mode" alt=""> <img src="../assets/images/logo-light.png" height="22" class="logo-dark-mode" alt=""> <span class="sidebar-colored"> <img src="../assets/images/logo-light.png" height="22" alt=""> </span> </a> </div> <ul class="sidebar-menu"> <li><a href="index.html"><i class="uil uil-dashboard me-2 d-inline-block"></i>Dashboard</a></li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-browser me-2"></i>Layouts <span class="badge bg-danger rounded-pill ms-2">New</span></a> <div class="sidebar-submenu"> <ul> <li><a href="index-dark.html">Dark Dashboard</a></li> <li><a href="index-rtl.html">RTL Dashboard</a></li> <li><a href="index-rtl-dark.html">Dark RTL Dashboard</a></li> <li><a href="index-sidebar-dark.html">Dark Sidebar</a></li> <li><a href="index-sidebar-colored.html">Colored Sidebar</a></li> </ul> </div> </li> <li><a href="appointment.html"><i class="uil uil-stethoscope me-2 d-inline-block"></i>Appointment</a></li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-user me-2 d-inline-block"></i>Doctors</a> <div class="sidebar-submenu"> <ul> <li><a href="doctors.html">Doctors</a></li> <li><a href="add-doctor.html">Add Doctor</a></li> <li><a href="dr-profile.html">Profile</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-wheelchair me-2 d-inline-block"></i>Patients</a> <div class="sidebar-submenu"> <ul> <li><a href="patients.html">All Patients</a></li> <li><a href="add-patient.html">Add Patients</a></li> <li><a href="patient-profile.html">Profile</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-apps me-2 d-inline-block"></i>Apps</a> <div class="sidebar-submenu"> <ul> <li><a href="chat.html">Chat</a></li> <li><a href="email.html">Email</a></li> <li><a href="calendar.html">Calendar</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-shopping-cart me-2 d-inline-block"></i>Pharmacy</a> <div class="sidebar-submenu"> <ul> <li><a href="shop.html">Shop</a></li> <li><a href="product-detail.html">Shop Detail</a></li> <li><a href="shopcart.html">Shopcart</a></li> <li><a href="checkout.html">Checkout</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-flip-h me-2 d-inline-block"></i>Blogs</a> <div class="sidebar-submenu"> <ul> <li><a href="blogs.html">Blogs</a></li> <li><a href="blog-detail.html">Blog Detail</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-file me-2 d-inline-block"></i>Pages</a> <div class="sidebar-submenu"> <ul> <li><a href="faqs.html">FAQs</a></li> <li><a href="review.html">Reviews</a></li> <li><a href="invoice-list.html">Invoice List</a></li> <li><a href="invoice.html">Invoice</a></li> <li><a href="terms.html">Terms & Policy</a></li> <li><a href="privacy.html">Privacy Policy</a></li> <li><a href="blank-page.html">Blank Page</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-envelope-open me-2 d-inline-block"></i>Email Template </a> <div class="sidebar-submenu"> <ul> <li><a href="email-confirmation.html">Confirmation</a></li> <li><a href="email-password-reset.html">Reset Password</a></li> <li><a href="email-alert.html">Alert</a></li> <li><a href="email-invoice.html">Invoice</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-sign-in-alt me-2 d-inline-block"></i>Authentication</a> <div class="sidebar-submenu"> <ul> <li><a href="login.html">Login</a></li> <li><a href="signup.html">Signup</a></li> <li><a href="forgot-password.html">Forgot Password</a></li> <li><a href="lock-screen.html">Lock Screen</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-file-info-alt me-2 d-inline-block"></i>UI Components </a> <div class="sidebar-submenu"> <ul> <li><a href="ui-button.html">Buttons</a></li> <li><a href="ui-badges.html">Badges</a></li> <li><a href="ui-alert.html">Alert</a></li> <li><a href="ui-dropdown.html">Dropdowns</a></li> <li><a href="ui-typography.html">Typography</a></li> <li><a href="ui-background.html">Background</a></li> <li><a href="ui-text.html">Text Color</a></li> <li><a href="ui-tooltip-popover.html">Tooltips & Popovers</a></li> <li><a href="ui-shadow.html">Shadows</a></li> <li><a href="ui-border.html">Border</a></li> <li><a href="ui-form.html">Form Elements</a></li> <li><a href="ui-pagination.html">Pagination</a></li> <li><a href="ui-avatar.html">Avatars</a></li> <li><a href="ui-modals.html">Modals</a></li> <li><a href="ui-icons.html">Icons</a></li> </ul> </div> </li> <li class="sidebar-dropdown"> <a href="javascript:void(0)"><i class="uil uil-postcard me-2 d-inline-block"></i>Miscellaneous </a> <div class="sidebar-submenu"> <ul> <li><a href="comingsoon.html">Comingsoon</a></li> <li><a href="maintenance.html">Maintenance</a></li> <li><a href="error.html">404 !</a></li> <li><a href="thankyou.html">Thank you...!</a></li> </ul> </div> </li> <li><a href="https://shreethemes.in/doctris/layouts/landing/index-two.html" target="_blank"><i class="uil uil-window me-2 d-inline-block"></i>Landing page</a></li> </ul> <!-- sidebar-menu --> </div> <!-- Sidebar Footer --> <ul class="sidebar-footer list-unstyled mb-0"> <li class="list-inline-item mb-0 ms-1"> <a href="#" class="btn btn-icon btn-pills btn-soft-primary"> <i class="uil uil-comment"></i> </a> </li> </ul> <!-- Sidebar Footer --> </nav> <!-- sidebar-wrapper --> <!-- sidebar-wrapper --> <!-- Start Page Content --> <main class="page-content bg-light"> <div class="top-header"> <div class="header-bar d-flex justify-content-between border-bottom"> <div class="d-flex align-items-center"> <a href="#" class="logo-icon"> <img src="../assets/images/logo-icon.png" height="30" class="small" alt=""> <span class="big"> <img src="../assets/images/logo-dark.png" height="22" class="logo-light-mode" alt=""> <img src="../assets/images/logo-light.png" height="22" class="logo-dark-mode" alt=""> </span> </a> <a id="close-sidebar" class="btn btn-icon btn-pills btn-soft-primary ms-2" href="#"> <i class="uil uil-bars"></i> </a> <div class="search-bar p-0 d-none d-lg-block ms-2"> <div id="search" class="menu-search mb-0"> <form role="search" method="get" id="searchform" class="searchform"> <div> <input type="text" class="form-control border rounded-pill" name="s" id="s" placeholder="Search Keywords..."> <input type="submit" id="searchsubmit" value="Search"> </div> </form> </div> </div> </div> <ul class="list-unstyled mb-0"> <li class="list-inline-item mb-0"> <div class="dropdown dropdown-primary"> <button type="button" class="btn btn-pills btn-soft-primary dropdown-toggle p-0" data-bs-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><img src="../assets/images/language/american.png" class="avatar avatar-ex-small rounded-circle p-2" alt=""></button> <div class="dropdown-menu dd-menu drop-ups dropdown-menu-end shadow border-0 mt-3 p-2" data-simplebar style="height: 175px;"> <a href="javascript:void(0)" class="d-flex align-items-center"> <img src="../assets/images/language/chinese.png" class="avatar avatar-client rounded-circle shadow" alt=""> <div class="flex-1 text-left ms-2 overflow-hidden"> <small class="text-dark mb-0">Chinese</small> </div> </a> <a href="javascript:void(0)" class="d-flex align-items-center mt-2"> <img src="../assets/images/language/european.png" class="avatar avatar-client rounded-circle shadow" alt=""> <div class="flex-1 text-left ms-2 overflow-hidden"> <small class="text-dark mb-0">European</small> </div> </a> <a href="javascript:void(0)" class="d-flex align-items-center mt-2"> <img src="../assets/images/language/indian.png" class="avatar avatar-client rounded-circle shadow" alt=""> <div class="flex-1 text-left ms-2 overflow-hidden"> <small class="text-dark mb-0">Indian</small> </div> </a> <a href="javascript:void(0)" class="d-flex align-items-center mt-2"> <img src="../assets/images/language/japanese.png" class="avatar avatar-client rounded-circle shadow" alt=""> <div class="flex-1 text-left ms-2 overflow-hidden"> <small class="text-dark mb-0">Japanese</small> </div> </a> <a href="javascript:void(0)" class="d-flex align-items-center mt-2"> <img src="../assets/images/language/russian.png" class="avatar avatar-client rounded-circle shadow" alt=""> <div class="flex-1 text-left ms-2 overflow-hidden"> <small class="text-dark mb-0">Russian</small> </div> </a> </div> </div> </li> <li class="list-inline-item mb-0 ms-1"> <a href="javascript:void(0)" data-bs-toggle="offcanvas" data-bs-target="#offcanvasRight" aria-controls="offcanvasRight"> <div class="btn btn-icon btn-pills btn-soft-primary"><i data-feather="settings" class="fea icon-sm"></i></div> </a> </li> <li class="list-inline-item mb-0 ms-1"> <div class="dropdown dropdown-primary"> <button type="button" class="btn btn-icon btn-pills btn-soft-primary dropdown-toggle p-0" data-bs-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><i data-feather="mail" class="fea icon-sm"></i></button> <span class="position-absolute top-0 start-100 translate-middle badge rounded-pill bg-danger">4 <span class="visually-hidden">unread mail</span></span> <div class="dropdown-menu dd-menu dropdown-menu-end shadow rounded border-0 mt-3 px-2 py-2" data-simplebar style="height: 320px; width: 300px;"> <a href="#" class="d-flex align-items-center justify-content-between py-2"> <div class="d-inline-flex position-relative overflow-hidden"> <img src="../assets/images/client/02.jpg" class="avatar avatar-md-sm rounded-circle shadow" alt=""> <small class="text-dark mb-0 d-block text-truncat ms-3">You received a new email from <b>Janalia</b> <small class="text-muted fw-normal d-inline-block">1 hour ago</small></small> </div> </a> <a href="#" class="d-flex align-items-center justify-content-between py-2 border-top"> <div class="d-inline-flex position-relative overflow-hidden"> <img src="https://shreethemes.in/doctris/layouts/assets/images/client/Codepen.svg" class="avatar avatar-md-sm rounded-circle shadow" alt=""> <small class="text-dark mb-0 d-block text-truncat ms-3">You received a new email from <b>codepen</b> <small class="text-muted fw-normal d-inline-block">4 hour ago</small></small> </div> </a> <a href="#" class="d-flex align-items-center justify-content-between py-2 border-top"> <div class="d-inline-flex position-relative overflow-hidden"> <img src="../assets/images/client/03.jpg" class="avatar avatar-md-sm rounded-circle shadow" alt=""> <small class="text-dark mb-0 d-block text-truncat ms-3">You received a new email from <b>Cristina</b> <small class="text-muted fw-normal d-inline-block">5 hour ago</small></small> </div> </a> <a href="#" class="d-flex align-items-center justify-content-between py-2 border-top"> <div class="d-inline-flex position-relative overflow-hidden"> <img src="https://shreethemes.in/doctris/layouts/assets/images/client/dribbble.svg" class="avatar avatar-md-sm rounded-circle shadow" alt=""> <small class="text-dark mb-0 d-block text-truncat ms-3">You received a new email from <b>Dribbble</b> <small class="text-muted fw-normal d-inline-block">24 hour ago</small></small> </div> </a> <a href="#" class="d-flex align-items-center justify-content-between py-2 border-top"> <div class="d-inline-flex position-relative overflow-hidden"> <img src="../assets/images/client/06.jpg" class="avatar avatar-md-sm rounded-circle shadow" alt=""> <small class="text-dark mb-0 d-block text-truncat ms-3">You received a new email from <b>Donald Aghori</b> <small class="text-muted fw-normal d-inline-block">1 day ago</small></small> </div> </a> <a href="#" class="d-flex align-items-center justify-content-between py-2 border-top"> <div class="d-inline-flex position-relative overflow-hidden"> <img src="../assets/images/client/07.jpg" class="avatar avatar-md-sm rounded-circle shadow" alt=""> <small class="text-dark mb-0 d-block text-truncat ms-3">You received a new email from <b>Calvin</b> <small class="text-muted fw-normal d-inline-block">2 day ago</small></small> </div> </a> </div> </div> </li> <li class="list-inline-item mb-0 ms-1"> <div class="dropdown dropdown-primary"> <button type="button" class="btn btn-pills btn-soft-primary dropdown-toggle p-0" data-bs-toggle="dropdown" aria-haspopup="true" aria-expanded="false"><img src="../assets/images/doctors/01.jpg" class="avatar avatar-ex-small rounded-circle" alt=""></button> <div class="dropdown-menu dd-menu dropdown-menu-end shadow border-0 mt-3 py-3" style="min-width: 200px;"> <a class="dropdown-item d-flex align-items-center text-dark" href="profile.html"> <img src="../assets/images/doctors/01.jpg" class="avatar avatar-md-sm rounded-circle border shadow" alt=""> <div class="flex-1 ms-2"> <span class="d-block mb-1">Calvin Carlo</span> <small class="text-muted">Orthopedic</small> </div> </a> <a class="dropdown-item text-dark" href="index.html"><span class="mb-0 d-inline-block me-1"><i class="uil uil-dashboard align-middle h6"></i></span> Dashboard</a> <a class="dropdown-item text-dark" href="dr-profile.html"><span class="mb-0 d-inline-block me-1"><i class="uil uil-setting align-middle h6"></i></span> Profile Settings</a> <div class="dropdown-divider border-top"></div> <a class="dropdown-item text-dark" href="lock-screen.html"><span class="mb-0 d-inline-block me-1"><i class="uil uil-sign-out-alt align-middle h6"></i></span> Logout</a> </div> </div> </li> </ul> </div> </div> <div class="container-fluid"> <div class="layout-specing"> <div class="d-md-flex justify-content-between"> <h5 class="mb-0">Checkout</h5> <nav aria-label="breadcrumb" class="d-inline-block mt-4 mt-sm-0"> <ul class="breadcrumb bg-transparent rounded mb-0 p-0"> <li class="breadcrumb-item"><a href="index.html">Doctris</a></li> <li class="breadcrumb-item"><a href="shop.html">Shop</a></li> <li class="breadcrumb-item active" aria-current="page">Checkout</li> </ul> </nav> </div> <div class="row"> <div class="col-md-5 col-lg-4 order-last mt-4 pt-2 pt-sm-0"> <div class="card rounded shadow p-4 border-0"> <div class="d-flex justify-content-between align-items-center mb-3"> <span class="h5 mb-0">Your cart</span> <span class="badge bg-primary rounded-pill">3</span> </div> <ul class="list-group mb-3 border"> <li class="d-flex justify-content-between lh-sm p-3 border-bottom"> <div> <h6 class="my-0">Product name</h6> <small class="text-muted">Brief description</small> </div> <span class="text-muted">$12</span> </li> <li class="d-flex justify-content-between lh-sm p-3 border-bottom"> <div> <h6 class="my-0">Second product</h6> <small class="text-muted">Brief description</small> </div> <span class="text-muted">$8</span> </li> <li class="d-flex justify-content-between lh-sm p-3 border-bottom"> <div> <h6 class="my-0">Third item</h6> <small class="text-muted">Brief description</small> </div> <span class="text-muted">$5</span> </li> <li class="d-flex justify-content-between bg-light p-3 border-bottom"> <div class="text-success"> <h6 class="my-0">Promo code</h6> <small>EXAMPLECODE</small> </div> <span class="text-success">−$5</span> </li> <li class="d-flex justify-content-between p-3"> <span>Total (USD)</span> <strong>$20</strong> </li> </ul> <form> <div class="input-group"> <input type="text" class="form-control" placeholder="Promo code"> <button type="submit" class="btn btn-secondary">Redeem</button> </div> </form> </div> </div><!--end col--> <div class="col-md-7 col-lg-8 mt-4"> <div class="card rounded shadow p-4 border-0"> <h5 class="mb-3">Billing address</h5> <form class="needs-validation" novalidate> <div class="row g-3"> <div class="col-sm-6"> <label for="firstName" class="form-label">First name</label> <input type="text" class="form-control" id="firstName" placeholder="First Name" value="" required> <div class="invalid-feedback"> Valid first name is required. </div> </div> <div class="col-sm-6"> <label for="lastName" class="form-label">Last name</label> <input type="text" class="form-control" id="lastName" placeholder="Last Name" value="" required> <div class="invalid-feedback"> Valid last name is required. </div> </div> <div class="col-12"> <label for="username" class="form-label">Username</label> <div class="input-group has-validation"> <span class="input-group-text bg-light text-muted border">@</span> <input type="text" class="form-control" id="username" placeholder="Username" required> <div class="invalid-feedback"> Your username is required. </div> </div> </div> <div class="col-12"> <label for="email" class="form-label">Email <span class="text-muted">(Optional)</span></label> <input type="email" class="form-control" id="email" placeholder="you@example.com"> <div class="invalid-feedback"> Please enter a valid email address for shipping updates. </div> </div> <div class="col-12"> <label for="address" class="form-label">Address</label> <input type="text" class="form-control" id="address" placeholder="1234 Main St" required> <div class="invalid-feedback"> Please enter your shipping address. </div> </div> <div class="col-12"> <label for="address2" class="form-label">Address 2 <span class="text-muted">(Optional)</span></label> <input type="text" class="form-control" id="address2" placeholder="Apartment or suite"> </div> <div class="col-md-5"> <label for="country" class="form-label">Country</label> <select class="form-select form-control" id="country" required> <option value="">Choose...</option> <option>United States</option> </select> <div class="invalid-feedback"> Please select a valid country. </div> </div> <div class="col-md-4"> <label for="state" class="form-label">State</label> <select class="form-select form-control" id="state" required> <option value="">Choose...</option> <option>California</option> </select> <div class="invalid-feedback"> Please provide a valid state. </div> </div> <div class="col-md-3"> <label for="zip" class="form-label">Zip</label> <input type="text" class="form-control" id="zip" placeholder="" required> <div class="invalid-feedback"> Zip code required. </div> </div> </div> <div class="form-check mt-4 pt-4 border-top"> <input type="checkbox" class="form-check-input" id="same-address"> <label class="form-check-label" for="same-address">Shipping address is the same as my billing address</label> </div> <div class="form-check"> <input type="checkbox" class="form-check-input" id="save-info"> <label class="form-check-label" for="save-info">Save this information for next time</label> </div> <h5 class="mb-3 mt-4 pt-4 border-top">Payment</h5> <div class="my-3"> <div class="form-check"> <input id="credit" name="paymentMethod" type="radio" class="form-check-input" checked required> <label class="form-check-label" for="credit">Credit card</label> </div> <div class="form-check"> <input id="debit" name="paymentMethod" type="radio" class="form-check-input" required> <label class="form-check-label" for="debit">Debit card</label> </div> <div class="form-check"> <input id="paypal" name="paymentMethod" type="radio" class="form-check-input" required> <label class="form-check-label" for="paypal">PayPal</label> </div> </div> <div class="row gy-3"> <div class="col-md-6"> <label for="cc-name" class="form-label">Name on card</label> <input type="text" class="form-control" id="cc-name" placeholder="" required> <small class="text-muted">Full name as displayed on card</small> <div class="invalid-feedback"> Name on card is required </div> </div> <div class="col-md-6"> <label for="cc-number" class="form-label">Credit card number</label> <input type="text" class="form-control" id="cc-number" placeholder="" required> <div class="invalid-feedback"> Credit card number is required </div> </div> <div class="col-md-3 mb-3"> <label for="cc-expiration" class="form-label">Expiration</label> <input type="text" class="form-control" id="cc-expiration" placeholder="" required> <div class="invalid-feedback"> Expiration date required </div> </div> <div class="col-md-3 mb-3"> <label for="cc-cvv" class="form-label">CVV</label> <input type="text" class="form-control" id="cc-cvv" placeholder="" required> <div class="invalid-feedback"> Security code required </div> </div> </div> <button class="w-100 btn btn-primary" type="submit">Continue to checkout</button> </form> </div> </div><!--end col--> </div><!--end row--> </div> </div><!--end container--> <!-- Footer Start --> <footer class="bg-footer-color shadow py-3"> <div class="container-fluid"> <div class="row align-items-center"> <div class="col"> <div class="text-sm-start text-center"> <p class="mb-0 text-muted"><script>document.write(new Date().getFullYear())</script> © Doctris. Design with <i class="mdi mdi-heart text-danger"></i> by <a href="https://shreethemes.in/" target="_blank" class="text-reset">Shreethemes</a>.</p> </div> </div><!--end col--> </div><!--end row--> </div><!--end container--> </footer><!--end footer--> <!-- End --> </main> <!--End page-content" --> </div> <!-- page-wrapper --> <!-- Offcanvas Start --> <div class="offcanvas offcanvas-end shadow border-0" tabindex="-1" id="offcanvasRight" aria-labelledby="offcanvasRightLabel"> <div class="offcanvas-header p-4 border-bottom"> <h5 id="offcanvasRightLabel" class="mb-0"> <img src="../assets/images/logo-dark.png" height="22" class="light-version" alt=""> <img src="../assets/images/logo-light.png" height="22" class="dark-version" alt=""> </h5> <button type="button" class="btn-close d-flex align-items-center text-dark" data-bs-dismiss="offcanvas" aria-label="Close"><i class="uil uil-times fs-4"></i></button> </div> <div class="offcanvas-body p-4 px-md-5"> <div class="row"> <div class="col-12"> 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