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tareko/gist:3922878

Created October 20, 2012 10:15
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gistfile1.php
echo $this->Form->create('Billing');
echo $this->Form->input('Billing.0.healthcare_provider');
echo $this->Form->input('Billing.0.patient_birthdate');
echo $this->Form->input('Billing.0.payment_program');
echo $this->Form->input('Billing.0.payee');
echo $this->Form->input('Billing.0.BillingsItem.0.service_date');
echo $this->Form->input('Billing.0.BillingsItem.0.service_code');
echo $this->Form->input('Billing.0.BillingsItem.1.service_date');
echo $this->Form->input('Billing.0.BillingsItem.1.service_code');
echo $this->Form->end('Submit');
?>
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