{"product_id":"nouveau-patien","title":"Nouveau patient","description":"\u003cdiv style=\"max-width: 500px; margin: 20px auto; padding: 20px; border: 1px solid #eee; border-radius: 10px; background-color: #fcfcfc; box-shadow: 0 2px 5px rgba(0,0,0,0.05);\"\u003e\n  \n  \u003ch2 style=\"text-align: center; color: #333;\"\u003eIdentification du Patient\u003c\/h2\u003e\n  \u003cp style=\"font-size: 0.9em; color: #666; text-align: center;\"\u003eRemplissez ce formulaire pour chaque nouveau patient avant de passer votre commande.\u003c\/p\u003e\n\n    \u003cdiv style=\"margin-bottom: 15px;\"\u003e\n      \u003clabel style=\"display: block; margin-bottom: 5px; font-weight: bold;\"\u003ePrénom du patient\u003c\/label\u003e\n      \u003cinput type=\"text\" name=\"contact[prenom_patient]\" style=\"width: 100%; padding: 10px; border: 1px solid #ccc; border-radius: 4px;\" required placeholder=\"Ex: Jean\"\u003e\n    \u003c\/div\u003e\n\n    \u003cdiv style=\"margin-bottom: 15px;\"\u003e\n      \u003clabel style=\"display: block; margin-bottom: 5px; font-weight: bold;\"\u003eNom du patient\u003c\/label\u003e\n      \u003cinput type=\"text\" name=\"contact[nom_patient]\" style=\"width: 100%; padding: 10px; border: 1px solid #ccc; border-radius: 4px;\" required placeholder=\"Ex: Tremblay\"\u003e\n    \u003c\/div\u003e\n\n    \u003cdiv style=\"margin-bottom: 15px;\"\u003e\n      \u003clabel style=\"display: block; margin-bottom: 5px; font-weight: bold;\"\u003eDate de naissance\u003c\/label\u003e\n      \u003cinput type=\"date\" name=\"contact[ddn_patient]\" style=\"width: 100%; padding: 10px; border: 1px solid #ccc; border-radius: 4px;\" required\u003e\n    \u003c\/div\u003e\n\n    \u003cdiv style=\"margin-top: 20px;\"\u003e\n      \u003cinput type=\"submit\" value=\"Enregistrer l'identification\" style=\"width: 100%; background-color: #000; color: #fff; padding: 12px; border: none; border-radius: 4px; cursor: pointer; font-weight: bold;\"\u003e\n    \u003c\/div\u003e\n\u003c\/div\u003e","brand":"Laboratoire - Infirmière en affaires","offers":[{"title":"Default Title","offer_id":44793650937926,"sku":null,"price":0.0,"currency_code":"CAD","in_stock":true}],"url":"https:\/\/laboratoire-infirmiere.com\/products\/nouveau-patien","provider":"Laboratoire - Infirmière en affaires","version":"1.0","type":"link"}