-- phpMyAdmin SQL Dump -- version 5.2.2 -- https://www.phpmyadmin.net/ -- -- Host: mysql:3306 -- Generation Time: May 20, 2026 at 02:17 PM -- Server version: 8.0.43 -- PHP Version: 8.2.27 SET SQL_MODE = "NO_AUTO_VALUE_ON_ZERO"; START TRANSACTION; SET time_zone = "+00:00"; /*!40101 SET @OLD_CHARACTER_SET_CLIENT=@@CHARACTER_SET_CLIENT */; /*!40101 SET @OLD_CHARACTER_SET_RESULTS=@@CHARACTER_SET_RESULTS */; /*!40101 SET @OLD_COLLATION_CONNECTION=@@COLLATION_CONNECTION */; /*!40101 SET NAMES utf8mb4 */; -- -- Database: `chaggerdental_db` -- -- -------------------------------------------------------- -- -- Table structure for table `cdt_admin` -- CREATE TABLE `cdt_admin` ( `admin_id` int UNSIGNED NOT NULL, `role_id` int NOT NULL, `username` varchar(30) COLLATE utf8mb4_unicode_ci NOT NULL, `password` varchar(64) COLLATE utf8mb4_unicode_ci NOT NULL, `display_name` varchar(60) COLLATE utf8mb4_unicode_ci NOT NULL, `first_name` varchar(30) COLLATE utf8mb4_unicode_ci NOT NULL, `last_name` varchar(30) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `email` varchar(100) COLLATE utf8mb4_unicode_ci NOT NULL, `profile_picture` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `status` enum('active','inactive') CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'active', `email_verified_at` timestamp NULL DEFAULT NULL, `remember_token` varchar(100) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_admin` -- INSERT INTO `cdt_admin` (`admin_id`, `role_id`, `username`, `password`, `display_name`, `first_name`, `last_name`, `email`, `profile_picture`, `status`, `email_verified_at`, `remember_token`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 1, 'admin_cd', '$2y$10$9zYDVLUEt5Dk4rWsh2.J7.R/TcHVmlZPCvfqJYNpw7a/jnwUjVhoK', 'Administrator', 'Chagger', 'Dental Team', 'testing@tastechnologies.com', NULL, 'active', '2026-05-01 02:01:42', 'yvwypAG65t3ojUFMwypk1oPkXQsi8nC71cLCRGfZHV0OGIQB9loIdxiAgjjz', 1, 1, '2026-05-01 02:01:42', '2026-05-01 02:01:42'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_admin_access_logs` -- CREATE TABLE `cdt_admin_access_logs` ( `id` bigint UNSIGNED NOT NULL, `admin_id` int DEFAULT NULL, `role_id` int DEFAULT NULL, `username` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `role_name` varchar(100) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `ip_address` varchar(45) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `accessed_at` timestamp NOT NULL DEFAULT CURRENT_TIMESTAMP, `country` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `region` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `city` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `continent` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `timezone` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `latitude` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `longitude` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `operating_system` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `browser` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `hostname` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `screen_resolution` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `access_method` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `http_method` varchar(10) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `route_name` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `url` varchar(1024) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_admin_role` -- CREATE TABLE `cdt_admin_role` ( `role_id` int UNSIGNED NOT NULL, `title` varchar(100) COLLATE utf8mb4_unicode_ci NOT NULL, `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_admin_role` -- INSERT INTO `cdt_admin_role` (`role_id`, `title`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 'Super Administrator', 1, 1, '2026-05-01 02:01:42', '2026-05-01 02:01:42'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_clinics` -- CREATE TABLE `cdt_clinics` ( `clinic_id` int UNSIGNED NOT NULL, `title` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `slug` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `address` text COLLATE utf8mb4_unicode_ci, `phone` varchar(20) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `email` varchar(128) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `to_emails` text COLLATE utf8mb4_unicode_ci, `note` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `c_order` int NOT NULL DEFAULT '0', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_clinics` -- INSERT INTO `cdt_clinics` (`clinic_id`, `title`, `slug`, `address`, `phone`, `email`, `to_emails`, `note`, `c_order`, `status`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 'Oakville', 'oakville', '231 Oak Park Blvd., Suite #108,\nOakville, ON L6H 7S8', '905-257-2221', 'testing@tastechnologies.com', NULL, NULL, 1, 'enabled', 1, 1, '2026-05-01 08:02:28', '2026-05-01 13:10:21'), (2, 'Burlington', 'burlington', '2455 Appleby Line, Suite #C08, \nBurlington, ON L7L 0B6', '905-336-0600', 'testing@tastechnologies.com', NULL, NULL, 2, 'enabled', 1, 1, '2026-05-01 08:03:12', '2026-05-01 13:10:28'), (3, 'Mississauga', 'mississauga', '3427 Derry Rd East, Suite #201,\r\nMississauga, ON L4T 4H7', '905-672-2244', 'testing@tastechnologies.com', NULL, NULL, 3, 'enabled', 1, 1, '2026-05-01 08:04:02', '2026-05-01 13:10:34'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_custom_field` -- CREATE TABLE `cdt_custom_field` ( `custom_field_id` int UNSIGNED NOT NULL, `field_name` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `label` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `type` enum('text','textarea','editor','image','file','dropdown','checkbox','radio_button') COLLATE utf8mb4_unicode_ci NOT NULL, `options_label` text COLLATE utf8mb4_unicode_ci COMMENT 'Stores labels in ARRAY format.', `options_value` text COLLATE utf8mb4_unicode_ci COMMENT 'Stores values in ARRAY format.', `field_placeholder` varchar(128) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `field_information` text COLLATE utf8mb4_unicode_ci, `note` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `required` enum('false','true') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'false', `c_order` int NOT NULL DEFAULT '0', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_custom_field_group` -- CREATE TABLE `cdt_custom_field_group` ( `cf_group_id` int UNSIGNED NOT NULL, `group_name` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `c_order` int NOT NULL DEFAULT '0', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_custom_field_group_custom_field` -- CREATE TABLE `cdt_custom_field_group_custom_field` ( `cfgc_field_id` bigint UNSIGNED NOT NULL, `cf_group_id` int NOT NULL, `custom_field_id` int NOT NULL, `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL, `deleted_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_custom_field_group_template` -- CREATE TABLE `cdt_custom_field_group_template` ( `cfg_template_id` bigint UNSIGNED NOT NULL, `cf_group_id` int NOT NULL, `template_id` int NOT NULL, `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL, `deleted_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_custom_field_value` -- CREATE TABLE `cdt_custom_field_value` ( `cf_value_id` bigint UNSIGNED NOT NULL, `module_id` int NOT NULL, `template_id` int NOT NULL, `cf_group_id` int NOT NULL COMMENT 'int, ID of custom_field_group table', `custom_field_id` int NOT NULL, `record_id` int NOT NULL COMMENT 'int, ID of page/project/etc.', `value` longtext COLLATE utf8mb4_unicode_ci, `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL, `deleted_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_email_template` -- CREATE TABLE `cdt_email_template` ( `et_id` int UNSIGNED NOT NULL, `template_name` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `subject` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `message_template_type` enum('Body','Full') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'Body', `message_template` longtext CHARACTER SET utf8mb4 COLLATE utf8mb4_unicode_ci NOT NULL, `from_name` varchar(128) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `from_email` varchar(128) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `to_emails` text COLLATE utf8mb4_unicode_ci, `cc_emails` text COLLATE utf8mb4_unicode_ci, `bcc_emails` text COLLATE utf8mb4_unicode_ci, `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_email_template` -- INSERT INTO `cdt_email_template` (`et_id`, `template_name`, `subject`, `message_template_type`, `message_template`, `from_name`, `from_email`, `to_emails`, `cc_emails`, `bcc_emails`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 'Admin Forgot Password', 'Forgot Password - Chagger Dental', 'Body', '\r\n\r\n\r\n \r\n

\r\n Dear {{name}},
\r\n Password has been reset successfully. Below is your new password:\r\n

\r\n \r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n
New Password:{{new_password}}
\r\n \r\n', NULL, NULL, NULL, NULL, NULL, 1, 1, '2026-05-01 08:15:18', '2026-05-01 08:15:18'), (2, 'Admin Quick Book Appointment Enquiry Form Data', 'Quick Book Appointment Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n
\r\n\r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Quick Book Appointment\r\n
\r\n \r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
Preferred Location:{{preferred_location}}
Services:{{services}}
Full Name:{{full_name}}
Phone Number:{{phone_number}}
Email Address:\r\n {{email_address}}\r\n
Address:{{address}}
Preferred Date:{{preferred_date}}
Preferred Time To Call:{{preferred_time}}
Message:{{message}}
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Location: {{location_name}}

\r\n Email: {{location_email}}\r\n 		\r\n Call Us: {{location_phone}}

\r\n Address:
\r\n {{location_address}}\r\n
\r\n
\r\n © {{year}} Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n\r\n', NULL, NULL, 'vikash@tastechnologies.com', NULL, NULL, 1, 1, '2026-05-01 08:39:33', '2026-05-01 08:39:33'), (3, 'User Quick Book Appointment Enquiry Confirmation', 'Quick Book Appointment Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n
\r\n\r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Hi {{full_name}},\r\n
\r\n \r\n \r\n

Thank you for reaching out to us.

\r\n

We have received your book appointment enquiry and our team will review your message shortly. One of our representatives will get back to you as soon as possible.

\r\n \r\n
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Location: {{location_name}}

\r\n Email: {{location_email}}\r\n 		\r\n Call Us: {{location_phone}}

\r\n Address:
\r\n {{location_address}}\r\n
\r\n
\r\n © {{year}} Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n\r\n', NULL, NULL, NULL, NULL, NULL, 1, 1, '2026-05-01 08:42:26', '2026-05-01 08:42:26'), (4, 'Admin Book Appointment Enquiry Form Data', 'Book Appointment Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n
\r\n\r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Book Appointment\r\n
\r\n \r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
Patient Type:{{patient_type}}
Preferred Location:{{preferred_location}}
Full Name:{{full_name}}
Phone Number:{{phone_number}}
Email Address:\r\n {{email_address}}\r\n
Address:{{address}}
Preferred Date:{{preferred_date}}
Preferred Time:{{preferred_time}}
Message:{{message}}
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Location: {{location_name}}

\r\n Email: {{location_email}}\r\n 		\r\n Call Us: {{location_phone}}

\r\n Address:
\r\n {{location_address}}\r\n
\r\n
\r\n © {{year}} Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n\r\n', NULL, NULL, 'vikash@tastechnologies.com', NULL, NULL, 1, 1, '2026-05-01 08:43:40', '2026-05-01 08:43:40'), (5, 'User Book Appointment Enquiry Confirmation', 'Book Appointment Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n
\r\n\r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Hi {{full_name}},\r\n
\r\n \r\n \r\n

Thank you for reaching out to us.

\r\n

We have received your book appointment enquiry and our team will review your message shortly. One of our representatives will get back to you as soon as possible.

\r\n \r\n
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Location: {{location_name}}

\r\n Email: {{location_email}}\r\n 		\r\n Call Us: {{location_phone}}

\r\n Address:
\r\n {{location_address}}\r\n
\r\n
\r\n © {{year}} Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n\r\n', NULL, NULL, NULL, NULL, NULL, 1, 1, '2026-05-01 08:44:39', '2026-05-01 08:44:39'), (6, 'Admin Contact Enquiry Form Data', 'Contact Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n
\r\n\r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Contact Enquiry\r\n
\r\n \r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
Location:{{select_location}}
Full Name:{{full_name}}
Phone Number:{{phone_number}}
Email Address:\r\n {{email_address}}\r\n
Service Type:{{service_type}}
Comments:{{comments}}
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Location: {{location_name}}

\r\n Email: {{location_email}}\r\n 		\r\n Call Us: {{location_phone}}

\r\n Address:
\r\n {{location_address}}\r\n
\r\n
\r\n © {{year}} Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n\r\n', NULL, NULL, 'vikash@tastechnologies.com', NULL, NULL, 1, 1, '2026-05-02 08:43:40', '2026-05-02 10:57:56'), (7, 'User Contact Enquiry Confirmation', 'Contact Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n
\r\n\r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Hi {{full_name}},\r\n
\r\n \r\n \r\n

Thank you for reaching out to us.

\r\n

We have received your contact enquiry and our team will review your message shortly. One of our representatives will get back to you as soon as possible.

\r\n \r\n
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Location: {{location_name}}

\r\n Email: {{location_email}}\r\n 		\r\n Call Us: {{location_phone}}

\r\n Address:
\r\n {{location_address}}\r\n
\r\n
\r\n © {{year}} Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n\r\n', NULL, NULL, NULL, NULL, NULL, 1, 1, '2026-05-02 08:44:39', '2026-05-02 10:42:02'); INSERT INTO `cdt_email_template` (`et_id`, `template_name`, `subject`, `message_template_type`, `message_template`, `from_name`, `from_email`, `to_emails`, `cc_emails`, `bcc_emails`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (8, 'Admin New Patient Registration Enquiry Form Data', 'New Patient Registration Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
\r\n \"Chagger\r\n \r\n \r\n {{location_name}}\r\n

{{location_address}}\r\n

\r\n

\r\n {{location_email}}\r\n

\r\n

{{location_phone}}

\r\n
\r\n \r\n CHAGGER DENTAL PATIENT INFORMATION\r\n
\r\n

\r\n Submitted: {{submitted_at}}\r\n

\r\n
\r\n
\r\n \r\n \r\n \r\n

PATIENT PROFILE

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
\r\n\r\n\r\n\r\n
Title{{title}}
\r\n\r\n\r\n\r\n
Full Name{{full_name}}
\r\n\r\n\r\n\r\n
Age{{age}}
\r\n\r\n\r\n\r\n
Sex{{sex}}
\r\n\r\n\r\n\r\n
Marital Status{{marital_status}}
\r\n\r\n\r\n\r\n
Date of Birth{{date_of_birth}}
\r\n\r\n\r\n\r\n
Street Address{{street_address}}
\r\n\r\n\r\n\r\n
City{{city}}
\r\n\r\n\r\n\r\n
Province / State{{province}}
\r\n\r\n\r\n\r\n
Postal Code{{postal_code}}
 
\r\n\r\n\r\n\r\n
Email Address{{email_address}}
\r\n\r\n\r\n\r\n
Home Phone{{home_phone}}
\r\n\r\n\r\n\r\n
Cell Phone{{cell_phone}}
\r\n\r\n\r\n\r\n
Occupation{{cccupation}}
\r\n\r\n\r\n\r\n
Employed By{{employed_by}}
\r\n
\r\n \r\n \r\n \r\n

DENTAL INSURANCE & CARE PROVIDERS

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
\r\n\r\n\r\n\r\n
Dental Insurance{{dental_insurance}}
\r\n\r\n\r\n\r\n
Insurance Company{{insurance_company}}
\r\n\r\n\r\n\r\n
Policy No.{{policy_no}}
\r\n\r\n\r\n\r\n
ID / Certificate No.{{certificate_no}}
\r\n\r\n\r\n\r\n
Family Physician{{family_physician}}
\r\n\r\n\r\n\r\n
Physician Phone{{physician_phone}}
\r\n\r\n\r\n\r\n
Previous Dentist{{previous_dentist}}
\r\n\r\n\r\n\r\n
Previous Dentist Phone{{previous_dentist_phone}}
\r\n\r\n\r\n\r\n
Referral Credit{{referral_credit}}
\r\n
\r\n \r\n \r\n \r\n

EMERGENCY CONTACT

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
\r\n\r\n\r\n\r\n
Contact Name{{en_contact_name}}
\r\n\r\n\r\n\r\n
Relationship{{en_relationship}}
\r\n\r\n\r\n\r\n
Address{{en_address}}
\r\n\r\n\r\n\r\n
Phone Number{{en_phone_number}}
\r\n
\r\n \r\n \r\n \r\n

CONFIDENTIAL MEDICAL HISTORY

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
\r\n

1. Date of last complete physical examination

\r\n

{{dlcp_examination}}

\r\n
\r\n

2. Are you currently under a physician\'s care?

\r\n

{{cup_care}}

Specify: {{cup_care_specify}}

\r\n
\r\n

3. Do you have frequent headaches?

\r\n

{{frequent_headaches}}

\r\n
\r\n

4. Do you smoke?

\r\n

{{smoke}}

\r\n
\r\n

5. Do you drink alcohol?

\r\n

{{drink_alcohol}}

Specify: {{drink_alcohol_specify}}

\r\n
\r\n

6. Do you do recreational drugs?

\r\n

{{recreational_drugs}}

\r\n
\r\n

7. Do you routinely take vitamins, herbal substances, or natural products?

\r\n

{{herbal_substances}}

Specify: {{herbal_substances_specify}}

\r\n
\r\n

8. Are you taking any medications?

\r\n

{{any_medications}}

Specify: {{any_medications_specify}}

\r\n
\r\n

9. Have you taken any prolonged medication in the past?

\r\n

{{prolonged_medication}}

Specify: {{prolonged_medication_specify}}

\r\n
\r\n

10. Have you taken cortisone or steroids?

\r\n

{{cortisone}}

\r\n
\r\n

11. Have you ever been hospitalized for any surgery?

\r\n

{{any_surgery}}

Specify: {{any_surgery_specify}}

\r\n
\r\n

12. Are your ankles often swollen?

\r\n

{{ankles_swollen}}

\r\n
\r\n

13. Have you gained or lost excessive weight recently?

\r\n

{{gained_lost_weight}}

\r\n
\r\n

14. Are you pregnant?

\r\n

{{pregnant}}

Specify: {{pregnant_weeks}}

\r\n
\r\n

15. Sensitive / adverse reactions

\r\n

{{adverse_reaction}}

\r\n
\r\n

16. Allergies / adverse reactions

\r\n

{{allergic_adverse_reaction}}

\r\n
\r\n

17. Allergic or adverse reactions to any other drugs?

\r\n

{{adverse_reactions}}

Specify: {{adverse_reactions_specify}}

\r\n
\r\n

18. Treated for or told you have any of the following

\r\n

{{treated}}

\r\n
\r\n

19. Have you ever experienced heavy bleeding?

\r\n

{{heavy_bleeding}}

\r\n
\r\n

20. Is there anything else we should know?

\r\n

{{anything_else_know}}

Specify: {{anything_else_know_specify}}

\r\n
\r\n

21. Have you been diagnosed with any other disease, condition or problem?

\r\n

{{other_disease}}

\r\n
\r\n

22. Is there anything about your health we should be aware of?

\r\n

{{anything_about_health}}

Specify: {{anything_about_health_specify}}

\r\n
\r\n

23. Do you wish to speak to the doctor privately?

\r\n

{{speak_doctor_privately}}

\r\n
\r\n
\r\n \r\n \r\n \r\n

DENTAL HISTORY

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
\r\n

24. Date of last complete exam

\r\n

{{date_last_complete_exam}}

\r\n
\r\n

25. Date of last cleaning

\r\n

{{date_last_cleaning}}

\r\n
\r\n

26. Date of last x-rays

\r\n

{{date_last_x_rays}}

\r\n
\r\n

27. Did you see your last dentist regularly?

\r\n

{{last_dentist_regularly}}

\r\n
\r\n

28. How often did you see your last dentist?

\r\n

{{last_dentist}}

Specify: {{last_dentist_description}}

\r\n
\r\n

29. Have you ever been advised to take antibiotics?

\r\n

{{antibiotics}}

\r\n
\r\n

30. Heavy bleeding following extractions?

\r\n

{{heavy_bleeding_extractions}}

\r\n
\r\n

31. Have you ever had gum treatment or surgery?

\r\n

{{gum_treatment}}

\r\n
\r\n

32. Have you had any orthodontic treatment?

\r\n

{{orthodontic_treatment}}

\r\n
\r\n

33. Have you ever had an unpleasant dental experience?

\r\n

{{unpleasant_dental_experience}}

\r\n
\r\n

34. How can we make your dental experience more pleasant?

\r\n

{{pleasant_dental_experience}}

\r\n
\r\n

35. Is there anything else we should know?

\r\n

{{anything_else_should_know}}

\r\n
\r\n

36. What brings you to the office today?

\r\n

{{brings_office_today}}

\r\n
\r\n

37. Are you in any discomfort?

\r\n

{{any_discomfort}}

Specify: {{any_discomfort_specify}}

\r\n
\r\n

38. Do you have or have you experienced

\r\n

{{have_experienced}}

\r\n
\r\n

39. Does food get caught between your teeth?

\r\n

{{food_teeth}}

\r\n
\r\n

40. Do you have any sore spots in your mouth?

\r\n

{{sore_spots}}

\r\n
\r\n

41. Have you had any teeth replaced?

\r\n

{{teeth_replaced}}

\r\n
\r\n

42. Interested in permanent tooth replacement?

\r\n

{{permanent_tooth_replacement}}

\r\n
\r\n

43. Have you ever been given local anesthesia?

\r\n

{{local_anesthesia}}

\r\n
\r\n

44. Have you ever been given general anesthesia?

\r\n

{{general_anesthesia}}

\r\n
\r\n

45. Are you satisfied with the appearance of your teeth?

\r\n

{{satisfied_appearance_teeth}}

\r\n
\r\n

46. Are you anxious to keep your natural teeth?

\r\n

{{keep_natural_teeth}}

\r\n
\r\n

47. Are you tense during dental visits?

\r\n

{{tense_dental_visits}}

\r\n
\r\n

48. Interested in a method to calm your nerves?

\r\n

{{calm_nerves}}

\r\n
\r\n

49. How can we help you today?

\r\n

{{describe}}

\r\n
\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
\r\n \r\n Patient Consent\r\n \r\n Verified & Authorized Digital Copy

\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
\r\n

{{consent_privacy_patient_icon}}  I agree to the privacy policy regarding medical records.

\r\n
\r\n

{{consent_newsletter_icon}}  I consent to receiving emails and newsletters.

\r\n
\r\n 		\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
\r\n

SIGNATURE

\r\n \"Signature\"\r\n
\r\n

PRINT NAME

\r\n

{{print_name}}

\r\n
\r\n
\r\n
\r\n  \r\n
\r\n \"Chagger\r\n
\r\n © {{year}} Chagger Dental • Confidential Medical Record\r\n
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n\r\n\r\n', NULL, NULL, 'vikash@tastechnologies.com', NULL, NULL, 1, 1, '2026-05-14 22:57:56', '2026-05-18 09:01:05'); INSERT INTO `cdt_email_template` (`et_id`, `template_name`, `subject`, `message_template_type`, `message_template`, `from_name`, `from_email`, `to_emails`, `cc_emails`, `bcc_emails`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (9, 'User New Patient Registration Enquiry Confirmation', 'New Patient Registration Enquiry - Chagger Dental', 'Full', '\r\n\r\n\r\n\r\n \r\n Chagger Dental\r\n\r\n\r\n\r\n \r\n \r\n \r\n \r\n
\r\n\r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Hi {{full_name}},\r\n
\r\n \r\n \r\n

Thank you for reaching out to us.

\r\n

We have received your new patient registration enquiry and our team will review your message shortly. One of our representatives will get back to you as soon as possible.

\r\n \r\n
\r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Location: {{location_name}}

\r\n Email: {{location_email}}\r\n 		\r\n Call Us: {{location_phone}}

\r\n Address:
\r\n {{location_address}}\r\n
\r\n
\r\n © {{year}} Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n\r\n', NULL, NULL, NULL, NULL, NULL, 1, 1, '2026-05-14 22:59:21', '2026-05-14 22:59:21'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_failed_jobs` -- CREATE TABLE `cdt_failed_jobs` ( `id` bigint UNSIGNED NOT NULL, `uuid` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `connection` text COLLATE utf8mb4_unicode_ci NOT NULL, `queue` text COLLATE utf8mb4_unicode_ci NOT NULL, `payload` longtext COLLATE utf8mb4_unicode_ci NOT NULL, `exception` longtext COLLATE utf8mb4_unicode_ci NOT NULL, `failed_at` timestamp NOT NULL DEFAULT CURRENT_TIMESTAMP ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_forms` -- CREATE TABLE `cdt_forms` ( `id` bigint UNSIGNED NOT NULL, `form_name` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `form_slug` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `email_template_id` int UNSIGNED DEFAULT NULL, `admin_email_template_id` int UNSIGNED DEFAULT NULL, `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL, `deleted_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_forms` -- INSERT INTO `cdt_forms` (`id`, `form_name`, `form_slug`, `email_template_id`, `admin_email_template_id`, `status`, `created_id`, `updated_id`, `created_at`, `updated_at`, `deleted_at`) VALUES (1, 'Quick Book an Appointment', 'quick-book-an-appointment', 3, 2, 'enabled', 1, 1, '2026-05-01 17:35:22', '2026-05-01 17:35:22', NULL), (2, 'Book an Appointment', 'book-an-appointment', 5, 4, 'enabled', 1, 1, '2026-05-01 17:36:22', '2026-05-01 17:36:22', NULL), (3, 'Contact Us', 'contact-us', 7, 6, 'enabled', 1, 1, '2026-05-02 17:36:22', '2026-05-02 17:36:22', NULL), (4, 'New Patient Form', 'new-patient-form', 9, 8, 'enabled', 1, 1, '2026-05-12 17:36:22', '2026-05-12 17:36:22', NULL); -- -------------------------------------------------------- -- -- Table structure for table `cdt_form_fields` -- CREATE TABLE `cdt_form_fields` ( `id` bigint UNSIGNED NOT NULL, `form_id` bigint NOT NULL, `field_name` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `field_label` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `placeholder` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `type` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `required` tinyint(1) NOT NULL DEFAULT '0', `options` text COLLATE utf8mb4_unicode_ci, `order` int NOT NULL DEFAULT '0', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL, `deleted_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_form_fields` -- INSERT INTO `cdt_form_fields` (`id`, `form_id`, `field_name`, `field_label`, `placeholder`, `type`, `required`, `options`, `order`, `status`, `created_id`, `updated_id`, `created_at`, `updated_at`, `deleted_at`) VALUES (1, 1, 'preferred_location', 'Preferred Location', NULL, 'select', 1, NULL, 1, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (2, 1, 'services', 'Select Services', NULL, 'select', 1, '{\n \"Family Dentistry\": \"Family Dentistry\",\n \"Kids Dentistry\": \"Kids Dentistry\",\n \"General Consultation\": \"General Consultation\"\n, \n \"Cosmetic Dentistry\": \"Cosmetic Dentistry\"\n, \n \"Dental Implants\": \"Dental Implants\"\n, \n \"Teeth Whitening\": \"Teeth Whitening\"\n, \n \"Emergency Care\": \"Emergency Care\"\n, \n \"Others\": \"Others\"\n}', 2, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (3, 1, 'full_name', 'Full Name', 'John Doe', 'text', 1, NULL, 3, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (4, 1, 'phone_number', 'Phone Number', '+1 (555) 000-0000', 'text', 1, NULL, 4, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (5, 1, 'email_address', 'Email Address', 'john@example.com', 'email', 1, NULL, 5, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (6, 1, 'address', 'Address', 'Your Address', 'text', 1, NULL, 6, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (7, 1, 'preferred_date', 'Preferred Date', NULL, 'date', 1, NULL, 7, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (8, 1, 'preferred_time', 'Preferred Time To Call', NULL, 'radio', 1, '{\n \"Morning\": \"Morning\",\n \"Afternoon\": \"Afternoon\",\n \"Evening\": \"Evening\"\n}', 8, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (9, 1, 'message', 'Message', 'Tell us about your dental goals or any concerns...', 'textarea', 1, NULL, 9, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (10, 2, 'patient_type', 'Patient Type', NULL, 'radio', 1, '{\n \"New Patient\": \"New Patient\",\n \"Returning Patient\": \"Returning Patient\"\n}', 1, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (11, 2, 'preferred_location', 'Preferred Location', NULL, 'select', 1, NULL, 2, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (12, 2, 'full_name', 'Full Name', 'John Doe', 'text', 1, NULL, 3, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (13, 2, 'phone_number', 'Phone Number', '+1 (555) 000-0000', 'text', 1, NULL, 4, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (14, 2, 'email_address', 'Email Address', 'john@example.com', 'email', 1, NULL, 5, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (15, 2, 'address', 'Address', 'Your Address', 'text', 1, NULL, 6, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (16, 2, 'preferred_date', 'Preferred Date', NULL, 'date', 1, NULL, 7, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (17, 2, 'preferred_time', 'Preferred Time To Call', NULL, 'radio', 1, '{\n \"Morning\": \"Morning\",\n \"Afternoon\": \"Afternoon\",\n \"Evening\": \"Evening\"\n}', 8, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (18, 2, 'message', 'Message / Concerns', 'Tell us how we can help...', 'textarea', 1, NULL, 9, 'enabled', 1, 1, '2026-05-01 17:38:22', '2026-05-01 17:38:22', NULL), (19, 3, 'select_location', 'Select Location', NULL, 'select', 1, NULL, 1, 'enabled', 1, 1, '2026-05-02 17:38:22', '2026-05-02 17:38:22', NULL), (20, 3, 'full_name', 'Full Name', 'John Doe', 'text', 1, NULL, 2, 'enabled', 1, 1, '2026-05-02 17:38:22', '2026-05-02 17:38:22', NULL), (21, 3, 'phone_number', 'Phone Number', '+1 (555) 000-0000', 'text', 1, NULL, 3, 'enabled', 1, 1, '2026-05-02 17:38:22', '2026-05-02 17:38:22', NULL), (22, 3, 'email_address', 'Email Address', 'john@example.com', 'email', 1, NULL, 4, 'enabled', 1, 1, '2026-05-02 17:38:22', '2026-05-02 17:38:22', NULL), (23, 3, 'service_type', 'Service Type', NULL, 'select', 1, '{\n \"Dental Treatment\": \"Dental Treatment\",\n \"CDPC Patient\": \"CDPC Patient\",\n \"Feedback\": \"Feedback\"\n, \n \"Others\": \"Others\"\n}', 5, 'enabled', 1, 1, '2026-05-02 17:38:22', '2026-05-02 17:38:22', NULL), (24, 3, 'comments', 'Comments', 'Tell us about your dental goals or any concerns...', 'textarea', 1, NULL, 6, 'enabled', 1, 1, '2026-05-02 17:38:22', '2026-05-02 17:38:22', NULL), (25, 4, 'title', 'Title', NULL, 'radio', 0, '{\n \"Mr.\": \"Mr.\",\n \"Ms.\": \"Ms.\",\n \"Mrs.\": \"Mrs.\"\n}', 1, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (26, 4, 'full_name', 'Full Name', 'John Doe', 'text', 1, NULL, 2, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (27, 4, 'age', 'Age', NULL, 'text', 1, NULL, 73, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (28, 4, 'sex', 'Sex', NULL, 'radio', 1, '{\n \"Male\": \"Male\",\n \"Female\": \"Female\", \n \"Others\": \"Others\"\n}', 4, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (29, 4, 'marital_status', 'Marital Status', NULL, 'radio', 1, '{\n \"Single\": \"Single\",\n \"Married\": \"Married\", \n \"Prefer Not to Say\": \"Prefer Not to Say\"\n}', 5, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (30, 4, 'date_of_birth', 'Date of Birth', NULL, 'text', 1, NULL, 6, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (31, 4, 'street_address', 'Street Address', NULL, 'text', 1, NULL, 7, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (32, 4, 'city', 'City', NULL, 'text', 1, NULL, 8, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (33, 4, 'province', 'Province / State', NULL, 'text', 1, NULL, 9, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (34, 4, 'postal_code', 'Postal Code', NULL, 'text', 1, NULL, 10, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (35, 4, 'email_address', 'Email Address', 'john@example.com', 'email', 1, NULL, 11, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (36, 4, 'home_phone', 'Home Phone', NULL, 'text', 0, NULL, 12, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (37, 4, 'cell_phone', 'Cell Phone', '+1 (555) 000-0000', 'text', 1, NULL, 13, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (38, 4, 'cccupation', 'Occupation', NULL, 'text', 0, NULL, 14, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (39, 4, 'employed_by', 'Employed By', NULL, 'text', 0, NULL, 15, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (40, 4, 'dental_insurance', 'Do you have Dental Insurance?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 16, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (41, 4, 'insurance_company', 'Insurance Company', NULL, 'text', 0, NULL, 17, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (42, 4, 'policy_no', 'Policy No.', NULL, 'text', 0, NULL, 18, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (43, 4, 'certificate_no', 'ID / Certificate No.', NULL, 'text', 0, NULL, 19, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (44, 4, 'family_physician', 'Family Physician', NULL, 'text', 0, NULL, 20, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (45, 4, 'physician_phone', 'Physician Phone', NULL, 'text', 0, NULL, 21, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (46, 4, 'previous_dentist', 'Previous Dentist', NULL, 'text', 0, NULL, 22, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (47, 4, 'previous_dentist_phone', 'Previous Dentist Phone', NULL, 'text', 0, NULL, 23, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (48, 4, 'referral_credit', 'Referral Credit (Whom May We Thank For Referring You?)', NULL, 'text', 0, NULL, 24, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (49, 4, 'en_contact_name', 'Contact Name', 'Contact Name', 'text', 0, NULL, 25, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (50, 4, 'en_relationship', 'Relationship', 'Relationship', 'text', 0, NULL, 26, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (51, 4, 'en_address', 'Address', 'Address', 'text', 0, NULL, 27, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (52, 4, 'en_phone_number', 'Phone Number', 'Phone Number', 'text', 0, NULL, 28, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (53, 4, 'dlcp_examination', '1. Date of last complete physical examination', NULL, 'text', 0, NULL, 29, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (54, 4, 'cup_care', '2. Are you currently under a physician’s care?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 30, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (55, 4, 'cup_care_specify', 'If yes, specify', 'If yes, specify', 'text', 0, NULL, 31, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (56, 4, 'frequent_headaches', '3. Do you have frequent headaches?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 32, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (57, 4, 'smoke', '4. Do you smoke?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 33, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (58, 4, 'drink_alcohol', '5. Do you drink alcohol?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 34, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (59, 4, 'drink_alcohol_specify', 'If yes how much?', 'If yes how much?', 'text', 0, NULL, 35, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (60, 4, 'recreational_drugs', '6. Do you do recreational drugs?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 36, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (61, 4, 'herbal_substances', '7. Do you routinely take vitamins, herbal substances, or natural products?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 37, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (62, 4, 'herbal_substances_specify', 'If yes please list', 'If yes please list', 'text', 0, NULL, 38, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (63, 4, 'any_medications', '8. Are you taking any medications?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 39, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (64, 4, 'any_medications_specify', 'If yes please list', 'If yes please list', 'text', 0, NULL, 40, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (65, 4, 'prolonged_medication', '9. Have you taken any prolonged medication in the past?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 41, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (66, 4, 'prolonged_medication_specify', 'If yes, specify', 'If yes, specify', 'text', 0, NULL, 42, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (67, 4, 'cortisone', '10. Have you taken cortisone or steroids?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 43, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (68, 4, 'any_surgery', '11. Have you ever been hospitalized for any surgery?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 44, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (69, 4, 'any_surgery_specify', 'If yes, specify', 'If yes, specify', 'text', 0, NULL, 45, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (70, 4, 'ankles_swollen', '12. Are your ankles often swollen?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 46, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (71, 4, 'gained_lost_weight', '13. Have you gained or lost excessive weight recently?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 47, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (72, 4, 'pregnant', '14. Are you pregnant?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 48, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (73, 4, 'pregnant_weeks', 'If so, how many weeks?', 'If so, how many weeks?', 'text', 0, NULL, 49, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (74, 4, 'adverse_reaction', '15. Are you sensitive or have you ever had an adverse reaction to:', NULL, 'checkbox', 0, '{\n \"Latex\": \"Latex\",\n \"Penicillin\": \"Penicillin\"\n, \"Metals\": \"Metals\",\n \"Sulfa Drugs\": \"Sulfa Drugs\"\n}', 50, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (75, 4, 'allergic_adverse_reaction', '16. Are you allergic or have adverse reactions to:', NULL, 'checkbox', 0, '{\n \"Aspirin\": \"Aspirin\",\n \"Local Anesthetic (Freezing)\": \"Local Anesthetic (Freezing)\"\n, \"Barbiturates (Sleeping pills)\": \"Barbiturates (Sleeping pills)\",\n \"Nitrous Oxide\": \"Nitrous Oxide\"\n, \"Codeine\": \"Codeine\"\n}', 51, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (76, 4, 'adverse_reactions', '17. Are you allergic or have adverse reactions to any other drugs?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 52, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (77, 4, 'adverse_reactions_specify', 'If yes please list', 'If yes please list', 'text', 0, NULL, 53, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (78, 4, 'treated', '18. Have you ever been treated for or told you have any of the following:', NULL, 'checkbox', 0, '{\n \"COVID-19\": \"COVID-19\",\n \"Heart Murmur\": \"Heart Murmur\"\n, \"Arthritis\": \"Arthritis\",\n \"Hepatitis B\": \"Hepatitis B\"\n, \"Asthma\": \"Asthma\"\n, \"HIV (AIDS)\": \"HIV (AIDS)\"\n, \"Blood Disorder\": \"Blood Disorder\"\n, \"Hypertension / Low BP\": \"Hypertension / Low BP\"\n, \"Anemia\": \"Anemia\"\n, \"Liver Disease\": \"Liver Disease\"\n, \"Leukemia\": \"Leukemia\"\n, \"Mental Disability\": \"Mental Disability\"\n, \"Cardiovascular Disease\": \"Cardiovascular Disease\"\n, \"Renal Disease\": \"Renal Disease\"\n, \"Cancer\": \"Cancer\"\n, \"Rheumatic Fever\": \"Rheumatic Fever\"\n, \"Diabetes Type I / Type II\": \"Diabetes Type I / Type II\"\n, \"Thyroid Disease\": \"Thyroid Disease\"\n, \"Emphysema\": \"Emphysema\"\n, \"Tuberculosis\": \"Tuberculosis\"\n, \"Epilepsy\": \"Epilepsy\"\n, \"Venereal Disease\": \"Venereal Disease\"\n}', 54, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (79, 4, 'heavy_bleeding', '19. Have you ever experienced heavy bleeding?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 55, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (80, 4, 'anything_else_know', '20. Is there anything else we should know?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 56, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (81, 4, 'anything_else_know_specify', 'If yes please list', 'If yes please list', 'text', 0, NULL, 57, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (82, 4, 'other_disease', '21. Have you been diagnosed with any other disease,
condition or problem not listed above?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 58, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (83, 4, 'anything_about_health', '22. Is there anything about your health we should be aware of?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 59, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (84, 4, 'anything_about_health_specify', 'If yes please list', 'If yes please list', 'text', 0, NULL, 60, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (85, 4, 'speak_doctor_privately', '23. Do you wish to speak to the doctor privately about any problem or medical condition(s)?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 61, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (86, 4, 'date_last_complete_exam', '24. Date of last complete exam', NULL, 'text', 0, NULL, 62, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (87, 4, 'date_last_cleaning', '25. Date of last cleaning', NULL, 'text', 0, NULL, 63, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (88, 4, 'date_last_x_rays', '26. Date of last x-rays', NULL, 'text', 0, NULL, 64, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (89, 4, 'last_dentist_regularly', '27. Did you see your last dentist regularly?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 65, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (90, 4, 'last_dentist', '28. How often did you see your last dentist?', 'How often?', 'text', 0, NULL, 66, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (91, 4, 'last_dentist_description', 'What was done at that time?', 'Description', 'text', 0, NULL, 67, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (92, 4, 'antibiotics', '29. Have you ever been advised to take antibiotics before a dental treatment?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 68, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (93, 4, 'heavy_bleeding_extractions', '30. Have you ever experienced difficulty or heavy bleeding following extractions?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 69, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (94, 4, 'gum_treatment', '31. Have you ever had gum treatment or surgery?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 70, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (95, 4, 'orthodontic_treatment', '32. Have you had any orthodontic treatment?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 71, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (96, 4, 'unpleasant_dental_experience', '33. Have you ever had an unpleasant dental experience?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 72, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (97, 4, 'pleasant_dental_experience', '34. How can we make your dental experience more pleasant?', NULL, 'text', 0, NULL, 73, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (98, 4, 'anything_else_should_know', '35. Is there anything else we should know?', NULL, 'text', 0, NULL, 74, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (99, 4, 'brings_office_today', '36. What brings you to the office today?', NULL, 'text', 0, NULL, 75, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (100, 4, 'any_discomfort', '37. Are you in any discomfort?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 76, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (101, 4, 'any_discomfort_specify', 'If yes, specify', 'If yes, specify', 'text', 0, NULL, 77, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (102, 4, 'have_experienced', '38. Do you have or have you experienced:', NULL, 'checkbox', 0, '{\n \"Tooth sensitivity\": \"Tooth sensitivity\",\n \"Bad breath\": \"Bad breath\"\n, \"Ear ache\": \"Ear ache\",\n \"Headaches\": \"Headaches\"\n, \"Bleeding gums\": \"Bleeding gums\"\n, \"Sore gums\": \"Sore gums\"\n, \"Gagging\": \"Gagging\"\n, \"Missing teeth\": \"Missing teeth\"\n, \"Loose Teeth\": \"Loose Teeth\"\n, \"Spaced or Crooked teeth\": \"Spaced or Crooked teeth\"\n, \"Unexplained nosebleed\": \"Unexplained nosebleed\"\n, \"Unsatisfactory dentures\": \"Unsatisfactory dentures\"\n, \"Difficulty opening or closing\": \"Difficulty opening or closing\"\n, \"Lump or swelling in your mouth\": \"Lump or swelling in your mouth\"\n, \"Clench or Grind\": \"Clench or Grind\"\n, \"Neck pain\": \"Neck pain\"\n, \"Popping or clicking in the jaw joints\": \"Popping or clicking in the jaw joints\"\n, \"Thyroid Disease\": \"Thyroid Disease\"\n, \"Emphysema\": \"Emphysema\"\n, \"Tuberculosis\": \"Tuberculosis\"\n, \"Epilepsy\": \"Epilepsy\"\n, \"Venereal Disease\": \"Venereal Disease\"\n}', 78, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (103, 4, 'food_teeth', '39. Does food get caught between your teeth?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 79, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (104, 4, 'sore_spots', '40. Do you have any sore spots in your mouth?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 80, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (105, 4, 'teeth_replaced', '41. Have you had any teeth replaced?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 81, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (106, 4, 'permanent_tooth_replacement', '42. Would you like to learn more about permanent tooth replacement?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 82, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (107, 4, 'local_anesthesia', '43. Have you ever been given local anesthesia (Freezing)?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 83, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (108, 4, 'general_anesthesia', '44. Have you ever been given general anesthesia?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 84, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (109, 4, 'satisfied_appearance_teeth', '45. Are you satisfied with the appearance of your teeth?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 85, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (110, 4, 'keep_natural_teeth', '46. Are you anxious to keep your natural teeth?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 86, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (111, 4, 'tense_dental_visits', '47. Are you tense during dental visits?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 87, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (112, 4, 'calm_nerves', '48. Are you interested in a method to calm your nerves during dental visits?', NULL, 'radio', 0, '{\n \"Yes\": \"Yes\",\n \"No\": \"No\"\n}', 88, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (113, 4, 'describe', '49. Describe in your own words, how can we help you today?', 'Share your dental goals or concerns...', 'textarea', 1, NULL, 89, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (114, 4, 'signature', 'Signature', NULL, 'signature', 1, NULL, 90, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (115, 4, 'print_name', 'Print Name', 'John Doe', 'text', 0, NULL, 91, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (116, 4, 'location', 'Location', NULL, 'hidden', 0, NULL, 92, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (117, 4, 'consent_privacy_patient', 'I agreed that CHAGGER DENTISTRY PROFESSIONAL CORPORATION or CHAGGER AFFILIATES can collect, use and disclose personal information about ___________________ as set out above in the information about the office’s privacy policies.', NULL, 'checkbox', 1, NULL, 94, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (118, 4, 'privacy_patient_name', 'Privacy Patient Name', 'John Doe', 'text', 0, NULL, 95, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL), (119, 4, 'consent_newsletter', 'I agree to receive CHAGGER DENTAL EMAILS, TEXTS, UPDATES AND PROMOTION REGARDING CHAGGER DENTAL’S SERVICES. I confirm that I can withdraw my consent at any time.', NULL, 'checkbox', 0, NULL, 96, 'enabled', 1, 1, '2026-05-12 17:38:22', '2026-05-12 17:38:22', NULL); -- -------------------------------------------------------- -- -- Table structure for table `cdt_form_submissions` -- CREATE TABLE `cdt_form_submissions` ( `id` bigint UNSIGNED NOT NULL, `form_id` bigint NOT NULL, `file_name` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `user_ip` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `user_agent` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `browser` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `platform` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `status` enum('New','Read','Archived','Migrated') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'New', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 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`submission_id` bigint NOT NULL, `field_name` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `field_value` longtext COLLATE utf8mb4_unicode_ci, `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_form_submission_values` -- INSERT INTO `cdt_form_submission_values` (`id`, `submission_id`, `field_name`, `field_value`, `created_at`, `updated_at`) VALUES (1, 1, 'preferred_location', 'Burlington', '2026-05-01 12:33:04', '2026-05-01 12:33:04'), (2, 1, 'services', 'General Consultation', '2026-05-01 12:33:04', '2026-05-01 12:33:04'), (3, 1, 'full_name', 'Vikash Kumar', '2026-05-01 12:33:04', '2026-05-01 12:33:04'), (4, 1, 'phone_number', '416-578-0907', '2026-05-01 12:33:04', '2026-05-01 12:33:04'), (5, 1, 'email_address', 'vikash@tastechnologies.com', '2026-05-01 12:33:04', '2026-05-01 12:33:04'), (6, 1, 'address', '1155 North Service Rd W Suite 11', 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02:34:39', '2026-05-02 02:34:39'), (39, 5, 'full_name', 'Vikash Kumar', '2026-05-02 02:34:39', '2026-05-02 02:34:39'), (40, 5, 'phone_number', '416-578-0907', '2026-05-02 02:34:39', '2026-05-02 02:34:39'), (41, 5, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 02:34:39', '2026-05-02 02:34:39'), (42, 5, 'address', '1155 North Service Rd W Suite 11', '2026-05-02 02:34:39', '2026-05-02 02:34:39'), (43, 5, 'preferred_date', '2026-05-27', '2026-05-02 02:34:39', '2026-05-02 02:34:39'), (44, 5, 'preferred_time', 'Afternoon', '2026-05-02 02:34:39', '2026-05-02 02:34:39'), (45, 5, 'message', 'Just for testing purpose, please ignore it.', '2026-05-02 02:34:39', '2026-05-02 02:34:39'), (46, 6, 'patient_type', 'New Patient', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (47, 6, 'preferred_location', 'Mississauga', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (48, 6, 'full_name', 'Vikash Kumar', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (49, 6, 'phone_number', '416-578-0907', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (50, 6, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (51, 6, 'address', '1155 North Service Rd W Suite 11', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (52, 6, 'preferred_date', '2026-05-27', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (53, 6, 'preferred_time', 'undefined', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (54, 6, 'message', 'Just for testing purpose, please ignore it.', '2026-05-02 02:37:46', '2026-05-02 02:37:46'), (55, 7, 'patient_type', 'Returning Patient', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (56, 7, 'preferred_location', 'Oakville', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (57, 7, 'full_name', 'Vikash Kumar', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (58, 7, 'phone_number', '416-578-0907', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (59, 7, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (60, 7, 'address', '1155 North Service Rd W Suite 11', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (61, 7, 'preferred_date', '2026-05-13', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (62, 7, 'preferred_time', 'Evening', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (63, 7, 'message', 'Just for testing purpose, please ignore it.', '2026-05-02 02:38:53', '2026-05-02 02:38:53'), (64, 8, 'patient_type', 'New Patient', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (65, 8, 'preferred_location', 'Burlington', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (66, 8, 'full_name', 'Vikash Kumar', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (67, 8, 'phone_number', '416-578-0907', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (68, 8, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (69, 8, 'address', '1155 North Service Rd W Suite 11', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (70, 8, 'preferred_date', '2026-05-20', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (71, 8, 'preferred_time', 'Morning', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (72, 8, 'message', 'Just for testing purpose, please ignore it.', '2026-05-02 03:42:35', '2026-05-02 03:42:35'), (73, 9, 'patient_type', 'New Patient', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (74, 9, 'preferred_location', 'Burlington', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (75, 9, 'full_name', 'Vikash Kumar', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (76, 9, 'phone_number', '416-578-0907', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (77, 9, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (78, 9, 'address', '1155 North Service Rd W Suite 11', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (79, 9, 'preferred_date', '2026-05-14', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (80, 9, 'preferred_time', 'Afternoon', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (81, 9, 'message', 'Just for testing purpose, please ignore it.', '2026-05-02 08:49:42', '2026-05-02 08:49:42'), (82, 10, 'patient_type', 'Returning Patient', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (83, 10, 'preferred_location', 'Oakville', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (84, 10, 'full_name', 'Vikash Kumar', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (85, 10, 'phone_number', '416-578-0907', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (86, 10, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (87, 10, 'address', '1155 North Service Rd W Suite 11', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (88, 10, 'preferred_date', '2026-05-19', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (89, 10, 'preferred_time', 'Evening', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (90, 10, 'message', 'Just for testing purpose, please ignore it.', '2026-05-02 09:25:13', '2026-05-02 09:25:13'), (91, 11, 'patient_type', 'New Patient', '2026-05-02 09:33:00', '2026-05-02 09:33:00'), (92, 11, 'preferred_location', 'Mississauga', '2026-05-02 09:33:01', '2026-05-02 09:33:01'), (93, 11, 'full_name', 'Vikash Kumar', '2026-05-02 09:33:01', '2026-05-02 09:33:01'), (94, 11, 'phone_number', '416-578-0907', '2026-05-02 09:33:02', '2026-05-02 09:33:02'), (95, 11, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 09:33:03', '2026-05-02 09:33:03'), (96, 11, 'address', '1155 North Service Rd W Suite 11', '2026-05-02 09:33:03', '2026-05-02 09:33:03'), (97, 11, 'preferred_date', '2026-05-20', '2026-05-02 09:33:03', '2026-05-02 09:33:03'), (98, 11, 'preferred_time', 'Morning', '2026-05-02 09:33:03', '2026-05-02 09:33:03'), (99, 11, 'message', 'Just for testing purpose, please ignore it.', '2026-05-02 09:33:03', '2026-05-02 09:33:03'), (100, 12, 'select_location', 'Mississauga', '2026-05-02 10:54:02', '2026-05-02 10:54:02'), (101, 12, 'full_name', 'Vikash Kumar', '2026-05-02 10:54:02', '2026-05-02 10:54:02'), (102, 12, 'phone_number', '416-578-0907', '2026-05-02 10:54:02', '2026-05-02 10:54:02'), (103, 12, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 10:54:02', '2026-05-02 10:54:02'), (104, 12, 'service_type', 'CDPC Patient', '2026-05-02 10:54:02', '2026-05-02 10:54:02'), (105, 12, 'comments', 'Just for testing purpose, please ignore it.', '2026-05-02 10:54:02', '2026-05-02 10:54:02'), (106, 13, 'select_location', 'Mississauga', '2026-05-02 11:07:17', '2026-05-02 11:07:17'), (107, 13, 'full_name', 'Vikash Kumar', '2026-05-02 11:07:17', '2026-05-02 11:07:17'), (108, 13, 'phone_number', '416-578-0907', '2026-05-02 11:07:17', '2026-05-02 11:07:17'), (109, 13, 'email_address', 'vikash@tastechnologies.com', '2026-05-02 11:07:17', '2026-05-02 11:07:17'), (110, 13, 'service_type', 'Others', '2026-05-02 11:07:17', '2026-05-02 11:07:17'), (111, 13, 'comments', 'Just for testing purpose, please ignore it.', '2026-05-02 11:07:17', '2026-05-02 11:07:17'), (967, 24, 'title', 'Mr.', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (968, 24, 'full_name', 'Vikash Kumar', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (969, 24, 'sex', 'Male', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (970, 24, 'marital_status', 'Married', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (971, 24, 'date_of_birth', '2026-05-02', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (972, 24, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (973, 24, 'city', 'Oakville ON', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (974, 24, 'province', 'Oakville', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (975, 24, 'postal_code', 'L6M 3E3', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (976, 24, 'email_address', 'vikash@tastechnologies.com', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (977, 24, 'home_phone', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (978, 24, 'cell_phone', '416-578-0907', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (979, 24, 'cccupation', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (980, 24, 'employed_by', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (981, 24, 'dental_insurance', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (982, 24, 'insurance_company', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (983, 24, 'policy_no', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (984, 24, 'certificate_no', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (985, 24, 'family_physician', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (986, 24, 'physician_phone', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (987, 24, 'previous_dentist', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (988, 24, 'previous_dentist_phone', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (989, 24, 'referral_credit', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (990, 24, 'en_contact_name', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (991, 24, 'en_relationship', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (992, 24, 'en_address', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (993, 24, 'en_phone_number', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (994, 24, 'dlcp_examination', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (995, 24, 'cup_care', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (996, 24, 'cup_care_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (997, 24, 'frequent_headaches', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (998, 24, 'smoke', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (999, 24, 'drink_alcohol', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1000, 24, 'drink_alcohol_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1001, 24, 'recreational_drugs', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1002, 24, 'herbal_substances', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1003, 24, 'herbal_substances_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1004, 24, 'any_medications', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1005, 24, 'any_medications_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1006, 24, 'prolonged_medication', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1007, 24, 'prolonged_medication_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1008, 24, 'cortisone', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1009, 24, 'any_surgery', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1010, 24, 'any_surgery_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1011, 24, 'ankles_swollen', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1012, 24, 'gained_lost_weight', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1013, 24, 'pregnant', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1014, 24, 'pregnant_weeks', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1015, 24, 'adverse_reaction', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1016, 24, 'allergic_adverse_reaction', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1017, 24, 'adverse_reactions', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1018, 24, 'adverse_reactions_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1019, 24, 'treated', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1020, 24, 'heavy_bleeding', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1021, 24, 'anything_else_know', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1022, 24, 'anything_else_know_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1023, 24, 'other_disease', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1024, 24, 'anything_about_health', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1025, 24, 'anything_about_health_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1026, 24, 'speak_doctor_privately', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1027, 24, 'date_last_complete_exam', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1028, 24, 'date_last_cleaning', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1029, 24, 'date_last_x_rays', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1030, 24, 'last_dentist_regularly', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1031, 24, 'last_dentist', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1032, 24, 'last_dentist_description', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1033, 24, 'antibiotics', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1034, 24, 'heavy_bleeding_extractions', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1035, 24, 'gum_treatment', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1036, 24, 'orthodontic_treatment', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1037, 24, 'unpleasant_dental_experience', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1038, 24, 'age', '22', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1039, 24, 'pleasant_dental_experience', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1040, 24, 'anything_else_should_know', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1041, 24, 'brings_office_today', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1042, 24, 'any_discomfort', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1043, 24, 'any_discomfort_specify', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1044, 24, 'have_experienced', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1045, 24, 'food_teeth', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1046, 24, 'sore_spots', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1047, 24, 'teeth_replaced', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1048, 24, 'permanent_tooth_replacement', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1049, 24, 'local_anesthesia', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1050, 24, 'general_anesthesia', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1051, 24, 'satisfied_appearance_teeth', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1052, 24, 'keep_natural_teeth', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1053, 24, 'tense_dental_visits', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1054, 24, 'calm_nerves', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1055, 24, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1056, 24, 'signature', 'signature_24_1778832685.png', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1057, 24, 'print_name', 'Vikash Kumar', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1058, 24, 'location', 'Mississauga', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1059, 24, 'consent_privacy_patient', 'Yes', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1060, 24, 'privacy_patient_name', 'Vikash Kumar', '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1061, 24, 'consent_newsletter', NULL, '2026-05-15 04:11:25', '2026-05-15 04:11:25'), (1062, 25, 'title', 'Mr.', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1063, 25, 'full_name', 'Vikash Kumar', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1064, 25, 'sex', 'Male', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1065, 25, 'marital_status', 'Married', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1066, 25, 'date_of_birth', '2026-05-02', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1067, 25, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1068, 25, 'city', 'Oakville ON', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1069, 25, 'province', 'Oakville', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1070, 25, 'postal_code', 'L6M 3E3', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1071, 25, 'email_address', 'vikash@tastechnologies.com', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1072, 25, 'home_phone', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1073, 25, 'cell_phone', '416-578-0907', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1074, 25, 'cccupation', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1075, 25, 'employed_by', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1076, 25, 'dental_insurance', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1077, 25, 'insurance_company', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1078, 25, 'policy_no', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1079, 25, 'certificate_no', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1080, 25, 'family_physician', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1081, 25, 'physician_phone', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1082, 25, 'previous_dentist', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1083, 25, 'previous_dentist_phone', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1084, 25, 'referral_credit', 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'2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1097, 25, 'herbal_substances', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1098, 25, 'herbal_substances_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1099, 25, 'any_medications', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1100, 25, 'any_medications_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1101, 25, 'prolonged_medication', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1102, 25, 'prolonged_medication_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1103, 25, 'cortisone', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1104, 25, 'any_surgery', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1105, 25, 'any_surgery_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1106, 25, 'ankles_swollen', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1107, 25, 'gained_lost_weight', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1108, 25, 'pregnant', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1109, 25, 'pregnant_weeks', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1110, 25, 'adverse_reaction', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1111, 25, 'allergic_adverse_reaction', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1112, 25, 'adverse_reactions', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1113, 25, 'adverse_reactions_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1114, 25, 'treated', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1115, 25, 'heavy_bleeding', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1116, 25, 'anything_else_know', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1117, 25, 'anything_else_know_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1118, 25, 'other_disease', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1119, 25, 'anything_about_health', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1120, 25, 'anything_about_health_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1121, 25, 'speak_doctor_privately', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1122, 25, 'date_last_complete_exam', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1123, 25, 'date_last_cleaning', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1124, 25, 'date_last_x_rays', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1125, 25, 'last_dentist_regularly', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1126, 25, 'last_dentist', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1127, 25, 'last_dentist_description', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1128, 25, 'antibiotics', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1129, 25, 'heavy_bleeding_extractions', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1130, 25, 'gum_treatment', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1131, 25, 'orthodontic_treatment', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1132, 25, 'unpleasant_dental_experience', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1133, 25, 'age', '22', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1134, 25, 'pleasant_dental_experience', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1135, 25, 'anything_else_should_know', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1136, 25, 'brings_office_today', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1137, 25, 'any_discomfort', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1138, 25, 'any_discomfort_specify', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1139, 25, 'have_experienced', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1140, 25, 'food_teeth', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1141, 25, 'sore_spots', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1142, 25, 'teeth_replaced', NULL, '2026-05-15 04:28:16', '2026-05-15 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'consent_privacy_patient', 'Yes', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1155, 25, 'privacy_patient_name', 'Vikash Kumar', '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1156, 25, 'consent_newsletter', NULL, '2026-05-15 04:28:16', '2026-05-15 04:28:16'), (1157, 26, 'title', 'Mr.', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1158, 26, 'full_name', 'Vikash Kumar', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1159, 26, 'sex', 'Male', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1160, 26, 'marital_status', 'Single', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1161, 26, 'date_of_birth', '2026-05-06', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1162, 26, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1163, 26, 'city', 'Oakville ON', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1164, 26, 'province', 'Oakville', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1165, 26, 'postal_code', 'L6M 3E3', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1166, 26, 'email_address', 'vikash@tastechnologies.com', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1167, 26, 'home_phone', '416-578-0907', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1168, 26, 'cell_phone', '416-578-0907', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1169, 26, 'cccupation', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1170, 26, 'employed_by', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1171, 26, 'dental_insurance', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1172, 26, 'insurance_company', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1173, 26, 'policy_no', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1174, 26, 'certificate_no', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1175, 26, 'family_physician', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1176, 26, 'physician_phone', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1177, 26, 'previous_dentist', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1178, 26, 'previous_dentist_phone', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1179, 26, 'referral_credit', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1180, 26, 'en_contact_name', 'Vikash Kumar', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1181, 26, 'en_relationship', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1182, 26, 'en_address', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1183, 26, 'en_phone_number', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1184, 26, 'dlcp_examination', '2026-05-07', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1185, 26, 'cup_care', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1186, 26, 'cup_care_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1187, 26, 'frequent_headaches', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1188, 26, 'smoke', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1189, 26, 'drink_alcohol', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1190, 26, 'drink_alcohol_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1191, 26, 'recreational_drugs', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1192, 26, 'herbal_substances', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1193, 26, 'herbal_substances_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1194, 26, 'any_medications', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1195, 26, 'any_medications_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1196, 26, 'prolonged_medication', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1197, 26, 'prolonged_medication_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1198, 26, 'cortisone', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1199, 26, 'any_surgery', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1200, 26, 'any_surgery_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1201, 26, 'ankles_swollen', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1202, 26, 'gained_lost_weight', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1203, 26, 'pregnant', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1204, 26, 'pregnant_weeks', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1205, 26, 'adverse_reaction', 'Latex, Metals, Sulfa Drugs', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1206, 26, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Nitrous Oxide, Codeine', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1207, 26, 'adverse_reactions', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1208, 26, 'adverse_reactions_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1209, 26, 'treated', 'Heart Murmur, Arthritis, Hepatitis B, Hypertension / Low BP, Anemia, Liver Disease, Cancer, Rheumatic Fever, Diabetes Type I / Type II, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1210, 26, 'heavy_bleeding', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1211, 26, 'anything_else_know', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1212, 26, 'anything_else_know_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1213, 26, 'other_disease', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1214, 26, 'anything_about_health', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1215, 26, 'anything_about_health_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1216, 26, 'speak_doctor_privately', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1217, 26, 'date_last_complete_exam', '2026-05-01', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1218, 26, 'date_last_cleaning', '2026-05-02', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1219, 26, 'date_last_x_rays', '2026-05-08', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1220, 26, 'last_dentist_regularly', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1221, 26, 'last_dentist', '3 Months', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1222, 26, 'last_dentist_description', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1223, 26, 'antibiotics', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1224, 26, 'heavy_bleeding_extractions', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1225, 26, 'gum_treatment', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1226, 26, 'orthodontic_treatment', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1227, 26, 'unpleasant_dental_experience', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1228, 26, 'age', '22', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1229, 26, 'pleasant_dental_experience', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1230, 26, 'anything_else_should_know', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1231, 26, 'brings_office_today', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1232, 26, 'any_discomfort', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1233, 26, 'any_discomfort_specify', 'NA', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1234, 26, 'have_experienced', 'Tooth sensitivity, Bad breath, Sore gums, Missing teeth, Loose Teeth, Spaced or Crooked teeth, Unexplained nosebleed, Difficulty opening or closing, Clench or Grind, Popping or clicking in the jaw joints, Emphysema, Epilepsy, Venereal Disease', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1235, 26, 'food_teeth', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1236, 26, 'sore_spots', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1237, 26, 'teeth_replaced', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1238, 26, 'permanent_tooth_replacement', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1239, 26, 'local_anesthesia', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1240, 26, 'general_anesthesia', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1241, 26, 'satisfied_appearance_teeth', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1242, 26, 'keep_natural_teeth', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1243, 26, 'tense_dental_visits', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1244, 26, 'calm_nerves', 'No', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1245, 26, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1246, 26, 'signature', 'signature_26_1778901936.png', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1247, 26, 'print_name', 'Vikash Kumar', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1248, 26, 'location', 'Burlington', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1249, 26, 'consent_privacy_patient', 'Yes', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1250, 26, 'privacy_patient_name', 'Vikash Kumar', '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1251, 26, 'consent_newsletter', NULL, '2026-05-15 23:25:36', '2026-05-15 23:25:36'), (1252, 27, 'title', 'Mr.', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1253, 27, 'full_name', 'Vikash Kumar', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1254, 27, 'sex', 'Male', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1255, 27, 'marital_status', 'Single', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1256, 27, 'date_of_birth', '2026-05-01', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1257, 27, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1258, 27, 'city', 'Oakville ON', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1259, 27, 'province', 'Oakville', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1260, 27, 'postal_code', 'L6M 3E3', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1261, 27, 'email_address', 'vikash@tastechnologies.com', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1262, 27, 'home_phone', '416-578-0907', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1263, 27, 'cell_phone', '416-578-0907', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1264, 27, 'cccupation', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1265, 27, 'employed_by', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1266, 27, 'dental_insurance', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1267, 27, 'insurance_company', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1268, 27, 'policy_no', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1269, 27, 'certificate_no', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1270, 27, 'family_physician', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1271, 27, 'physician_phone', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1272, 27, 'previous_dentist', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1273, 27, 'previous_dentist_phone', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1274, 27, 'referral_credit', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1275, 27, 'en_contact_name', 'Vikash Kumar', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1276, 27, 'en_relationship', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1277, 27, 'en_address', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1278, 27, 'en_phone_number', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1279, 27, 'dlcp_examination', '2026-05-02', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1280, 27, 'cup_care', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1281, 27, 'cup_care_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1282, 27, 'frequent_headaches', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1283, 27, 'smoke', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1284, 27, 'drink_alcohol', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1285, 27, 'drink_alcohol_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1286, 27, 'recreational_drugs', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1287, 27, 'herbal_substances', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1288, 27, 'herbal_substances_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1289, 27, 'any_medications', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1290, 27, 'any_medications_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1291, 27, 'prolonged_medication', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1292, 27, 'prolonged_medication_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1293, 27, 'cortisone', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1294, 27, 'any_surgery', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1295, 27, 'any_surgery_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1296, 27, 'ankles_swollen', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1297, 27, 'gained_lost_weight', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1298, 27, 'pregnant', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1299, 27, 'pregnant_weeks', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1300, 27, 'adverse_reaction', 'Latex, Penicillin, Metals, Sulfa Drugs', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1301, 27, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Barbiturates (Sleeping pills), Nitrous Oxide, Codeine', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1302, 27, 'adverse_reactions', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1303, 27, 'adverse_reactions_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1304, 27, 'treated', 'COVID-19, Heart Murmur, Arthritis, Hepatitis B, Asthma, HIV (AIDS), Blood Disorder, Hypertension / Low BP, Anemia, Liver Disease, Leukemia, Mental Disability, Cardiovascular Disease, Renal Disease, Cancer, Rheumatic Fever, Diabetes Type I / Type II, Thyroid Disease, Emphysema, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1305, 27, 'heavy_bleeding', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1306, 27, 'anything_else_know', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1307, 27, 'anything_else_know_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1308, 27, 'other_disease', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1309, 27, 'anything_about_health', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1310, 27, 'anything_about_health_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1311, 27, 'speak_doctor_privately', 'No', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1312, 27, 'date_last_complete_exam', '2026-05-03', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1313, 27, 'date_last_cleaning', '2026-05-05', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1314, 27, 'date_last_x_rays', '2026-05-07', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1315, 27, 'last_dentist_regularly', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1316, 27, 'last_dentist', '3 Months', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1317, 27, 'last_dentist_description', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1318, 27, 'antibiotics', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1319, 27, 'heavy_bleeding_extractions', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1320, 27, 'gum_treatment', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1321, 27, 'orthodontic_treatment', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1322, 27, 'unpleasant_dental_experience', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1323, 27, 'age', '22', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1324, 27, 'pleasant_dental_experience', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1325, 27, 'anything_else_should_know', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1326, 27, 'brings_office_today', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1327, 27, 'any_discomfort', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1328, 27, 'any_discomfort_specify', 'NA', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1329, 27, 'have_experienced', 'Tooth sensitivity, Bad breath, Ear ache, Headaches, Bleeding gums, Sore gums, Gagging, Missing teeth, Loose Teeth, Spaced or Crooked teeth, Unexplained nosebleed, Unsatisfactory dentures, Difficulty opening or closing, Lump or swelling in your mouth, Clench or Grind, Neck pain, Popping or clicking in the jaw joints, Thyroid Disease, Emphysema, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1330, 27, 'food_teeth', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1331, 27, 'sore_spots', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1332, 27, 'teeth_replaced', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1333, 27, 'permanent_tooth_replacement', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1334, 27, 'local_anesthesia', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1335, 27, 'general_anesthesia', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1336, 27, 'satisfied_appearance_teeth', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1337, 27, 'keep_natural_teeth', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1338, 27, 'tense_dental_visits', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1339, 27, 'calm_nerves', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1340, 27, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1341, 27, 'signature', 'signature_27_1778911874.png', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1342, 27, 'print_name', 'Vikash Kumar', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1343, 27, 'location', 'Burlington', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1344, 27, 'consent_privacy_patient', 'Yes', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1345, 27, 'privacy_patient_name', 'Vikash Kumar', '2026-05-16 02:11:14', '2026-05-16 02:11:14'), (1346, 27, 'consent_newsletter', 'Yes', '2026-05-16 02:11:15', '2026-05-16 02:11:15'), (1347, 28, 'title', 'Mr.', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1348, 28, 'full_name', 'Vikash Kumar', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1349, 28, 'sex', 'Male', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1350, 28, 'marital_status', 'Married', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1351, 28, 'date_of_birth', '2026-05-01', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1352, 28, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1353, 28, 'city', 'Oakville ON', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1354, 28, 'province', 'Oakville', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1355, 28, 'postal_code', 'L6M 3E3', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1356, 28, 'email_address', 'vikash@tastechnologies.com', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1357, 28, 'home_phone', '416-578-0907', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1358, 28, 'cell_phone', '416-578-0907', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1359, 28, 'cccupation', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1360, 28, 'employed_by', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1361, 28, 'dental_insurance', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1362, 28, 'insurance_company', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1363, 28, 'policy_no', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1364, 28, 'certificate_no', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1365, 28, 'family_physician', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1366, 28, 'physician_phone', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1367, 28, 'previous_dentist', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1368, 28, 'previous_dentist_phone', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1369, 28, 'referral_credit', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1370, 28, 'en_contact_name', 'Vikash Kumar', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1371, 28, 'en_relationship', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1372, 28, 'en_address', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1373, 28, 'en_phone_number', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1374, 28, 'dlcp_examination', '2026-05-02', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1375, 28, 'cup_care', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1376, 28, 'cup_care_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1377, 28, 'frequent_headaches', 'No', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1378, 28, 'smoke', 'No', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1379, 28, 'drink_alcohol', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1380, 28, 'drink_alcohol_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1381, 28, 'recreational_drugs', 'No', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1382, 28, 'herbal_substances', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1383, 28, 'herbal_substances_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1384, 28, 'any_medications', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1385, 28, 'any_medications_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1386, 28, 'prolonged_medication', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1387, 28, 'prolonged_medication_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1388, 28, 'cortisone', 'No', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1389, 28, 'any_surgery', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1390, 28, 'any_surgery_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1391, 28, 'ankles_swollen', 'No', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1392, 28, 'gained_lost_weight', 'No', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1393, 28, 'pregnant', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1394, 28, 'pregnant_weeks', '3 Months', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1395, 28, 'adverse_reaction', 'Latex, Penicillin, Metals, Sulfa Drugs', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1396, 28, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Barbiturates (Sleeping pills), Nitrous Oxide, Codeine', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1397, 28, 'adverse_reactions', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1398, 28, 'adverse_reactions_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1399, 28, 'treated', 'COVID-19, Heart Murmur, Arthritis, Hepatitis B, Asthma, HIV (AIDS), Blood Disorder, Hypertension / Low BP, Anemia, Liver Disease, Leukemia, Mental Disability, Cardiovascular Disease, Renal Disease, Cancer, Rheumatic Fever, Diabetes Type I / Type II, Thyroid Disease, Emphysema, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1400, 28, 'heavy_bleeding', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1401, 28, 'anything_else_know', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1402, 28, 'anything_else_know_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1403, 28, 'other_disease', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1404, 28, 'anything_about_health', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1405, 28, 'anything_about_health_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1406, 28, 'speak_doctor_privately', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1407, 28, 'date_last_complete_exam', '2026-05-04', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1408, 28, 'date_last_cleaning', '2026-05-05', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1409, 28, 'date_last_x_rays', '2026-05-06', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1410, 28, 'last_dentist_regularly', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1411, 28, 'last_dentist', '3 Months', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1412, 28, 'last_dentist_description', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1413, 28, 'antibiotics', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1414, 28, 'heavy_bleeding_extractions', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1415, 28, 'gum_treatment', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1416, 28, 'orthodontic_treatment', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'); INSERT INTO `cdt_form_submission_values` (`id`, `submission_id`, `field_name`, `field_value`, `created_at`, `updated_at`) VALUES (1417, 28, 'unpleasant_dental_experience', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1418, 28, 'age', '22', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1419, 28, 'pleasant_dental_experience', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1420, 28, 'anything_else_should_know', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1421, 28, 'brings_office_today', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1422, 28, 'any_discomfort', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1423, 28, 'any_discomfort_specify', 'NA', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1424, 28, 'have_experienced', 'Tooth sensitivity, Bad breath, Ear ache, Headaches, Bleeding gums, Sore gums, Gagging, Missing teeth, Loose Teeth, Spaced or Crooked teeth, Unexplained nosebleed, Unsatisfactory dentures, Difficulty opening or closing, Lump or swelling in your mouth, Clench or Grind, Neck pain, Popping or clicking in the jaw joints, Thyroid Disease, Emphysema, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1425, 28, 'food_teeth', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1426, 28, 'sore_spots', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1427, 28, 'teeth_replaced', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1428, 28, 'permanent_tooth_replacement', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1429, 28, 'local_anesthesia', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1430, 28, 'general_anesthesia', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1431, 28, 'satisfied_appearance_teeth', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1432, 28, 'keep_natural_teeth', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1433, 28, 'tense_dental_visits', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1434, 28, 'calm_nerves', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1435, 28, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1436, 28, 'signature', 'signature_28_1778913793.png', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1437, 28, 'print_name', 'Vikash Kumar', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1438, 28, 'location', 'Oakville', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1439, 28, 'consent_privacy_patient', 'Yes', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1440, 28, 'privacy_patient_name', 'Vikash Kumar', '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1441, 28, 'consent_newsletter', NULL, '2026-05-16 02:43:13', '2026-05-16 02:43:13'), (1442, 29, 'title', 'Mr.', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1443, 29, 'full_name', 'Vikash Kumar', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1444, 29, 'sex', 'Male', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1445, 29, 'marital_status', 'Married', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1446, 29, 'date_of_birth', '2026-05-01', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1447, 29, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1448, 29, 'city', 'Oakville ON', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1449, 29, 'province', 'Oakville', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1450, 29, 'postal_code', 'L6M 3E3', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1451, 29, 'email_address', 'vikash@tastechnologies.com', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1452, 29, 'home_phone', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1453, 29, 'cell_phone', '416-578-0907', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1454, 29, 'cccupation', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1455, 29, 'employed_by', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1456, 29, 'dental_insurance', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1457, 29, 'insurance_company', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1458, 29, 'policy_no', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1459, 29, 'certificate_no', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1460, 29, 'family_physician', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1461, 29, 'physician_phone', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1462, 29, 'previous_dentist', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1463, 29, 'previous_dentist_phone', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1464, 29, 'referral_credit', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1465, 29, 'en_contact_name', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1466, 29, 'en_relationship', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1467, 29, 'en_address', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1468, 29, 'en_phone_number', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1469, 29, 'dlcp_examination', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1470, 29, 'cup_care', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1471, 29, 'cup_care_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1472, 29, 'frequent_headaches', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1473, 29, 'smoke', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1474, 29, 'drink_alcohol', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1475, 29, 'drink_alcohol_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1476, 29, 'recreational_drugs', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1477, 29, 'herbal_substances', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1478, 29, 'herbal_substances_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1479, 29, 'any_medications', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1480, 29, 'any_medications_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1481, 29, 'prolonged_medication', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1482, 29, 'prolonged_medication_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1483, 29, 'cortisone', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1484, 29, 'any_surgery', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1485, 29, 'any_surgery_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1486, 29, 'ankles_swollen', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1487, 29, 'gained_lost_weight', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1488, 29, 'pregnant', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1489, 29, 'pregnant_weeks', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1490, 29, 'adverse_reaction', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1491, 29, 'allergic_adverse_reaction', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1492, 29, 'adverse_reactions', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1493, 29, 'adverse_reactions_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1494, 29, 'treated', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1495, 29, 'heavy_bleeding', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1496, 29, 'anything_else_know', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1497, 29, 'anything_else_know_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1498, 29, 'other_disease', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1499, 29, 'anything_about_health', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1500, 29, 'anything_about_health_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1501, 29, 'speak_doctor_privately', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1502, 29, 'date_last_complete_exam', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1503, 29, 'date_last_cleaning', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1504, 29, 'date_last_x_rays', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1505, 29, 'last_dentist_regularly', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1506, 29, 'last_dentist', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1507, 29, 'last_dentist_description', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1508, 29, 'antibiotics', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1509, 29, 'heavy_bleeding_extractions', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1510, 29, 'gum_treatment', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1511, 29, 'orthodontic_treatment', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1512, 29, 'unpleasant_dental_experience', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1513, 29, 'age', '22', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1514, 29, 'pleasant_dental_experience', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1515, 29, 'anything_else_should_know', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1516, 29, 'brings_office_today', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1517, 29, 'any_discomfort', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1518, 29, 'any_discomfort_specify', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1519, 29, 'have_experienced', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1520, 29, 'food_teeth', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1521, 29, 'sore_spots', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1522, 29, 'teeth_replaced', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1523, 29, 'permanent_tooth_replacement', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1524, 29, 'local_anesthesia', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1525, 29, 'general_anesthesia', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1526, 29, 'satisfied_appearance_teeth', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1527, 29, 'keep_natural_teeth', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1528, 29, 'tense_dental_visits', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1529, 29, 'calm_nerves', NULL, '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1530, 29, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1531, 29, 'signature', 'signature_29_1778914665.png', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1532, 29, 'print_name', 'Vikash Kumar', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1533, 29, 'location', 'Mississauga', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1534, 29, 'consent_privacy_patient', 'Yes', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1535, 29, 'privacy_patient_name', 'Vikash Kumar', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1536, 29, 'consent_newsletter', 'Yes', '2026-05-16 02:57:45', '2026-05-16 02:57:45'), (1537, 30, 'title', NULL, '2026-05-18 06:22:24', '2026-05-18 06:22:24'), (1538, 30, 'full_name', 'Vikash Kumar', '2026-05-18 06:22:24', '2026-05-18 06:22:24'), (1539, 30, 'sex', 'Male', '2026-05-18 06:22:24', '2026-05-18 06:22:24'), (1540, 30, 'marital_status', 'Married', '2026-05-18 06:22:24', '2026-05-18 06:22:24'), (1541, 30, 'date_of_birth', '2026-05-08', '2026-05-18 06:22:24', '2026-05-18 06:22:24'), (1542, 30, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 06:22:24', '2026-05-18 06:22:24'), (1543, 30, 'city', 'Oakville ON', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1544, 30, 'province', 'Oakville', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1545, 30, 'postal_code', 'L6M 3E3', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1546, 30, 'email_address', 'vikash@tastechnologies.com', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1547, 30, 'home_phone', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1548, 30, 'cell_phone', '416-578-0907', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1549, 30, 'cccupation', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1550, 30, 'employed_by', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1551, 30, 'dental_insurance', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1552, 30, 'insurance_company', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1553, 30, 'policy_no', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1554, 30, 'certificate_no', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1555, 30, 'family_physician', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1556, 30, 'physician_phone', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1557, 30, 'previous_dentist', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1558, 30, 'previous_dentist_phone', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1559, 30, 'referral_credit', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1560, 30, 'en_contact_name', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1561, 30, 'en_relationship', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1562, 30, 'en_address', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1563, 30, 'en_phone_number', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1564, 30, 'dlcp_examination', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1565, 30, 'cup_care', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1566, 30, 'cup_care_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1567, 30, 'frequent_headaches', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1568, 30, 'smoke', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1569, 30, 'drink_alcohol', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1570, 30, 'drink_alcohol_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1571, 30, 'recreational_drugs', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1572, 30, 'herbal_substances', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1573, 30, 'herbal_substances_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1574, 30, 'any_medications', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1575, 30, 'any_medications_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1576, 30, 'prolonged_medication', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1577, 30, 'prolonged_medication_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1578, 30, 'cortisone', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1579, 30, 'any_surgery', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1580, 30, 'any_surgery_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1581, 30, 'ankles_swollen', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1582, 30, 'gained_lost_weight', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1583, 30, 'pregnant', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1584, 30, 'pregnant_weeks', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1585, 30, 'adverse_reaction', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1586, 30, 'allergic_adverse_reaction', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1587, 30, 'adverse_reactions', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1588, 30, 'adverse_reactions_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1589, 30, 'treated', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1590, 30, 'heavy_bleeding', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1591, 30, 'anything_else_know', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1592, 30, 'anything_else_know_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1593, 30, 'other_disease', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1594, 30, 'anything_about_health', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1595, 30, 'anything_about_health_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1596, 30, 'speak_doctor_privately', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1597, 30, 'date_last_complete_exam', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1598, 30, 'date_last_cleaning', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1599, 30, 'date_last_x_rays', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1600, 30, 'last_dentist_regularly', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1601, 30, 'last_dentist', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1602, 30, 'last_dentist_description', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1603, 30, 'antibiotics', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1604, 30, 'heavy_bleeding_extractions', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1605, 30, 'gum_treatment', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1606, 30, 'orthodontic_treatment', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1607, 30, 'unpleasant_dental_experience', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1608, 30, 'age', '22', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1609, 30, 'pleasant_dental_experience', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1610, 30, 'anything_else_should_know', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1611, 30, 'brings_office_today', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1612, 30, 'any_discomfort', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1613, 30, 'any_discomfort_specify', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1614, 30, 'have_experienced', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1615, 30, 'food_teeth', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1616, 30, 'sore_spots', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1617, 30, 'teeth_replaced', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1618, 30, 'permanent_tooth_replacement', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1619, 30, 'local_anesthesia', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1620, 30, 'general_anesthesia', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1621, 30, 'satisfied_appearance_teeth', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1622, 30, 'keep_natural_teeth', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1623, 30, 'tense_dental_visits', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1624, 30, 'calm_nerves', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1625, 30, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1626, 30, 'signature', 'signature_30_1779099744.png', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1627, 30, 'print_name', 'Vikash Kumar', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1628, 30, 'location', 'Burlington', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1629, 30, 'consent_privacy_patient', 'Yes', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1630, 30, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1631, 30, 'consent_newsletter', NULL, '2026-05-18 06:22:25', '2026-05-18 06:22:25'), (1632, 31, 'title', 'Mr.', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1633, 31, 'full_name', 'Vikash Kumar', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1634, 31, 'sex', 'Male', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1635, 31, 'marital_status', 'Married', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1636, 31, 'date_of_birth', '2026-05-06', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1637, 31, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1638, 31, 'city', 'Oakville ON', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1639, 31, 'province', 'Oakville', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1640, 31, 'postal_code', 'L6M 3E3', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1641, 31, 'email_address', 'vikashfsdev@gmail.com', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1642, 31, 'home_phone', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1643, 31, 'cell_phone', '416-578-0907', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1644, 31, 'cccupation', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1645, 31, 'employed_by', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1646, 31, 'dental_insurance', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1647, 31, 'insurance_company', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1648, 31, 'policy_no', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1649, 31, 'certificate_no', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1650, 31, 'family_physician', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1651, 31, 'physician_phone', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1652, 31, 'previous_dentist', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1653, 31, 'previous_dentist_phone', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1654, 31, 'referral_credit', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1655, 31, 'en_contact_name', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1656, 31, 'en_relationship', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1657, 31, 'en_address', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1658, 31, 'en_phone_number', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1659, 31, 'dlcp_examination', '2026-05-19', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1660, 31, 'cup_care', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1661, 31, 'cup_care_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1662, 31, 'frequent_headaches', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1663, 31, 'smoke', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1664, 31, 'drink_alcohol', 'Yes', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1665, 31, 'drink_alcohol_specify', 'NA', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1666, 31, 'recreational_drugs', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1667, 31, 'herbal_substances', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1668, 31, 'herbal_substances_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1669, 31, 'any_medications', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1670, 31, 'any_medications_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1671, 31, 'prolonged_medication', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1672, 31, 'prolonged_medication_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1673, 31, 'cortisone', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1674, 31, 'any_surgery', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1675, 31, 'any_surgery_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1676, 31, 'ankles_swollen', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1677, 31, 'gained_lost_weight', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1678, 31, 'pregnant', 'Yes', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1679, 31, 'pregnant_weeks', '3 Months', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1680, 31, 'adverse_reaction', 'Latex, Metals', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1681, 31, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Codeine', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1682, 31, 'adverse_reactions', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1683, 31, 'adverse_reactions_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1684, 31, 'treated', 'COVID-19, Heart Murmur, Hepatitis B, Asthma, Cardiovascular Disease, Emphysema, Tuberculosis', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1685, 31, 'heavy_bleeding', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1686, 31, 'anything_else_know', 'Yes', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1687, 31, 'anything_else_know_specify', 'NA', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1688, 31, 'other_disease', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1689, 31, 'anything_about_health', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1690, 31, 'anything_about_health_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1691, 31, 'speak_doctor_privately', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1692, 31, 'date_last_complete_exam', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1693, 31, 'date_last_cleaning', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1694, 31, 'date_last_x_rays', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1695, 31, 'last_dentist_regularly', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1696, 31, 'last_dentist', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1697, 31, 'last_dentist_description', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1698, 31, 'antibiotics', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1699, 31, 'heavy_bleeding_extractions', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1700, 31, 'gum_treatment', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1701, 31, 'orthodontic_treatment', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1702, 31, 'unpleasant_dental_experience', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1703, 31, 'age', '22', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1704, 31, 'pleasant_dental_experience', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1705, 31, 'anything_else_should_know', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1706, 31, 'brings_office_today', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1707, 31, 'any_discomfort', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1708, 31, 'any_discomfort_specify', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1709, 31, 'have_experienced', 'Bad breath, Sore gums, Loose Teeth, Spaced or Crooked teeth, Lump or swelling in your mouth, Clench or Grind, Tuberculosis, Venereal Disease', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1710, 31, 'food_teeth', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1711, 31, 'sore_spots', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1712, 31, 'teeth_replaced', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1713, 31, 'permanent_tooth_replacement', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1714, 31, 'local_anesthesia', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1715, 31, 'general_anesthesia', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1716, 31, 'satisfied_appearance_teeth', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1717, 31, 'keep_natural_teeth', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1718, 31, 'tense_dental_visits', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1719, 31, 'calm_nerves', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1720, 31, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1721, 31, 'signature', 'signature_31_1779100358.png', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1722, 31, 'print_name', 'Vikash Kumar', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1723, 31, 'location', 'Oakville', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1724, 31, 'consent_privacy_patient', 'Yes', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1725, 31, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1726, 31, 'consent_newsletter', NULL, '2026-05-18 06:32:39', '2026-05-18 06:32:39'), (1727, 32, 'title', 'Mr.', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1728, 32, 'full_name', 'Vikash Kumar', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1729, 32, 'sex', 'Male', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1730, 32, 'marital_status', 'Married', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1731, 32, 'date_of_birth', '2026-05-01', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1732, 32, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1733, 32, 'city', 'Oakville ON', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1734, 32, 'province', 'Oakville', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1735, 32, 'postal_code', 'L6M 3E3', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1736, 32, 'email_address', 'vikash@tastechnologies.com', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1737, 32, 'home_phone', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1738, 32, 'cell_phone', '416-578-0907', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1739, 32, 'cccupation', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1740, 32, 'employed_by', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1741, 32, 'dental_insurance', 'Yes', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1742, 32, 'insurance_company', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1743, 32, 'policy_no', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1744, 32, 'certificate_no', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1745, 32, 'family_physician', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1746, 32, 'physician_phone', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1747, 32, 'previous_dentist', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1748, 32, 'previous_dentist_phone', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1749, 32, 'referral_credit', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1750, 32, 'en_contact_name', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1751, 32, 'en_relationship', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1752, 32, 'en_address', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1753, 32, 'en_phone_number', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1754, 32, 'dlcp_examination', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1755, 32, 'cup_care', 'Yes', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1756, 32, 'cup_care_specify', 'NA', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1757, 32, 'frequent_headaches', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1758, 32, 'smoke', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1759, 32, 'drink_alcohol', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1760, 32, 'drink_alcohol_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1761, 32, 'recreational_drugs', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1762, 32, 'herbal_substances', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1763, 32, 'herbal_substances_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1764, 32, 'any_medications', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1765, 32, 'any_medications_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1766, 32, 'prolonged_medication', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1767, 32, 'prolonged_medication_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1768, 32, 'cortisone', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1769, 32, 'any_surgery', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1770, 32, 'any_surgery_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1771, 32, 'ankles_swollen', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1772, 32, 'gained_lost_weight', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1773, 32, 'pregnant', 'Yes', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1774, 32, 'pregnant_weeks', '3 Months', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1775, 32, 'adverse_reaction', 'Penicillin, Metals, Sulfa Drugs', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1776, 32, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Barbiturates (Sleeping pills), Codeine', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1777, 32, 'adverse_reactions', 'Yes', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1778, 32, 'adverse_reactions_specify', 'NA', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1779, 32, 'treated', 'Heart Murmur, HIV (AIDS), Liver Disease, Mental Disability, Renal Disease, Emphysema, Tuberculosis', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1780, 32, 'heavy_bleeding', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1781, 32, 'anything_else_know', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1782, 32, 'anything_else_know_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1783, 32, 'other_disease', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1784, 32, 'anything_about_health', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1785, 32, 'anything_about_health_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1786, 32, 'speak_doctor_privately', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1787, 32, 'date_last_complete_exam', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1788, 32, 'date_last_cleaning', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1789, 32, 'date_last_x_rays', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1790, 32, 'last_dentist_regularly', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1791, 32, 'last_dentist', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1792, 32, 'last_dentist_description', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1793, 32, 'antibiotics', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1794, 32, 'heavy_bleeding_extractions', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1795, 32, 'gum_treatment', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1796, 32, 'orthodontic_treatment', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1797, 32, 'unpleasant_dental_experience', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1798, 32, 'age', '22', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1799, 32, 'pleasant_dental_experience', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1800, 32, 'anything_else_should_know', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1801, 32, 'brings_office_today', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1802, 32, 'any_discomfort', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1803, 32, 'any_discomfort_specify', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1804, 32, 'have_experienced', 'Bad breath, Bleeding gums, Gagging, Difficulty opening or closing, Popping or clicking in the jaw joints', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1805, 32, 'food_teeth', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1806, 32, 'sore_spots', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1807, 32, 'teeth_replaced', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1808, 32, 'permanent_tooth_replacement', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1809, 32, 'local_anesthesia', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1810, 32, 'general_anesthesia', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1811, 32, 'satisfied_appearance_teeth', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1812, 32, 'keep_natural_teeth', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1813, 32, 'tense_dental_visits', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1814, 32, 'calm_nerves', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1815, 32, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1816, 32, 'signature', 'signature_32_1779100617.png', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1817, 32, 'print_name', 'Vikash Kumar', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1818, 32, 'location', 'Mississauga', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1819, 32, 'consent_privacy_patient', 'Yes', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1820, 32, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1821, 32, 'consent_newsletter', NULL, '2026-05-18 06:36:57', '2026-05-18 06:36:57'), (1822, 33, 'title', 'Mr.', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1823, 33, 'full_name', 'Vikash Kumar', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1824, 33, 'sex', 'Male', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1825, 33, 'marital_status', 'Married', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1826, 33, 'date_of_birth', '2026-05-07', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1827, 33, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1828, 33, 'city', 'Oakville ON', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1829, 33, 'province', 'Oakville', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1830, 33, 'postal_code', 'L6M 3E3', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1831, 33, 'email_address', 'vikashfsdev@gmail.com', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1832, 33, 'home_phone', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1833, 33, 'cell_phone', '416-578-0907', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1834, 33, 'cccupation', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1835, 33, 'employed_by', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1836, 33, 'dental_insurance', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1837, 33, 'insurance_company', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1838, 33, 'policy_no', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1839, 33, 'certificate_no', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1840, 33, 'family_physician', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1841, 33, 'physician_phone', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1842, 33, 'previous_dentist', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1843, 33, 'previous_dentist_phone', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1844, 33, 'referral_credit', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1845, 33, 'en_contact_name', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1846, 33, 'en_relationship', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1847, 33, 'en_address', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1848, 33, 'en_phone_number', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1849, 33, 'dlcp_examination', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1850, 33, 'cup_care', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1851, 33, 'cup_care_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1852, 33, 'frequent_headaches', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1853, 33, 'smoke', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1854, 33, 'drink_alcohol', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1855, 33, 'drink_alcohol_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1856, 33, 'recreational_drugs', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1857, 33, 'herbal_substances', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1858, 33, 'herbal_substances_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1859, 33, 'any_medications', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1860, 33, 'any_medications_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1861, 33, 'prolonged_medication', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1862, 33, 'prolonged_medication_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1863, 33, 'cortisone', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1864, 33, 'any_surgery', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1865, 33, 'any_surgery_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1866, 33, 'ankles_swollen', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1867, 33, 'gained_lost_weight', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1868, 33, 'pregnant', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1869, 33, 'pregnant_weeks', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1870, 33, 'adverse_reaction', 'Latex, Penicillin, Sulfa Drugs', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1871, 33, 'allergic_adverse_reaction', 'Local Anesthetic (Freezing), Barbiturates (Sleeping pills), Nitrous Oxide, Codeine', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1872, 33, 'adverse_reactions', 'Yes', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1873, 33, 'adverse_reactions_specify', 'NA', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1874, 33, 'treated', 'Heart Murmur, HIV (AIDS), Hypertension / Low BP, Anemia, Liver Disease, Rheumatic Fever, Diabetes Type I / Type II, Thyroid Disease', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1875, 33, 'heavy_bleeding', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1876, 33, 'anything_else_know', 'Yes', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1877, 33, 'anything_else_know_specify', 'NA', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1878, 33, 'other_disease', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1879, 33, 'anything_about_health', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1880, 33, 'anything_about_health_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1881, 33, 'speak_doctor_privately', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1882, 33, 'date_last_complete_exam', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1883, 33, 'date_last_cleaning', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1884, 33, 'date_last_x_rays', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1885, 33, 'last_dentist_regularly', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1886, 33, 'last_dentist', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1887, 33, 'last_dentist_description', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1888, 33, 'antibiotics', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1889, 33, 'heavy_bleeding_extractions', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1890, 33, 'gum_treatment', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1891, 33, 'orthodontic_treatment', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1892, 33, 'unpleasant_dental_experience', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1893, 33, 'age', '22', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1894, 33, 'pleasant_dental_experience', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1895, 33, 'anything_else_should_know', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1896, 33, 'brings_office_today', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1897, 33, 'any_discomfort', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1898, 33, 'any_discomfort_specify', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1899, 33, 'have_experienced', 'Bad breath, Gagging, Spaced or Crooked teeth, Unsatisfactory dentures, Clench or Grind, Emphysema, Tuberculosis', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1900, 33, 'food_teeth', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1901, 33, 'sore_spots', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1902, 33, 'teeth_replaced', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1903, 33, 'permanent_tooth_replacement', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1904, 33, 'local_anesthesia', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1905, 33, 'general_anesthesia', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1906, 33, 'satisfied_appearance_teeth', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1907, 33, 'keep_natural_teeth', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1908, 33, 'tense_dental_visits', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1909, 33, 'calm_nerves', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1910, 33, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1911, 33, 'signature', 'signature_33_1779101793.png', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1912, 33, 'print_name', 'Vikash Kumar', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1913, 33, 'location', 'Burlington', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1914, 33, 'consent_privacy_patient', 'Yes', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1915, 33, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1916, 33, 'consent_newsletter', NULL, '2026-05-18 06:56:33', '2026-05-18 06:56:33'), (1917, 34, 'title', 'Mr.', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1918, 34, 'full_name', 'Vikash Kumar', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1919, 34, 'sex', 'Male', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1920, 34, 'marital_status', 'Married', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1921, 34, 'date_of_birth', '2026-05-07', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1922, 34, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1923, 34, 'city', 'Oakville ON', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1924, 34, 'province', 'Oakville', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1925, 34, 'postal_code', 'L6M 3E3', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1926, 34, 'email_address', 'vikash@tastechnologies.com', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1927, 34, 'home_phone', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1928, 34, 'cell_phone', '416-578-0907', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1929, 34, 'cccupation', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1930, 34, 'employed_by', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1931, 34, 'dental_insurance', 'Yes', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1932, 34, 'insurance_company', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1933, 34, 'policy_no', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1934, 34, 'certificate_no', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1935, 34, 'family_physician', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1936, 34, 'physician_phone', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1937, 34, 'previous_dentist', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1938, 34, 'previous_dentist_phone', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1939, 34, 'referral_credit', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1940, 34, 'en_contact_name', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1941, 34, 'en_relationship', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1942, 34, 'en_address', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1943, 34, 'en_phone_number', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1944, 34, 'dlcp_examination', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1945, 34, 'cup_care', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1946, 34, 'cup_care_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1947, 34, 'frequent_headaches', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1948, 34, 'smoke', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1949, 34, 'drink_alcohol', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1950, 34, 'drink_alcohol_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1951, 34, 'recreational_drugs', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1952, 34, 'herbal_substances', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1953, 34, 'herbal_substances_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1954, 34, 'any_medications', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1955, 34, 'any_medications_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1956, 34, 'prolonged_medication', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1957, 34, 'prolonged_medication_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1958, 34, 'cortisone', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1959, 34, 'any_surgery', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1960, 34, 'any_surgery_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1961, 34, 'ankles_swollen', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1962, 34, 'gained_lost_weight', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1963, 34, 'pregnant', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1964, 34, 'pregnant_weeks', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1965, 34, 'adverse_reaction', 'Latex, Penicillin, Metals', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1966, 34, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Barbiturates (Sleeping pills), Codeine', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1967, 34, 'adverse_reactions', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1968, 34, 'adverse_reactions_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1969, 34, 'treated', 'Heart Murmur, HIV (AIDS), Blood Disorder, Liver Disease, Leukemia, Mental Disability, Diabetes Type I / Type II, Thyroid Disease, Emphysema, Tuberculosis', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1970, 34, 'heavy_bleeding', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1971, 34, 'anything_else_know', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1972, 34, 'anything_else_know_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1973, 34, 'other_disease', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1974, 34, 'anything_about_health', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1975, 34, 'anything_about_health_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1976, 34, 'speak_doctor_privately', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1977, 34, 'date_last_complete_exam', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1978, 34, 'date_last_cleaning', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1979, 34, 'date_last_x_rays', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1980, 34, 'last_dentist_regularly', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1981, 34, 'last_dentist', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1982, 34, 'last_dentist_description', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1983, 34, 'antibiotics', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1984, 34, 'heavy_bleeding_extractions', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1985, 34, 'gum_treatment', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1986, 34, 'orthodontic_treatment', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1987, 34, 'unpleasant_dental_experience', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1988, 34, 'age', '22', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1989, 34, 'pleasant_dental_experience', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1990, 34, 'anything_else_should_know', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'); INSERT INTO `cdt_form_submission_values` (`id`, `submission_id`, `field_name`, `field_value`, `created_at`, `updated_at`) VALUES (1991, 34, 'brings_office_today', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1992, 34, 'any_discomfort', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1993, 34, 'any_discomfort_specify', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1994, 34, 'have_experienced', 'Tooth sensitivity, Bad breath, Ear ache, Missing teeth, Spaced or Crooked teeth, Lump or swelling in your mouth, Clench or Grind, Emphysema, Tuberculosis, Epilepsy', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1995, 34, 'food_teeth', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1996, 34, 'sore_spots', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1997, 34, 'teeth_replaced', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1998, 34, 'permanent_tooth_replacement', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (1999, 34, 'local_anesthesia', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2000, 34, 'general_anesthesia', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2001, 34, 'satisfied_appearance_teeth', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2002, 34, 'keep_natural_teeth', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2003, 34, 'tense_dental_visits', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2004, 34, 'calm_nerves', NULL, '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2005, 34, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2006, 34, 'signature', 'signature_34_1779102979.png', '2026-05-18 07:16:19', '2026-05-18 07:16:19'), (2007, 34, 'print_name', 'Vikash Kumar', '2026-05-18 07:16:20', '2026-05-18 07:16:20'), (2008, 34, 'location', 'Burlington', '2026-05-18 07:16:20', '2026-05-18 07:16:20'), (2009, 34, 'consent_privacy_patient', 'Yes', '2026-05-18 07:16:20', '2026-05-18 07:16:20'), (2010, 34, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 07:16:20', '2026-05-18 07:16:20'), (2011, 34, 'consent_newsletter', NULL, '2026-05-18 07:16:20', '2026-05-18 07:16:20'), (2012, 35, 'title', 'Mr.', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2013, 35, 'full_name', 'Vikash Kumar', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2014, 35, 'sex', 'Male', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2015, 35, 'marital_status', 'Married', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2016, 35, 'date_of_birth', '2026-05-08', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2017, 35, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2018, 35, 'city', 'Oakville ON', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2019, 35, 'province', 'Oakville', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2020, 35, 'postal_code', 'L6M 3E3', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2021, 35, 'email_address', 'vikash@tastechnologies.com', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2022, 35, 'home_phone', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2023, 35, 'cell_phone', '416-578-0907', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2024, 35, 'cccupation', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2025, 35, 'employed_by', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2026, 35, 'dental_insurance', 'Yes', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2027, 35, 'insurance_company', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2028, 35, 'policy_no', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2029, 35, 'certificate_no', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2030, 35, 'family_physician', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2031, 35, 'physician_phone', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2032, 35, 'previous_dentist', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2033, 35, 'previous_dentist_phone', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2034, 35, 'referral_credit', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2035, 35, 'en_contact_name', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2036, 35, 'en_relationship', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2037, 35, 'en_address', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2038, 35, 'en_phone_number', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2039, 35, 'dlcp_examination', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2040, 35, 'cup_care', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2041, 35, 'cup_care_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2042, 35, 'frequent_headaches', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2043, 35, 'smoke', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2044, 35, 'drink_alcohol', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2045, 35, 'drink_alcohol_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2046, 35, 'recreational_drugs', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2047, 35, 'herbal_substances', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2048, 35, 'herbal_substances_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2049, 35, 'any_medications', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2050, 35, 'any_medications_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2051, 35, 'prolonged_medication', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2052, 35, 'prolonged_medication_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2053, 35, 'cortisone', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2054, 35, 'any_surgery', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2055, 35, 'any_surgery_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2056, 35, 'ankles_swollen', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2057, 35, 'gained_lost_weight', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2058, 35, 'pregnant', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2059, 35, 'pregnant_weeks', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2060, 35, 'adverse_reaction', 'Penicillin, Metals, Sulfa Drugs', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2061, 35, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Nitrous Oxide', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2062, 35, 'adverse_reactions', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2063, 35, 'adverse_reactions_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2064, 35, 'treated', 'Heart Murmur, Arthritis, Hepatitis B, HIV (AIDS), Hypertension / Low BP, Liver Disease, Renal Disease, Cancer, Rheumatic Fever, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2065, 35, 'heavy_bleeding', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2066, 35, 'anything_else_know', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2067, 35, 'anything_else_know_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2068, 35, 'other_disease', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2069, 35, 'anything_about_health', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2070, 35, 'anything_about_health_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2071, 35, 'speak_doctor_privately', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2072, 35, 'date_last_complete_exam', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2073, 35, 'date_last_cleaning', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2074, 35, 'date_last_x_rays', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2075, 35, 'last_dentist_regularly', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2076, 35, 'last_dentist', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2077, 35, 'last_dentist_description', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2078, 35, 'antibiotics', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2079, 35, 'heavy_bleeding_extractions', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2080, 35, 'gum_treatment', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2081, 35, 'orthodontic_treatment', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2082, 35, 'unpleasant_dental_experience', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2083, 35, 'age', '22', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2084, 35, 'pleasant_dental_experience', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2085, 35, 'anything_else_should_know', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2086, 35, 'brings_office_today', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2087, 35, 'any_discomfort', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2088, 35, 'any_discomfort_specify', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2089, 35, 'have_experienced', 'Tooth sensitivity, Bad breath, Sore gums, Gagging, Missing teeth, Unsatisfactory dentures, Neck pain, Popping or clicking in the jaw joints, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2090, 35, 'food_teeth', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2091, 35, 'sore_spots', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2092, 35, 'teeth_replaced', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2093, 35, 'permanent_tooth_replacement', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2094, 35, 'local_anesthesia', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2095, 35, 'general_anesthesia', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2096, 35, 'satisfied_appearance_teeth', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2097, 35, 'keep_natural_teeth', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2098, 35, 'tense_dental_visits', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2099, 35, 'calm_nerves', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2100, 35, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2101, 35, 'signature', 'signature_35_1779104400.png', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2102, 35, 'print_name', 'Vikash Kumar', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2103, 35, 'location', 'Oakville', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2104, 35, 'consent_privacy_patient', 'Yes', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2105, 35, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2106, 35, 'consent_newsletter', NULL, '2026-05-18 07:40:00', '2026-05-18 07:40:00'), (2107, 36, 'title', 'Mr.', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2108, 36, 'full_name', 'Vikash Kumar', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2109, 36, 'sex', 'Female', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2110, 36, 'marital_status', 'Prefer Not to Say', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2111, 36, 'date_of_birth', '2026-05-07', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2112, 36, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2113, 36, 'city', 'Oakville ON', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2114, 36, 'province', 'Oakville', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2115, 36, 'postal_code', 'L6M 3E3', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2116, 36, 'email_address', 'vikash@tastechnologies.com', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2117, 36, 'home_phone', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2118, 36, 'cell_phone', '416-578-0907', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2119, 36, 'cccupation', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2120, 36, 'employed_by', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2121, 36, 'dental_insurance', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2122, 36, 'insurance_company', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2123, 36, 'policy_no', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2124, 36, 'certificate_no', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2125, 36, 'family_physician', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2126, 36, 'physician_phone', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2127, 36, 'previous_dentist', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2128, 36, 'previous_dentist_phone', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2129, 36, 'referral_credit', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2130, 36, 'en_contact_name', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2131, 36, 'en_relationship', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2132, 36, 'en_address', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2133, 36, 'en_phone_number', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2134, 36, 'dlcp_examination', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2135, 36, 'cup_care', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2136, 36, 'cup_care_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2137, 36, 'frequent_headaches', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2138, 36, 'smoke', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2139, 36, 'drink_alcohol', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2140, 36, 'drink_alcohol_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2141, 36, 'recreational_drugs', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2142, 36, 'herbal_substances', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2143, 36, 'herbal_substances_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2144, 36, 'any_medications', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2145, 36, 'any_medications_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2146, 36, 'prolonged_medication', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2147, 36, 'prolonged_medication_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2148, 36, 'cortisone', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2149, 36, 'any_surgery', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2150, 36, 'any_surgery_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2151, 36, 'ankles_swollen', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2152, 36, 'gained_lost_weight', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2153, 36, 'pregnant', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2154, 36, 'pregnant_weeks', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2155, 36, 'adverse_reaction', 'Latex, Penicillin', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2156, 36, 'allergic_adverse_reaction', 'Local Anesthetic (Freezing), Codeine', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2157, 36, 'adverse_reactions', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2158, 36, 'adverse_reactions_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2159, 36, 'treated', 'Heart Murmur, Blood Disorder, Hypertension / Low BP, Cardiovascular Disease, Venereal Disease', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2160, 36, 'heavy_bleeding', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2161, 36, 'anything_else_know', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2162, 36, 'anything_else_know_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2163, 36, 'other_disease', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2164, 36, 'anything_about_health', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2165, 36, 'anything_about_health_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2166, 36, 'speak_doctor_privately', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2167, 36, 'date_last_complete_exam', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2168, 36, 'date_last_cleaning', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2169, 36, 'date_last_x_rays', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2170, 36, 'last_dentist_regularly', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2171, 36, 'last_dentist', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2172, 36, 'last_dentist_description', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2173, 36, 'antibiotics', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2174, 36, 'heavy_bleeding_extractions', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2175, 36, 'gum_treatment', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2176, 36, 'orthodontic_treatment', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2177, 36, 'unpleasant_dental_experience', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2178, 36, 'age', '22', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2179, 36, 'pleasant_dental_experience', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2180, 36, 'anything_else_should_know', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2181, 36, 'brings_office_today', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2182, 36, 'any_discomfort', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2183, 36, 'any_discomfort_specify', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2184, 36, 'have_experienced', 'Headaches, Sore gums, Unsatisfactory dentures, Lump or swelling in your mouth, Emphysema', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2185, 36, 'food_teeth', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2186, 36, 'sore_spots', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2187, 36, 'teeth_replaced', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2188, 36, 'permanent_tooth_replacement', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2189, 36, 'local_anesthesia', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2190, 36, 'general_anesthesia', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2191, 36, 'satisfied_appearance_teeth', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2192, 36, 'keep_natural_teeth', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2193, 36, 'tense_dental_visits', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2194, 36, 'calm_nerves', NULL, '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2195, 36, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2196, 36, 'signature', 'signature_36_1779105214.png', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2197, 36, 'print_name', 'Vikash Kumar', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2198, 36, 'location', 'Mississauga', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2199, 36, 'consent_privacy_patient', 'Yes', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2200, 36, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2201, 36, 'consent_newsletter', 'Yes', '2026-05-18 07:53:35', '2026-05-18 07:53:35'), (2202, 37, 'title', 'Mr.', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2203, 37, 'full_name', 'Vikash Kumar', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2204, 37, 'sex', 'Male', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2205, 37, 'marital_status', 'Married', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2206, 37, 'date_of_birth', '2026-05-05', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2207, 37, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2208, 37, 'city', 'Oakville ON', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2209, 37, 'province', 'Oakville', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2210, 37, 'postal_code', 'L6M 3E3', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2211, 37, 'email_address', 'vikash@tastechnologies.com', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2212, 37, 'home_phone', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2213, 37, 'cell_phone', '416-578-0907', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2214, 37, 'cccupation', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2215, 37, 'employed_by', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2216, 37, 'dental_insurance', 'Yes', '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2217, 37, 'insurance_company', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2218, 37, 'policy_no', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2219, 37, 'certificate_no', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2220, 37, 'family_physician', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2221, 37, 'physician_phone', NULL, '2026-05-18 08:10:03', '2026-05-18 08:10:03'), (2222, 37, 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'2026-05-18 09:02:06'), (2571, 40, 'satisfied_appearance_teeth', NULL, '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2572, 40, 'keep_natural_teeth', NULL, '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2573, 40, 'tense_dental_visits', NULL, '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2574, 40, 'calm_nerves', NULL, '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2575, 40, 'describe', 'sdsd sdsds', '2026-05-18 09:02:06', '2026-05-18 09:02:06'); INSERT INTO `cdt_form_submission_values` (`id`, `submission_id`, `field_name`, `field_value`, `created_at`, `updated_at`) VALUES (2576, 40, 'signature', 'signature_40_1779109325.png', '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2577, 40, 'print_name', 'Vikash Kumar', '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2578, 40, 'location', 'Oakville', '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2579, 40, 'consent_privacy_patient', 'Yes', '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2580, 40, 'privacy_patient_name', 'Vikash Kumar', '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2581, 40, 'consent_newsletter', NULL, '2026-05-18 09:02:06', '2026-05-18 09:02:06'), (2582, 41, 'title', 'Mr.', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2583, 41, 'full_name', 'John Doe', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2584, 41, 'sex', 'Male', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2585, 41, 'marital_status', 'Single', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2586, 41, 'date_of_birth', '2026-05-01', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2587, 41, 'street_address', '1155 North Service Rd W Suite 11', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2588, 41, 'city', 'Oakville ON', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2589, 41, 'province', 'Oakville', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2590, 41, 'postal_code', 'L6M 3E3', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2591, 41, 'email_address', 'vikash@tastechnologies.com', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2592, 41, 'home_phone', '416-578-0907', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2593, 41, 'cell_phone', '416-578-0907', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2594, 41, 'cccupation', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2595, 41, 'employed_by', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2596, 41, 'dental_insurance', NULL, '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2597, 41, 'insurance_company', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2598, 41, 'policy_no', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2599, 41, 'certificate_no', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2600, 41, 'family_physician', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2601, 41, 'physician_phone', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2602, 41, 'previous_dentist', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2603, 41, 'previous_dentist_phone', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2604, 41, 'referral_credit', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2605, 41, 'en_contact_name', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2606, 41, 'en_relationship', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2607, 41, 'en_address', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2608, 41, 'en_phone_number', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2609, 41, 'dlcp_examination', '2026-05-02', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2610, 41, 'cup_care', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2611, 41, 'cup_care_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2612, 41, 'frequent_headaches', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2613, 41, 'smoke', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2614, 41, 'drink_alcohol', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2615, 41, 'drink_alcohol_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2616, 41, 'recreational_drugs', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2617, 41, 'herbal_substances', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2618, 41, 'herbal_substances_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2619, 41, 'any_medications', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2620, 41, 'any_medications_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2621, 41, 'prolonged_medication', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2622, 41, 'prolonged_medication_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2623, 41, 'cortisone', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2624, 41, 'any_surgery', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2625, 41, 'any_surgery_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2626, 41, 'ankles_swollen', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2627, 41, 'gained_lost_weight', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2628, 41, 'pregnant', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2629, 41, 'pregnant_weeks', NULL, '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2630, 41, 'adverse_reaction', 'Latex, Metals, Sulfa Drugs', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2631, 41, 'allergic_adverse_reaction', 'Aspirin, Local Anesthetic (Freezing), Barbiturates (Sleeping pills), Nitrous Oxide', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2632, 41, 'adverse_reactions', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2633, 41, 'adverse_reactions_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2634, 41, 'treated', 'COVID-19, Arthritis, Asthma, Blood Disorder, Anemia, Cardiovascular Disease, Renal Disease, Cancer, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2635, 41, 'heavy_bleeding', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2636, 41, 'anything_else_know', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2637, 41, 'anything_else_know_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2638, 41, 'other_disease', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2639, 41, 'anything_about_health', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2640, 41, 'anything_about_health_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2641, 41, 'speak_doctor_privately', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2642, 41, 'date_last_complete_exam', '2026-05-07', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2643, 41, 'date_last_cleaning', '2026-05-08', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2644, 41, 'date_last_x_rays', '2026-05-09', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2645, 41, 'last_dentist_regularly', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2646, 41, 'last_dentist', '3 Months', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2647, 41, 'last_dentist_description', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2648, 41, 'antibiotics', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2649, 41, 'heavy_bleeding_extractions', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2650, 41, 'gum_treatment', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2651, 41, 'orthodontic_treatment', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2652, 41, 'unpleasant_dental_experience', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2653, 41, 'age', '22', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2654, 41, 'pleasant_dental_experience', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2655, 41, 'anything_else_should_know', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2656, 41, 'brings_office_today', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2657, 41, 'any_discomfort', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2658, 41, 'any_discomfort_specify', 'NA', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2659, 41, 'have_experienced', 'Tooth sensitivity, Bad breath, Headaches, Bleeding gums, Gagging, Loose Teeth, Lump or swelling in your mouth, Clench or Grind, Emphysema, Tuberculosis, Epilepsy, Venereal Disease', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2660, 41, 'food_teeth', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2661, 41, 'sore_spots', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2662, 41, 'teeth_replaced', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2663, 41, 'permanent_tooth_replacement', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2664, 41, 'local_anesthesia', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2665, 41, 'general_anesthesia', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2666, 41, 'satisfied_appearance_teeth', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2667, 41, 'keep_natural_teeth', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2668, 41, 'tense_dental_visits', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2669, 41, 'calm_nerves', 'No', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2670, 41, 'describe', 'Just for testing purpose, please ignore it.', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2671, 41, 'signature', 'signature_41_1779113032.png', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2672, 41, 'print_name', 'John Doe', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2673, 41, 'location', 'Mississauga', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2674, 41, 'consent_privacy_patient', 'Yes', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2675, 41, 'privacy_patient_name', 'John Doe', '2026-05-18 10:03:52', '2026-05-18 10:03:52'), (2676, 41, 'consent_newsletter', NULL, '2026-05-18 10:03:52', '2026-05-18 10:03:52'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_migrations` -- CREATE TABLE `cdt_migrations` ( `id` int UNSIGNED NOT NULL, `migration` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `batch` int NOT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_migrations` -- INSERT INTO `cdt_migrations` (`id`, `migration`, `batch`) VALUES (1, '2014_10_12_100000_create_password_reset_tokens_table', 1), (2, '2019_08_19_000000_create_failed_jobs_table', 1), (3, '2019_12_14_000001_create_personal_access_tokens_table', 1), (4, '2025_07_16_103106_create_admin_table', 1), (5, '2025_07_16_183311_create_settings_table', 1), (6, '2025_07_16_200704_create_admin_role_table', 1), (7, '2025_07_16_200730_create_modules_table', 1), (8, '2025_07_16_201200_create_role_module_method_rights_table', 1), (9, '2025_07_16_220024_create_module_methods_table', 1), (10, '2025_07_16_222609_create_module_class_table', 1), (11, '2025_08_16_033725_create_seo_meta_table', 1), (12, '2025_08_26_023125_create_admin_access_logs_table', 1), (13, '2025_10_02_103106_create_email_template_table', 1), (14, '2025_10_08_222112_create_template_table', 1), (15, '2025_10_13_222112_create_custom_field_table', 1), (16, '2025_10_16_201200_create_custom_field_group_custom_field_table', 1), (17, '2025_10_16_201200_create_custom_field_group_template_table', 1), (18, '2025_10_16_222112_create_custom_field_group_table', 1), (19, '2025_10_17_103106_create_page_table', 1), (20, '2025_10_17_201200_create_custom_field_value_table', 1), (21, '2025_11_18_103106_create_clinics_table', 1), (22, '2025_12_02_215237_create_forms_table', 1), (23, '2025_12_02_221759_create_form_fields_table', 1), (24, '2025_12_02_221948_create_form_submissions_table', 1), (25, '2025_12_02_222320_create_form_submission_values_table', 1); -- -------------------------------------------------------- -- -- Table structure for table `cdt_modules` -- CREATE TABLE `cdt_modules` ( `module_id` int UNSIGNED NOT NULL, `class_id` int NOT NULL, `has_templates` enum('yes','no') COLLATE utf8mb4_unicode_ci NOT NULL, `title` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `label` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `info` text COLLATE utf8mb4_unicode_ci, `class_name` varchar(191) COLLATE utf8mb4_unicode_ci NOT NULL, `is_menu` enum('yes','no') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'yes', `icon_class` varchar(40) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `hot_text` varchar(20) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `c_order` int NOT NULL DEFAULT '0', `parent_module_id` int NOT NULL DEFAULT '0', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled' ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_modules` -- INSERT INTO `cdt_modules` (`module_id`, `class_id`, `has_templates`, `title`, `label`, `info`, `class_name`, `is_menu`, `icon_class`, `hot_text`, `c_order`, `parent_module_id`, `status`) VALUES (1, 1, 'no', 'Dashboard', 'Dashboard', NULL, 'DashboardController', 'yes', 'ri-dashboard-2-line', '', 1, 0, 'enabled'), (2, 2, 'no', 'Common', 'Common', NULL, 'BaseController', 'no', '', '', 0, 0, 'enabled'), (3, 3, 'no', 'Admin Users', 'Admin Users', NULL, 'AdminController', 'yes', 'ri-account-circle-line', '', 100, 0, 'enabled'), (4, 4, 'no', 'Admin Users Role', 'Admin Users Role', NULL, 'AdminRoleController', 'no', '', '', 0, 3, 'enabled'), (5, 5, 'no', 'Settings', 'Settings', NULL, 'SettingsController', 'yes', 'ri-settings-2-line', '', 99, 0, 'enabled'), (11, 11, 'no', 'System > Email Templates', 'System', NULL, 'EmailTemplateController', 'yes', '', '', 98, 0, 'enabled'), (12, 12, 'no', 'System > Custom Field Groups', 'Custom Field Groups', NULL, 'CustomFieldGroupController', 'yes', '', '', 2, 11, 'enabled'), (13, 13, 'no', 'System > Custom Fields', 'Custom Fields', NULL, 'CustomFieldController', 'yes', '', '', 3, 11, 'enabled'), (14, 14, 'no', 'System > Templates', 'Templates', NULL, 'TemplateController', 'yes', '', '', 4, 11, 'enabled'), (15, 15, 'yes', 'Pages', 'Pages', NULL, 'PageController', 'yes', 'ri-pages-line', '', 97, 0, 'enabled'), (16, 16, 'no', 'Enquiries > Contact Us', 'Enquiries', NULL, 'EnquiryController', 'yes', 'ri-file-list-3-line', '', 2, 0, 'enabled'), (56, 56, 'no', 'Clinics', 'Clinics', NULL, 'ClinicController', 'yes', 'ri-hospital-line', '', 4, 0, 'enabled'), (59, 59, 'no', 'Enquiries > Book Appointment', 'Book Appointment', NULL, 'BookAppointmentController', 'yes', '', '', 2, 16, 'enabled'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_module_class` -- CREATE TABLE `cdt_module_class` ( `class_id` int UNSIGNED NOT NULL, `class_name` varchar(191) COLLATE utf8mb4_unicode_ci NOT NULL, `model_name` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `slug` varchar(100) COLLATE utf8mb4_unicode_ci NOT NULL, `info` text COLLATE utf8mb4_unicode_ci, `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled' ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_module_class` -- INSERT INTO `cdt_module_class` (`class_id`, `class_name`, `model_name`, `slug`, `info`, `status`) VALUES (1, 'DashboardController', 'Dashboard', 'dashboard', NULL, 'enabled'), (2, 'BaseController', 'Base', 'base', NULL, 'enabled'), (3, 'AdminController', 'Admin', 'admin', NULL, 'enabled'), (4, 'AdminRoleController', 'AdminRole', 'admin-role', NULL, 'enabled'), (5, 'SettingsController', 'Settings', 'settings', NULL, 'enabled'), (11, 'EmailTemplateController', 'EmailTemplate', 'email-template', NULL, 'enabled'), (12, 'CustomFieldGroupController', 'CustomFieldGroup', 'custom-field-group', NULL, 'enabled'), (13, 'CustomFieldController', 'CustomField', 'custom-field', NULL, 'enabled'), (14, 'TemplateController', 'Template', 'template', NULL, 'enabled'), (15, 'PageController', 'Page', 'page', NULL, 'enabled'), (16, 'EnquiryController', 'Enquiries', 'enquiry', NULL, 'enabled'), (56, 'ClinicController', 'Clinics', 'clinic', NULL, 'enabled'), (59, 'BookAppointmentController', 'Enquiries', 'book-appointment', NULL, 'enabled'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_module_methods` -- CREATE TABLE `cdt_module_methods` ( `method_id` int UNSIGNED NOT NULL, `module_id` tinyint NOT NULL, `title` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `method_name` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `default_present` tinyint NOT NULL DEFAULT '0', `access_role_id` int NOT NULL DEFAULT '0' COMMENT '0=access to all', `route_link` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `affected_route_link` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `is_left_nav` tinyint NOT NULL DEFAULT '1', `is_external_link` tinyint NOT NULL DEFAULT '0', `c_order` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_module_methods` -- INSERT INTO `cdt_module_methods` (`method_id`, `module_id`, `title`, `method_name`, `default_present`, `access_role_id`, `route_link`, `affected_route_link`, `is_left_nav`, `is_external_link`, `c_order`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 1, 'Dashboard', 'show', 1, 0, 'admin.dashboard', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (2, 2, 'Common Status', 'changestatus', 1, 0, 'admin.changestatus', 'admin.dashboard', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (3, 2, 'Common Delete Seo Image', 'deleteSeoImage', 1, 0, 'admin.seo.deleteimage', 'admin.dashboard', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (4, 2, 'Common Delete Custom Field Value File', 'deleteSeoImage', 1, 0, 'admin.customfieldvalue.deletefile', 'admin.dashboard', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (21, 3, 'Edit Profile', 'editprofile', 0, 0, 'admin.profile', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (22, 3, 'Update Profile', 'updateprofile', 0, 0, 'admin.profile.update', 'admin.profile', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (23, 3, 'Delete User Image', 'deleteFile', 0, 0, 'admin.profile.deletefile', 'admin.profile', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (24, 3, 'All Users', 'index', 0, 0, 'admin.admin.index', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (25, 3, 'Add User', 'create', 0, 0, 'admin.admin.create', NULL, 1, 0, 2, 1, '2026-05-01 02:01:41', NULL), (26, 3, 'Store User', 'store', 0, 0, 'admin.admin.store', 'admin.admin.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (27, 3, 'Edit User', 'edit', 0, 0, 'admin.admin.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (28, 3, 'Update User', 'update', 0, 0, 'admin.admin.update', 'admin.admin.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (29, 3, 'Delete User', 'deleteData', 0, 0, 'admin.admin.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (30, 3, 'Delete User Image', 'deleteFile', 0, 0, 'admin.admin.deletefile', 'admin.admin.update', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (41, 4, 'User Roles', 'index', 0, 0, 'admin.admin-role.index', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (42, 4, 'Add Role', 'create', 0, 0, 'admin.admin-role.create', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (43, 4, 'Store Role', 'store', 0, 0, 'admin.admin-role.store', 'admin.admin-role.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (44, 4, 'Edit Role', 'edit', 0, 0, 'admin.admin-role.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (45, 4, 'Update Role', 'update', 0, 0, 'admin.admin-role.update', 'admin.admin-role.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (46, 4, 'Delete Role', 'deleteData', 0, 0, 'admin.admin-role.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (51, 5, 'General', 'editGeneral', 0, 0, 'admin.settings.general', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (52, 5, 'General Update', 'updateGeneral', 0, 0, 'admin.settings.general.update', 'admin.settings.general', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (53, 5, 'Mail', 'editMail', 0, 0, 'admin.settings.mail', NULL, 1, 0, 2, 1, '2026-05-01 02:01:41', NULL), (54, 5, 'Mail Update', 'updateMail', 0, 0, 'admin.settings.mail.update', 'admin.settings.mail', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (55, 5, 'Delete File', 'deletefile', 0, 0, 'admin.settings.deletefile', 'admin.settings.general', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (111, 11, 'Email Templates', 'index', 0, 0, 'admin.email-template.index', NULL, 1, 0, 0, 1, '2026-05-01 02:01:41', NULL), (112, 11, 'Add Email Template', 'create', 0, 0, 'admin.email-template.create', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (113, 11, 'Store Email Template', 'store', 0, 0, 'admin.email-template.store', 'admin.email-template.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (114, 11, 'Edit Email Template', 'edit', 0, 0, 'admin.email-template.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (115, 11, 'Update Email Template', 'update', 0, 0, 'admin.email-template.update', 'admin.email-template.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (116, 11, 'Delete Email Template', 'deleteData', 0, 0, 'admin.email-template.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (121, 12, 'Custom Field Groups', 'index', 0, 0, 'admin.custom-field-group.index', NULL, 1, 0, 0, 1, '2026-05-01 02:01:41', NULL), (122, 12, 'Add Custom Field Group', 'create', 0, 0, 'admin.custom-field-group.create', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (123, 12, 'Store Custom Field Group', 'store', 0, 0, 'admin.custom-field-group.store', 'admin.custom-field-group.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (124, 12, 'Edit Custom Field Group', 'edit', 0, 0, 'admin.custom-field-group.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (125, 12, 'Update Custom Field Group', 'update', 0, 0, 'admin.custom-field-group.update', 'admin.custom-field-group.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (126, 12, 'Delete Custom Field Group', 'deleteData', 0, 0, 'admin.custom-field-group.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (131, 13, 'Custom fields', 'index', 0, 0, 'admin.custom-field.index', NULL, 1, 0, 0, 1, '2026-05-01 02:01:41', NULL), (132, 13, 'Add Custom field', 'create', 0, 0, 'admin.custom-field.create', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (133, 13, 'Store Custom field', 'store', 0, 0, 'admin.custom-field.store', 'admin.custom-field.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (134, 13, 'Edit Custom field', 'edit', 0, 0, 'admin.custom-field.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (135, 13, 'Update Custom field', 'update', 0, 0, 'admin.custom-field.update', 'admin.custom-field.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (136, 13, 'Delete Custom field', 'deleteData', 0, 0, 'admin.custom-field.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (141, 14, 'Templates', 'index', 0, 0, 'admin.template.index', NULL, 1, 0, 0, 1, '2026-05-01 02:01:41', NULL), (142, 14, 'Add Template', 'create', 0, 0, 'admin.template.create', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (143, 14, 'Store Template', 'store', 0, 0, 'admin.template.store', 'admin.template.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (144, 14, 'Edit Template', 'edit', 0, 0, 'admin.template.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (145, 14, 'Update Template', 'update', 0, 0, 'admin.template.update', 'admin.template.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (146, 14, 'Delete Template', 'deleteData', 0, 0, 'admin.template.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (151, 15, 'All Pages', 'index', 0, 0, 'admin.page.index', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (152, 15, 'Add Page', 'create', 0, 0, 'admin.page.create', NULL, 1, 0, 2, 1, '2026-05-01 02:01:41', NULL), (153, 15, 'Store Page', 'store', 0, 0, 'admin.page.store', 'admin.page.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (154, 15, 'Edit Page', 'edit', 0, 0, 'admin.page.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (155, 15, 'Update Page', 'update', 0, 0, 'admin.page.update', 'admin.page.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (156, 15, 'Delete Page', 'deleteData', 0, 0, 'admin.page.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (157, 15, 'Delete Page Image', 'deleteFile', 0, 0, 'admin.page.deletefile', 'admin.page.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (161, 16, 'Contact Us', 'index', 0, 0, 'admin.enquiry.index', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (162, 16, 'View Contact Us Enquiry', 'view', 0, 0, 'admin.enquiry.show', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (163, 16, 'Export Contact Us Enquiry', 'export', 0, 0, 'admin.enquiry.export', 'admin.enquiry.index', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (164, 16, 'Delete Contact Us Enquiry', 'deleteData', 0, 0, 'admin.enquiry.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (561, 56, 'All Clinics', 'index', 0, 0, 'admin.clinic.index', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (562, 56, 'Add Clinic', 'create', 0, 0, 'admin.clinic.create', NULL, 1, 0, 2, 1, '2026-05-01 02:01:41', NULL), (563, 56, 'Store Clinic', 'store', 0, 0, 'admin.clinic.store', 'admin.clinic.create', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (564, 56, 'Edit Clinic', 'edit', 0, 0, 'admin.clinic.edit', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (565, 56, 'Update Clinic', 'update', 0, 0, 'admin.clinic.update', 'admin.clinic.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (566, 56, 'Delete Clinic', 'deleteData', 0, 0, 'admin.clinic.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (567, 56, 'Delete Clinic Image', 'deleteFile', 0, 0, 'admin.clinic.deletefile', 'admin.clinic.edit', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (591, 59, 'Book Appointment', 'index', 0, 0, 'admin.book-appointment.index', NULL, 1, 0, 1, 1, '2026-05-01 02:01:41', NULL), (592, 59, 'View Book Appointment Enquiry', 'view', 0, 0, 'admin.book-appointment.show', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (593, 59, 'Export Book Appointment Enquiry', 'export', 0, 0, 'admin.book-appointment.export', 'admin.book-appointment.index', 0, 0, 0, 1, '2026-05-01 02:01:41', NULL), (594, 59, 'Delete Book Appointment Enquiry', 'deleteData', 0, 0, 'admin.book-appointment.delete', NULL, 0, 0, 0, 1, '2026-05-01 02:01:41', NULL); -- -------------------------------------------------------- -- -- Table structure for table `cdt_page` -- CREATE TABLE `cdt_page` ( `page_id` int UNSIGNED NOT NULL, `title` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `slug` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `description` text COLLATE utf8mb4_unicode_ci, `image` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `parent_id` int NOT NULL DEFAULT '0', `template_id` int NOT NULL, `note` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `c_order` int NOT NULL DEFAULT '0', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_page` -- INSERT INTO `cdt_page` (`page_id`, `title`, `slug`, `description`, `image`, `parent_id`, `template_id`, `note`, `c_order`, `status`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 'Home', 'home', NULL, NULL, 0, 1, NULL, 0, 'enabled', 1, 1, '2026-05-01 02:24:30', '2026-05-01 02:24:30'), (2, 'Thank You!', 'ty-quick-appointment', '
Success! Your form has been submitted. We\'ll be in touch shortly
', NULL, 0, 2, 'Used for Quick Book Appointment Form', 0, 'enabled', 1, 1, '2026-05-01 11:27:08', '2026-05-02 10:49:21'), (3, 'Services', 'services', NULL, NULL, 0, 3, NULL, 0, 'enabled', 1, 1, '2026-05-01 13:33:41', '2026-05-01 13:33:41'), (4, 'Bonding', 'bonding', NULL, NULL, 3, 4, NULL, 1, 'enabled', 1, 1, '2026-05-01 13:34:15', '2026-05-01 13:34:15'), (5, 'Thank You!', 'ty-book-appointment', '
Success! Your form has been submitted. We\'ll be in touch shortly
', NULL, 0, 2, 'Used for Book Appointment Form', 0, 'enabled', 1, 1, '2026-05-02 02:32:16', '2026-05-02 10:49:35'), (6, 'Book Appointment', 'book-appointment', NULL, NULL, 0, 5, NULL, 0, 'enabled', 1, 1, '2026-05-02 02:42:19', '2026-05-02 02:42:19'), (7, 'CEREC Crowns', 'cerec-crowns', NULL, NULL, 3, 4, NULL, 2, 'enabled', 1, 1, '2026-05-02 03:55:00', '2026-05-02 07:45:52'), (8, 'Children\'s Dentistry', 'childrens-dentistry', NULL, NULL, 3, 4, NULL, 3, 'enabled', 1, 1, '2026-05-02 06:20:40', '2026-05-02 06:20:40'), (9, 'Cosmetic Dentistry', 'cosmetic-dentistry', NULL, NULL, 3, 4, NULL, 4, 'enabled', 1, 1, '2026-05-02 06:30:18', '2026-05-02 06:30:18'), (10, 'Dental Bridges', 'dental-bridges', NULL, NULL, 3, 4, NULL, 5, 'enabled', 1, 1, '2026-05-02 06:36:20', '2026-05-02 06:36:20'), (11, 'Dental Crowns', 'dental-crowns', NULL, NULL, 3, 4, NULL, 6, 'enabled', 1, 1, '2026-05-02 06:42:16', '2026-05-02 06:42:16'), (12, 'Dental Implants', 'dental-implants', NULL, NULL, 3, 4, NULL, 7, 'enabled', 1, 1, '2026-05-02 06:51:52', '2026-05-02 06:51:52'), (13, 'Denture Services', 'denture-services', NULL, NULL, 3, 4, NULL, 8, 'enabled', 1, 1, '2026-05-02 06:56:51', '2026-05-02 06:56:51'), (14, 'Endodontics', 'endodontics', NULL, NULL, 3, 4, NULL, 9, 'enabled', 1, 1, '2026-05-02 07:01:26', '2026-05-02 07:01:26'), (15, 'Gum Disease', 'gum-disease', NULL, NULL, 3, 4, NULL, 10, 'enabled', 1, 1, '2026-05-02 07:07:08', '2026-05-02 07:07:08'), (16, 'Invisalign', 'invisalign', NULL, NULL, 3, 3, NULL, 11, 'enabled', 1, 1, '2026-05-02 07:16:26', '2026-05-02 07:16:26'), (17, 'Orthodontics', 'orthodontics', NULL, NULL, 3, 4, NULL, 12, 'enabled', 1, 1, '2026-05-02 07:18:16', '2026-05-02 07:18:16'), (18, 'Porcelain Veneers', 'porcelain-veneers', NULL, NULL, 3, 4, NULL, 13, 'enabled', 1, 1, '2026-05-02 07:22:36', '2026-05-02 07:22:36'), (19, 'Restorative Dentistry', 'restorative-dentistry', NULL, NULL, 3, 4, NULL, 14, 'enabled', 1, 1, '2026-05-02 07:29:15', '2026-05-02 07:29:15'), (20, 'Root Canal Treatment', 'root-canal-treatment', NULL, NULL, 3, 4, NULL, 15, 'enabled', 1, 1, '2026-05-02 07:33:40', '2026-05-02 07:33:40'), (21, 'Sedation Dentistry', 'sedation-dentistry', NULL, NULL, 3, 4, NULL, 16, 'enabled', 1, 1, '2026-05-02 07:37:48', '2026-05-02 07:37:48'), (22, 'Teeth Whitening', 'teeth-whitening', NULL, NULL, 3, 4, NULL, 17, 'enabled', 1, 1, '2026-05-02 07:41:48', '2026-05-02 07:41:48'), (23, 'About Us', 'about-us', NULL, NULL, 0, 6, NULL, 0, 'enabled', 1, 1, '2026-05-02 07:48:34', '2026-05-02 07:48:34'), (24, 'Our Locations', 'our-locations', NULL, NULL, 0, 7, NULL, 0, 'enabled', 1, 1, '2026-05-02 08:12:27', '2026-05-02 08:12:27'), (25, 'Reviews', 'reviews', NULL, NULL, 0, 9, NULL, 0, 'enabled', 1, 1, '2026-05-02 08:13:10', '2026-05-02 08:13:10'), (26, 'Thank You!', 'ty-contact-us', '
Success! Your form has been submitted. We\'ll be in touch shortly
', NULL, 0, 2, 'Used for Contact Us Form Page', 0, 'enabled', 1, 1, '2026-05-02 10:48:12', '2026-05-02 10:48:12'), (27, 'Oakville Dentist', 'oakville-dentist', NULL, NULL, 0, 10, NULL, 0, 'enabled', 1, 1, '2026-05-08 23:33:28', '2026-05-08 23:33:28'), (28, 'Burlington Dentist', 'burlington-dentist', NULL, NULL, 0, 11, NULL, 0, 'enabled', 1, 1, '2026-05-08 23:33:53', '2026-05-08 23:33:53'), (29, 'Mississauga Dentist', 'mississauga-dentist', NULL, NULL, 0, 12, NULL, 0, 'enabled', 1, 1, '2026-05-08 23:34:08', '2026-05-08 23:34:08'), (30, 'Oakville New Patient Form', 'oakville', NULL, NULL, 0, 13, NULL, 0, 'enabled', 1, 1, '2026-05-13 09:34:04', '2026-05-13 09:47:14'), (31, 'Burlington New Patient Form', 'burlington', NULL, NULL, 0, 13, NULL, 0, 'enabled', 1, 1, '2026-05-13 09:34:04', '2026-05-13 09:47:14'), (32, 'Mississauga New Patient Form', 'mississauga', NULL, NULL, 0, 13, NULL, 0, 'enabled', 1, 1, '2026-05-13 09:34:04', '2026-05-13 09:47:14'), (33, 'Thank You!', 'ty-new-patient-form', '
Success! Your form has been submitted. We\'ll be in touch shortly
', NULL, 0, 2, 'Used for New Patient Form Page', 0, 'enabled', 1, 1, '2026-05-14 10:48:12', '2026-05-14 10:48:12'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_password_reset_tokens` -- CREATE TABLE `cdt_password_reset_tokens` ( `email` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `token` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `created_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_personal_access_tokens` -- CREATE TABLE `cdt_personal_access_tokens` ( `id` bigint UNSIGNED NOT NULL, `tokenable_type` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `tokenable_id` bigint UNSIGNED NOT NULL, `name` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `token` varchar(64) COLLATE utf8mb4_unicode_ci NOT NULL, `abilities` text COLLATE utf8mb4_unicode_ci, `last_used_at` timestamp NULL DEFAULT NULL, `expires_at` timestamp NULL DEFAULT NULL, `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -------------------------------------------------------- -- -- Table structure for table `cdt_role_module_method_rights` -- CREATE TABLE `cdt_role_module_method_rights` ( `role_module_method_right_id` int UNSIGNED NOT NULL, `role_id` int NOT NULL, `module_id` int NOT NULL, `method_id` int NOT NULL, `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL, `deleted_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_role_module_method_rights` -- INSERT INTO `cdt_role_module_method_rights` (`role_module_method_right_id`, `role_id`, `module_id`, `method_id`, `created_at`, `updated_at`, `deleted_at`) VALUES (1, 1, 1, 1, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (2, 1, 2, 2, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (3, 1, 2, 3, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (4, 1, 2, 4, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (5, 1, 3, 21, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (6, 1, 3, 22, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (7, 1, 3, 23, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (8, 1, 3, 24, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (9, 1, 3, 25, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (10, 1, 3, 26, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (11, 1, 3, 27, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (12, 1, 3, 28, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (13, 1, 3, 29, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (14, 1, 3, 30, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (15, 1, 4, 41, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (16, 1, 4, 42, '2026-05-01 02:01:41', '2026-05-01 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'2026-05-01 02:01:41', NULL), (60, 1, 16, 164, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (61, 1, 56, 561, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (62, 1, 56, 562, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (63, 1, 56, 563, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (64, 1, 56, 564, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (65, 1, 56, 565, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (66, 1, 56, 566, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (67, 1, 56, 567, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (68, 1, 59, 591, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (69, 1, 59, 592, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (70, 1, 59, 593, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL), (71, 1, 59, 594, '2026-05-01 02:01:41', '2026-05-01 02:01:41', NULL); -- -------------------------------------------------------- -- -- Table structure for table `cdt_seo_meta` -- CREATE TABLE `cdt_seo_meta` ( `id` bigint UNSIGNED NOT NULL, `seoable_type` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `seoable_id` bigint UNSIGNED NOT NULL, `meta_title` varchar(500) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `meta_description` text COLLATE utf8mb4_unicode_ci, `meta_keywords` varchar(500) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `og_title` varchar(255) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `og_description` text COLLATE utf8mb4_unicode_ci, `og_image` varchar(512) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `canonical_url` varchar(512) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `noindex` tinyint(1) NOT NULL DEFAULT '0', `nofollow` tinyint(1) NOT NULL DEFAULT '0', `structured_data` json DEFAULT NULL, `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_seo_meta` -- INSERT INTO `cdt_seo_meta` (`id`, `seoable_type`, `seoable_id`, `meta_title`, `meta_description`, `meta_keywords`, `og_title`, `og_description`, `og_image`, `canonical_url`, `noindex`, `nofollow`, `structured_data`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 'Page', 1, 'Chagger Dental | The Clinical Sanctuary', NULL, NULL, NULL, NULL, NULL, NULL, 0, 0, NULL, 1, 1, '2026-05-01 02:24:30', '2026-05-01 02:24:30'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_settings` -- CREATE TABLE `cdt_settings` ( `stng_id` int UNSIGNED NOT NULL, `field_type` enum('','image','text','textarea','editor','radio','dropdown','password') COLLATE utf8mb4_unicode_ci NOT NULL, `field_label` varchar(64) COLLATE utf8mb4_unicode_ci DEFAULT NULL, `option_key` varchar(64) COLLATE utf8mb4_unicode_ci NOT NULL, `option_value` text COLLATE utf8mb4_unicode_ci, `options_label` text COLLATE utf8mb4_unicode_ci COMMENT 'Must be in JSON format.', `options_value` text COLLATE utf8mb4_unicode_ci COMMENT 'Must be in JSON format.', `type` enum('','general','mail_setting','custom') COLLATE utf8mb4_unicode_ci NOT NULL, `field_info` text COLLATE utf8mb4_unicode_ci, `is_required` enum('false','true') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'false', `c_order` int NOT NULL DEFAULT '0', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `updated_id` int NOT NULL DEFAULT '0', `updated_at` timestamp NOT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_settings` -- INSERT INTO `cdt_settings` (`stng_id`, `field_type`, `field_label`, `option_key`, `option_value`, `options_label`, `options_value`, `type`, `field_info`, `is_required`, `c_order`, `status`, `updated_id`, `updated_at`) VALUES (1, 'text', 'Title', 'title', 'Chagger Dental', NULL, NULL, 'general', '', 'true', 1, 'enabled', 1, '2026-05-01 02:15:59'), (2, 'image', 'Logo', 'logo', 'dental-logo-1777616159.png', NULL, NULL, 'general', 'Accepted image formats: WEBP, SVG, JPG/JPEG, and PNG.
For best results, image size should be less than 250KB and have recommended dimensions of Width = 174px and Height = 105px.', 'false', 2, 'enabled', 1, '2026-05-01 02:16:00'), (3, 'text', 'Copyright Text', 'copyright_text', '© {#year} Chagger Dental. All rights reserved.', NULL, NULL, 'general', 'Use \'{#year}\' as a placeholder instead of a static year value.', 'true', 3, 'enabled', 1, '2026-05-01 02:16:00'), (21, 'dropdown', 'Mail Send', 'mail_send', '1', '[\"No\", \"Yes\"]', '[0, 1]', 'mail_setting', '', 'true', 1, 'enabled', 1, '2026-05-01 02:18:14'), (22, 'dropdown', 'SMTP Secure', 'smtp_secure', 'tls', '[\"TLS\", \"SSL\"]', '[\"tls\", \"ssl\"]', 'mail_setting', 'If you are using a secure domain, select SSL; otherwise, use TLS.
For Gmail or Microsoft, secure transfer (SSL/TLS) is required.
If no security type is needed, leave the field blank.', 'true', 2, 'enabled', 1, '2026-05-01 02:18:14'), (23, 'text', 'SMTP Hostname', 'smtp_hostname', 'smtp.gmail.com', NULL, NULL, 'mail_setting', 'Hostname of the mail server:
● If the email is sent from your own server, use the domain name (e.g., tassite.com).
● If using Gmail, use smtp.gmail.com.
● If using Microsoft, use smtp.office365.com.
Please confirm the correct settings with your email service provider before proceeding.', 'true', 3, 'enabled', 1, '2026-05-01 02:18:14'), (24, 'text', 'SMTP Port', 'smtp_port', '587', NULL, NULL, 'mail_setting', 'SMTP Port Configuration:
Common ports: 25, 80, 465, or 587.
● If the email is sent from your own server, use port 25 or 80.
● For Gmail or Microsoft services, use port 465 (for SSL) or 587 (for TLS).
Ensure the selected port aligns with the security protocol and is supported by your email service provider.', 'true', 4, 'enabled', 1, '2026-05-01 02:18:14'), (25, 'text', 'SMTP Username', 'smtp_username', 'dentalchagger@gmail.com', NULL, NULL, 'mail_setting', 'Username for SMTP authentication should be a valid email address associated with your domain.', 'true', 5, 'enabled', 1, '2026-05-01 02:18:14'), (26, 'password', 'SMTP Password', 'smtp_password', 'eyJpdiI6IjBUSytlYUcvb004RWFvQS83cnBGcWc9PSIsInZhbHVlIjoiVWpqYTFnU0g2UUZDaG1sanJhcSswNnJLRXkrWlUrM001MGZJTG8zMjFSMD0iLCJtYWMiOiIwNTNhN2ZjNTA3ZmNkOTRhM2RmYTc0NDE0ZTdjZDcxNzBmOGFkNThiOTlkNDM3ZDI0YzU0OTMyMzhlMDdkZmQ4IiwidGFnIjoiIn0=', NULL, NULL, 'mail_setting', 'SMTP Authentication Password (Password for the above email):
This needs to be entered only once initially. You will need to update it again only if the email password is changed or if the email ID itself is replaced.', 'false', 6, 'enabled', 1, '2026-05-01 02:18:14'), (27, 'text', 'From Name', 'from_name', 'Chagger Dental', NULL, NULL, 'mail_setting', 'The display name that will appear as the sender in all outgoing emails from the website (e.g., TAS Technologies). This name will be used as a fallback if not defined within the individual Email Templates.', 'true', 7, 'enabled', 1, '2026-05-01 02:18:14'), (28, 'text', 'From Email Address', 'from_email', 'info@chaggerdental.com', NULL, NULL, 'mail_setting', 'A valid email address is required.
The email address that will appear as the sender in all outgoing emails from the website (e.g., noreply@domain.com). This address will be used as a fallback if not defined within the individual Email Templates.', 'true', 8, 'enabled', 1, '2026-05-01 02:18:14'), (29, 'text', 'To Email Address', 'to_email', 'vikash@tastechnologies.com', NULL, NULL, 'mail_setting', 'A valid email address is required.
The default recipient address for website-related communications (e.g., info@domain.com). This includes contact form inquiries, system messages, etc. It will act as a fallback if not specified in individual Email Templates.', 'true', 9, 'enabled', 1, '2026-05-01 02:18:14'), (30, 'textarea', 'Email Template Header', 'email_template_header', '\r\n\r\n\r\n\r\nAppointment Request\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
\r\n\r\n\r\n \r\n \r\n \r\n \r\n ', NULL, NULL, 'mail_setting', 'Define the common header part shared across all email templates to prevent repetition.', 'false', 10, 'enabled', 1, '2026-05-01 02:18:14'), (31, 'textarea', 'Email Template Footer', 'email_template_footer', '\r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n \r\n \r\n\r\n
\r\n \r\n
\r\n Note: Please do not reply to this email.\r\n
\r\n \r\n \r\n \r\n \r\n \r\n\r\n \r\n \r\n\r\n \r\n
\r\n Email: info@chaggerdental.com\r\n \r\n Call Us: 905-257-2221\r\n
\r\n
\r\n © 2026 Chagger Dental, All Rights Reserved.\r\n
\r\n\r\n
\r\n\r\n', NULL, NULL, 'mail_setting', 'Define the common footer part shared across all email templates to prevent repetition.', 'false', 11, 'enabled', 1, '2026-05-01 02:18:14'); -- -------------------------------------------------------- -- -- Table structure for table `cdt_template` -- CREATE TABLE `cdt_template` ( `template_id` int UNSIGNED NOT NULL, `name` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `blade_file` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `route_path` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `controller_name` varchar(255) COLLATE utf8mb4_unicode_ci NOT NULL, `controller_logic` varchar(128) COLLATE utf8mb4_unicode_ci NOT NULL, `module_id` int NOT NULL, `device_type` enum('web','api','app') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'web', `status` enum('enabled','disabled') COLLATE utf8mb4_unicode_ci NOT NULL DEFAULT 'enabled', `created_id` int NOT NULL DEFAULT '0', `updated_id` int NOT NULL DEFAULT '0', `created_at` timestamp NULL DEFAULT NULL, `updated_at` timestamp NULL DEFAULT NULL ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci; -- -- Dumping data for table `cdt_template` -- INSERT INTO `cdt_template` (`template_id`, `name`, `blade_file`, `route_path`, `controller_name`, `controller_logic`, `module_id`, `device_type`, `status`, `created_id`, `updated_id`, `created_at`, `updated_at`) VALUES (1, 'Home Template', 'index', '/', 'WebEnquiryController', 'render', 15, 'web', 'enabled', 1, 1, '2026-05-01 02:23:03', '2026-05-01 08:48:38'), (2, 'Thank You Template', 'thank-you', 'thank-you/{slug}', 'WebPageController', 'thankYouData', 15, 'web', 'enabled', 1, 1, '2026-05-01 11:23:00', '2026-05-01 11:23:00'), (3, 'Services Template', 'services', 'services', 'WebPageController', 'servicesData', 15, 'web', 'enabled', 1, 1, '2026-05-01 13:30:56', '2026-05-01 13:30:56'), (4, 'Service Detail Template', 'service', 'service/{slug}', 'WebEnquiryController', 'serviceData', 15, 'web', 'enabled', 1, 1, '2026-05-01 13:32:50', '2026-05-02 02:00:35'), (5, 'Book Appointment Template', 'book-appointment', 'book-appointment', 'WebEnquiryController', 'bookAppointment', 15, 'web', 'enabled', 1, 1, '2026-05-02 02:41:55', '2026-05-02 02:41:55'), (6, 'About Us Template', 'about', 'about', 'WebPageController', 'aboutData', 15, 'web', 'enabled', 1, 1, '2026-05-02 07:48:07', '2026-05-02 07:48:07'), (7, 'Locations Template', 'locations', 'locations', 'WebEnquiryController', 'locationsData', 15, 'web', 'enabled', 1, 1, '2026-05-02 08:03:26', '2026-05-02 08:40:06'), (8, 'Location Detail Template', 'location', 'location/{slug}', 'WebEnquiryController', 'locationData', 15, 'web', 'enabled', 1, 1, '2026-05-02 08:10:28', '2026-05-02 08:40:17'), (9, 'Reviews Template', 'reviews', 'reviews', 'WebPageController', 'reviewsData', 15, 'web', 'enabled', 1, 1, '2026-05-02 08:11:17', '2026-05-02 08:11:17'), (10, 'Oakville Dentist Template', 'oakville-dentist', 'oakville-dentist', 'WebEnquiryController', 'oakvilleDentist', 15, 'web', 'enabled', 1, 1, '2026-05-08 23:29:14', '2026-05-08 23:50:34'), (11, 'Burlington Dentist Template', 'burlington-dentist', 'burlington-dentist', 'WebEnquiryController', 'burlingtonDentist', 15, 'web', 'enabled', 1, 1, '2026-05-08 23:30:36', '2026-05-08 23:50:40'), (12, 'Mississauga Dentist Template', 'mississauga-dentist', 'mississauga-dentist', 'WebEnquiryController', 'mississaugaDentist', 15, 'web', 'enabled', 1, 1, '2026-05-08 23:31:31', '2026-05-08 23:50:46'), (13, 'New Patient Form Template', 'new-patient-form', 'new-patient-form/{locationSlug?}', 'WebEnquiryController', 'newPatientForm', 15, 'web', 'enabled', 1, 1, '2026-05-13 09:33:34', '2026-05-13 09:40:40'); -- -- Indexes for dumped tables -- -- -- Indexes for table `cdt_admin` -- ALTER TABLE `cdt_admin` ADD PRIMARY KEY (`admin_id`), ADD UNIQUE KEY `cdt_admin_username_unique` (`username`), ADD UNIQUE KEY `cdt_admin_email_unique` (`email`); -- -- Indexes for table `cdt_admin_access_logs` -- ALTER TABLE `cdt_admin_access_logs` ADD PRIMARY KEY (`id`), ADD KEY `cdt_admin_access_logs_admin_id_index` (`admin_id`), ADD KEY `cdt_admin_access_logs_role_id_index` (`role_id`), ADD KEY `cdt_admin_access_logs_username_index` (`username`), ADD KEY `cdt_admin_access_logs_ip_address_index` (`ip_address`), ADD KEY `cdt_admin_access_logs_accessed_at_index` (`accessed_at`); -- -- Indexes for table `cdt_admin_role` -- ALTER TABLE `cdt_admin_role` ADD PRIMARY KEY (`role_id`), ADD UNIQUE KEY `cdt_admin_role_title_unique` (`title`); -- -- Indexes for table `cdt_clinics` -- ALTER TABLE `cdt_clinics` ADD PRIMARY KEY (`clinic_id`), ADD UNIQUE KEY `cdt_clinics_slug_unique` (`slug`); -- -- Indexes for table `cdt_custom_field` -- ALTER TABLE `cdt_custom_field` ADD PRIMARY KEY (`custom_field_id`), ADD UNIQUE KEY `unq_fn_t` (`field_name`,`type`); -- -- Indexes for table `cdt_custom_field_group` -- ALTER TABLE `cdt_custom_field_group` ADD PRIMARY KEY (`cf_group_id`); -- -- Indexes for table `cdt_custom_field_group_custom_field` -- ALTER TABLE `cdt_custom_field_group_custom_field` ADD PRIMARY KEY (`cfgc_field_id`), ADD UNIQUE KEY `cfg_cf_id` (`cf_group_id`,`custom_field_id`); -- -- Indexes for table `cdt_custom_field_group_template` -- ALTER TABLE `cdt_custom_field_group_template` ADD PRIMARY KEY (`cfg_template_id`), ADD UNIQUE KEY `cfg_t_id` (`cf_group_id`,`template_id`); -- -- Indexes for table `cdt_custom_field_value` -- ALTER TABLE `cdt_custom_field_value` ADD PRIMARY KEY (`cf_value_id`); -- -- Indexes for table `cdt_email_template` -- ALTER TABLE `cdt_email_template` ADD PRIMARY KEY (`et_id`); -- -- Indexes for table `cdt_failed_jobs` -- ALTER TABLE `cdt_failed_jobs` ADD PRIMARY KEY (`id`), ADD UNIQUE KEY `cdt_failed_jobs_uuid_unique` (`uuid`); -- -- Indexes for table `cdt_forms` -- ALTER TABLE `cdt_forms` ADD PRIMARY KEY (`id`), ADD UNIQUE KEY `cdt_forms_form_slug_unique` (`form_slug`), ADD KEY `cdt_forms_form_slug_index` (`form_slug`), ADD KEY `cdt_forms_status_index` (`status`); -- -- Indexes for table `cdt_form_fields` -- ALTER TABLE `cdt_form_fields` ADD PRIMARY KEY (`id`), ADD KEY `cdt_form_fields_field_name_index` (`field_name`), ADD KEY `cdt_form_fields_status_index` (`status`), ADD KEY `cdt_form_fields_form_id_order_index` (`form_id`,`order`); -- -- Indexes for table `cdt_form_submissions` -- ALTER TABLE `cdt_form_submissions` ADD PRIMARY KEY (`id`), ADD KEY `cdt_form_submissions_form_id_index` (`form_id`), ADD KEY `cdt_form_submissions_status_index` (`status`); -- -- Indexes for table `cdt_form_submission_values` -- ALTER TABLE `cdt_form_submission_values` ADD PRIMARY KEY (`id`), ADD KEY `cdt_form_submission_values_field_name_index` (`field_name`), ADD KEY `cdt_form_submission_values_submission_id_field_name_index` (`submission_id`,`field_name`); -- -- Indexes for table `cdt_migrations` -- ALTER TABLE `cdt_migrations` ADD PRIMARY KEY (`id`); -- -- Indexes for table `cdt_modules` -- ALTER TABLE `cdt_modules` ADD PRIMARY KEY (`module_id`), ADD UNIQUE KEY `cdt_modules_title_class_name_unique` (`title`,`class_name`); -- -- Indexes for table `cdt_module_class` -- ALTER TABLE `cdt_module_class` ADD PRIMARY KEY (`class_id`), ADD UNIQUE KEY `cdt_module_class_class_name_unique` (`class_name`), ADD UNIQUE KEY `cdt_module_class_slug_unique` (`slug`); -- -- Indexes for table `cdt_module_methods` -- ALTER TABLE `cdt_module_methods` ADD PRIMARY KEY (`method_id`); -- -- Indexes for table `cdt_page` -- ALTER TABLE `cdt_page` ADD PRIMARY KEY (`page_id`), ADD UNIQUE KEY `cdt_page_slug_unique` (`slug`); -- -- Indexes for table `cdt_password_reset_tokens` -- ALTER TABLE `cdt_password_reset_tokens` ADD PRIMARY KEY (`email`); -- -- Indexes for table `cdt_personal_access_tokens` -- ALTER TABLE `cdt_personal_access_tokens` ADD PRIMARY KEY (`id`), ADD UNIQUE KEY `cdt_personal_access_tokens_token_unique` (`token`), ADD KEY `cdt_personal_access_tokens_tokenable_type_tokenable_id_index` (`tokenable_type`,`tokenable_id`); -- -- Indexes for table `cdt_role_module_method_rights` -- ALTER TABLE `cdt_role_module_method_rights` ADD PRIMARY KEY (`role_module_method_right_id`), ADD UNIQUE KEY `r_m_m_id` (`role_id`,`module_id`,`method_id`); -- -- Indexes for table `cdt_seo_meta` -- ALTER TABLE `cdt_seo_meta` ADD PRIMARY KEY (`id`), ADD KEY `cdt_seo_meta_seoable_type_seoable_id_index` (`seoable_type`,`seoable_id`); -- -- Indexes for table `cdt_settings` -- ALTER TABLE `cdt_settings` ADD PRIMARY KEY (`stng_id`); -- -- Indexes for table `cdt_template` -- ALTER TABLE `cdt_template` ADD PRIMARY KEY (`template_id`), ADD UNIQUE KEY `unq_dt_rp` (`device_type`,`route_path`), ADD UNIQUE KEY `unq_cn_cl` (`controller_name`,`controller_logic`); -- -- AUTO_INCREMENT for dumped tables -- -- -- AUTO_INCREMENT for table `cdt_admin` -- ALTER TABLE `cdt_admin` MODIFY `admin_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=2; -- -- AUTO_INCREMENT for table `cdt_admin_access_logs` -- ALTER TABLE `cdt_admin_access_logs` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_admin_role` -- ALTER TABLE `cdt_admin_role` MODIFY `role_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=2; -- -- AUTO_INCREMENT for table `cdt_clinics` -- ALTER TABLE `cdt_clinics` MODIFY `clinic_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=4; -- -- AUTO_INCREMENT for table `cdt_custom_field` -- ALTER TABLE `cdt_custom_field` MODIFY `custom_field_id` int UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_custom_field_group` -- ALTER TABLE `cdt_custom_field_group` MODIFY `cf_group_id` int UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_custom_field_group_custom_field` -- ALTER TABLE `cdt_custom_field_group_custom_field` MODIFY `cfgc_field_id` bigint UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_custom_field_group_template` -- ALTER TABLE `cdt_custom_field_group_template` MODIFY `cfg_template_id` bigint UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_custom_field_value` -- ALTER TABLE `cdt_custom_field_value` MODIFY `cf_value_id` bigint UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_email_template` -- ALTER TABLE `cdt_email_template` MODIFY `et_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=10; -- -- AUTO_INCREMENT for table `cdt_failed_jobs` -- ALTER TABLE `cdt_failed_jobs` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_forms` -- ALTER TABLE `cdt_forms` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=5; -- -- AUTO_INCREMENT for table `cdt_form_fields` -- ALTER TABLE `cdt_form_fields` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=120; -- -- AUTO_INCREMENT for table `cdt_form_submissions` -- ALTER TABLE `cdt_form_submissions` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=42; -- -- AUTO_INCREMENT for table `cdt_form_submission_values` -- ALTER TABLE `cdt_form_submission_values` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=2677; -- -- AUTO_INCREMENT for table `cdt_migrations` -- ALTER TABLE `cdt_migrations` MODIFY `id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=26; -- -- AUTO_INCREMENT for table `cdt_modules` -- ALTER TABLE `cdt_modules` MODIFY `module_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=60; -- -- AUTO_INCREMENT for table `cdt_module_class` -- ALTER TABLE `cdt_module_class` MODIFY `class_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=60; -- -- AUTO_INCREMENT for table `cdt_module_methods` -- ALTER TABLE `cdt_module_methods` MODIFY `method_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=595; -- -- AUTO_INCREMENT for table `cdt_page` -- ALTER TABLE `cdt_page` MODIFY `page_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=34; -- -- AUTO_INCREMENT for table `cdt_personal_access_tokens` -- ALTER TABLE `cdt_personal_access_tokens` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT; -- -- AUTO_INCREMENT for table `cdt_role_module_method_rights` -- ALTER TABLE `cdt_role_module_method_rights` MODIFY `role_module_method_right_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=72; -- -- AUTO_INCREMENT for table `cdt_seo_meta` -- ALTER TABLE `cdt_seo_meta` MODIFY `id` bigint UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=2; -- -- AUTO_INCREMENT for table `cdt_settings` -- ALTER TABLE `cdt_settings` MODIFY `stng_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=32; -- -- AUTO_INCREMENT for table `cdt_template` -- ALTER TABLE `cdt_template` MODIFY `template_id` int UNSIGNED NOT NULL AUTO_INCREMENT, AUTO_INCREMENT=14; 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