208
| <![CDATA[<input type="text" placeholder="NOME COMPLETO:" name="nome" class="form-control" required="" autofocus="">]]>
|
210
| <![CDATA[<div class="form-group">]]>
|
212
| <![CDATA[<input type="text" placeholder="ENDEREÃO:" name="endereco" class="form-control" required="" >]]>
|
214
| <![CDATA[<div class="form-group">]]>
|
216
| <![CDATA[<input type="number" placeholder="NÃMERO:" name="numero" class="form-control" required="" >]]>
|
218
| <![CDATA[<div class="form-group">]]>
|
220
| <![CDATA[<input type="text" placeholder="BAIRRO:" name="bairro" class="form-control" required="" >]]>
|
222
| <![CDATA[<div class="form-group">]]>
|
224
| <![CDATA[<input type="text" placeholder="CNS: (CARTEIRA NACIONAL DE SAÃDE)" name="cns" class="form-control" required="">]]>
|
226
| <![CDATA[<div class="form-group">]]>
|
228
| <![CDATA[<input type="text" placeholder="CPF:" name="cpf" class="form-control" required="" onkeydown="javascript: fMasc( this, mCPF );">]]>
|
230
| <![CDATA[<div class="form-group">]]>
|