200
| <![CDATA[<form method="post" action="https://tresbarras.sc.gov.br/control/email/emailCovid.php" >]]>
|
236
| <![CDATA[<select name="sexo" style="background: #fff; color:#000; padding: 3px;" required="" >
<option >Selecione</option>
<option value="MASCULINO">Masculino</option>
<option value="FEMENINO">Femenino</option>
</select>]]>
|
266
| <![CDATA[<select name="diabetes" style="background: #fff; color:#000; padding: 3px;" required="" >
<option >Selecione</option>
<option value="SIM">Sim</option>
<option value="NÃO">Não</option>
</select>]]>
|
274
| <![CDATA[<select name="hipertensao" style="background: #fff; color:#000; padding: 3px;" required="" >
<option >Selecione</option>
<option value="SIM">Sim</option>
<option value="NÃO">Não</option>
</select>]]>
|
282
| <![CDATA[<select name="gestante" style="background: #fff; color:#000; padding: 3px;" required="" >
<option >Selecione</option>
<option value="SIM">Sim</option>
<option value="NÃO">Não</option>
<option value="NÃO SE APLICA">Não se Aplica</option>
</select>]]>
|
291
| <![CDATA[<select name="asma" style="background: #fff; color:#000; padding: 3px;" required="" >
<option >Selecione</option>
<option value="SIM">Sim</option>
<option value="NÃO">Não</option>
</select>]]>
|
299
| <![CDATA[<select name="autoeimune" style="background: #fff; color:#000; padding: 3px;" required="" >
<option >Selecione</option>
<option value="SIM">Sim</option>
<option value="NÃO">Não</option>
</select>]]>
|