{"id":1293,"date":"2025-07-22T12:44:53","date_gmt":"2025-07-22T10:44:53","guid":{"rendered":"https:\/\/rayner.com\/de\/?page_id=1293"},"modified":"2025-07-22T13:02:08","modified_gmt":"2025-07-22T11:02:08","slug":"bestellung","status":"publish","type":"page","link":"https:\/\/rayner.com\/de\/bestellung\/","title":{"rendered":"Bestellung"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_11' style='display:none'><div id='gf_11' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Bestellung f\u00fcr Intraokularlinsen<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u201e<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u201c zeigt erforderliche Felder an<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_11'  action='\/de\/wp-json\/wp\/v2\/pages\/1293#gf_11' data-formid='11' novalidate><input id=\"gpnf_session_hash_11\" type=\"hidden\" name=\"gpnf_session_hash\" value=\"4f0242bb5bff\"><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Ldev1cdAAAAABoxcm8WyH5hBdbWJGVT9mqut2m_' data-tabindex='0'><input id=\"input_cfae3b0ebe4a953f72fa3718381dbca1\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_cfae3b0ebe4a953f72fa3718381dbca1\" value=\"\"\/><\/div><input type='hidden' class='gform_hidden' name='gnd_token' id='gnd_token' autocomplete='off' value='20260921043548-942d4b123717ea26a1e21eb92f150ad8376fa7e4' \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_2\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_2'><span class='gform-field-label__text'>Kunden-Nr:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_11_2' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_35\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_35'><span class='gform-field-label__text'>E-Mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_35' id='input_11_35' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_11_1\" class=\"gfield gfield--type-address gfield--width-full bestellung-form gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Lieferanschrift<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_11_1' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_11_1_1_container' >\n                                        <input type='text' name='input_1.1' id='input_11_1_1' value=''    aria-required='true'    \/>\n                                        <label for='input_11_1_1' id='input_11_1_1_label' class='gform-field-label gform-field-label--type-sub '>Klinik<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_11_1_2_container' >\n                                        <input type='text' name='input_1.2' id='input_11_1_2' value=''     aria-required='false'   \/>\n                                        <label for='input_11_1_2' id='input_11_1_2_label' class='gform-field-label gform-field-label--type-sub '>Stra\u00dfe<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_11_1_3_container' >\n                                    <input type='text' name='input_1.3' id='input_11_1_3' value=''    aria-required='true'    \/>\n                                    <label for='input_11_1_3' id='input_11_1_3_label' class='gform-field-label gform-field-label--type-sub '>Stadt<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_11_1_4_container' >\n                                        <input type='text' name='input_1.4' id='input_11_1_4' value=''      aria-required='true'    \/>\n                                        <label for='input_11_1_4' id='input_11_1_4_label' class='gform-field-label gform-field-label--type-sub '>Bundesland \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_11_1_5_container' >\n                                    <input type='text' name='input_1.5' id='input_11_1_5' value=''    aria-required='true'    \/>\n                                    <label for='input_11_1_5' id='input_11_1_5_label' class='gform-field-label gform-field-label--type-sub '>Postleitzahl<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_11_1_6_container' >\n                                        <select name='input_1.6' id='input_11_1_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='EG' >\u00c4gypten<\/option><option value='AX' >\u00c5landinseln<\/option><option value='AL' >Albanien<\/option><option value='DZ' >Algerien<\/option><option value='AS' >Amerikanisch-Samoa<\/option><option value='VI' >Amerikanische Jungferninseln<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarktis<\/option><option value='AG' >Antigua und Barbuda<\/option><option value='GQ' >\u00c4quatorial Guinea<\/option><option value='AR' >Argentinien<\/option><option value='AM' >Armenien<\/option><option value='AW' >Aruba<\/option><option value='AZ' >Aserbaidschan<\/option><option value='ET' >\u00c4thopien<\/option><option value='AU' >Australien<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BE' >Belgien<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivien<\/option><option value='BA' >Bosnien und Herzegowina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvetinsel<\/option><option value='BR' >Brasilien<\/option><option value='VG' >Britische Jungferninseln<\/option><option value='IO' >Britisches Territorium im Indischen Ozean<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgarien<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KY' >Caymen Inseln<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CK' >Cookinseln<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >D\u00e4nemark<\/option><option value='LA' >Demokratische Volksrepublik Laos<\/option><option value='DE' selected='selected'>Deutschland<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominikanische Republik<\/option><option value='EC' >Ecuador<\/option><option value='SV' >El Salvador<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estland<\/option><option value='SZ' >Eswatini<\/option><option value='FK' >Falklandinseln<\/option><option value='FO' >F\u00e4r\u00f6er-Inseln<\/option><option value='FJ' >Fidschi<\/option><option value='FI' >Finnland<\/option><option value='FR' >Frankreich<\/option><option value='GF' >Franz\u00f6sisch-Guayana<\/option><option value='PF' >Franz\u00f6sisch-Polynesien<\/option><option value='TF' >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value='WF' >Futuna (Wallis und Futuna)<\/option><option value='GA' >Gabun<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Grenada<\/option><option value='GR' >Griechenland<\/option><option value='GL' >Gr\u00f6nland<\/option><option value='GB' >Gro\u00dfbritannien<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard und McDonaldinseln<\/option><option value='VA' >Heiliger Stuhl<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hongkong<\/option><option value='IN' >Indien<\/option><option value='ID' >Indonesien<\/option><option value='IQ' >Irak<\/option><option value='IR' >Iran<\/option><option value='IE' >Irland<\/option><option value='IS' >Island<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italien<\/option><option value='JM' >Jamaika<\/option><option value='JP' >Japan<\/option><option value='YE' >Jemen<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordanien<\/option><option value='KH' >Kambodscha<\/option><option value='CM' >Kamerun<\/option><option value='CA' >Kanada<\/option><option value='CV' >Kap Verde<\/option><option value='BQ' >Karibische Niederlande<\/option><option value='KZ' >Kasachstan<\/option><option value='QA' >Katar<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirgistan<\/option><option value='KI' >Kiribati<\/option><option value='CC' >Kokosinseln<\/option><option value='CO' >Kolumbien<\/option><option value='KM' >Komoren<\/option><option value='CG' >Kongo<\/option><option value='CD' >Kongo, Demokratische Republik des<\/option><option value='KP' >Korea. Demokratische Volksrepublik<\/option><option value='HR' >Kroatien<\/option><option value='CU' >Kuba<\/option><option value='KW' >Kuwait<\/option><option value='LS' >Lesotho<\/option><option value='LV' >Lettland<\/option><option value='LB' >Libanon<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libyen<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Litauen<\/option><option value='LU' >Luxemburg<\/option><option value='MO' >Macau<\/option><option value='MG' >Madagaskar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Malediven<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marokko<\/option><option value='MH' >Marshall-Inseln<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauretanien<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexiko<\/option><option value='FM' >Mikronesien<\/option><option value='MD' >Moldawien<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolei<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mosambik<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NC' >Neukaledonien<\/option><option value='NZ' >Neuseeland<\/option><option value='NI' >Nicaragua<\/option><option value='NL' >Niederlande<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='MP' >N\u00f6rdliche Marianen<\/option><option value='MK' >Nordmazedonien<\/option><option value='NF' >Norfolkinsel<\/option><option value='NO' >Norwegen<\/option><option value='OM' >Oman<\/option><option value='AT' >\u00d6sterreich<\/option><option value='TL' >Osttimor<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Pal\u00e4stina, Bundesstaat<\/option><option value='PW' >Palau<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua Neu Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippinen<\/option><option value='PN' >Pitcairninseln<\/option><option value='PL' >Polen<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='RE' >R\u00e9union<\/option><option value='RW' >Ruanda<\/option><option value='RO' >Rum\u00e4nien<\/option><option value='RU' >Russische F\u00f6deration<\/option><option value='BL' >Saint-Barth\u00e9lemy<\/option><option value='PM' >Saint-Pierre und Miquelon<\/option><option value='SB' >Salomonen<\/option><option value='ZM' >Sambia<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value='SA' >Saudi-Arabien<\/option><option value='SE' >Schweden<\/option><option value='CH' >Schweiz<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbien<\/option><option value='SC' >Seychellen<\/option><option value='SL' >Sierra Leone<\/option><option value='ZW' >Simbabwe<\/option><option value='SG' >Singapur<\/option><option value='SX' >Sint Maarten<\/option><option value='SI' >Slovenien<\/option><option value='SK' >Slowakei<\/option><option value='SO' >Somalia<\/option><option value='ES' >Spanien<\/option><option value='LK' >Sri Lanka<\/option><option value='SH' >St. Helena, Ascension und Tristan da Cunha<\/option><option value='KN' >St. Kitts und Nevis<\/option><option value='LC' >St. Lucia<\/option><option value='MF' >St. Martin<\/option><option value='VC' >St. Vincent und die Grenadinen<\/option><option value='ZA' >S\u00fcdafrika<\/option><option value='SD' >Sudan<\/option><option value='GS' >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value='KR' >S\u00fcdkorea<\/option><option value='SS' >S\u00fcdsudan<\/option><option value='SR' >Surinam<\/option><option value='SJ' >Svalbard und Jan Mayen<\/option><option value='SY' >Syrien, Arabische Republik<\/option><option value='TJ' >Tadschikistan<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tansania, Vereinte Republik<\/option><option value='TH' >Thailand<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad und Tobago<\/option><option value='TD' >Tschad<\/option><option value='CZ' >Tschechien<\/option><option value='TN' >Tunesien<\/option><option value='TR' >T\u00fcrkei<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks- und Caicosinseln<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='HU' >Ungarn<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Usbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='AE' >Vereinigte Arabische Emirate<\/option><option value='US' >Vereinigte Staaten von Amerika<\/option><option value='VN' >Vietnam<\/option><option value='CX' >Weihnachtsinsel<\/option><option value='BY' >Wei\u00dfrussland<\/option><option value='EH' >Westsahara<\/option><option value='CF' >Zentralafrikanische Republik<\/option><option value='CY' >Zypern<\/option><\/select>\n                                        <label for='input_11_1_6' id='input_11_1_6_label' class='gform-field-label gform-field-label--type-sub '>Land<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_11_8\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_8'><span class='gform-field-label__text'>Auftrags-Nr.:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_11_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_11\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_11'><span class='gform-field-label__text'>Bestelldatum<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_11_11' type='text' value='21\/09\/2026' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_11_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Produktauswahl<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_38'><div class='gchoice gchoice_11_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='100C - RayOne Spheric'  id='choice_11_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_1' id='label_11_38_1' class='gform-field-label gform-field-label--type-inline'>100C - RayOne Spheric<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='600C - RayOne Aspheric'  id='choice_11_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_2' id='label_11_38_2' class='gform-field-label gform-field-label--type-inline'>600C - RayOne Aspheric<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='800C - RayOne Hydrophobic'  id='choice_11_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_3' id='label_11_38_3' class='gform-field-label gform-field-label--type-inline'>800C - RayOne Hydrophobic<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.4' type='checkbox'  value='850B - RayOne Hydrophobic BLF'  id='choice_11_38_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_4' id='label_11_38_4' class='gform-field-label gform-field-label--type-inline'>850B - RayOne Hydrophobic BLF<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.5' type='checkbox'  value='610T - RayOne Toric'  id='choice_11_38_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_5' id='label_11_38_5' class='gform-field-label gform-field-label--type-inline'>610T - RayOne Toric<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.6' type='checkbox'  value='200E - RayOne EMV'  id='choice_11_38_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_6' id='label_11_38_6' class='gform-field-label gform-field-label--type-inline'>200E - RayOne EMV<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.7' type='checkbox'  value='210T - RayOne EMV Toric'  id='choice_11_38_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_7' id='label_11_38_7' class='gform-field-label gform-field-label--type-inline'>210T - RayOne EMV Toric<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.8' type='checkbox'  value='605G - RayOne Galaxy'  id='choice_11_38_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_8' id='label_11_38_8' class='gform-field-label gform-field-label--type-inline'>605G - RayOne Galaxy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.9' type='checkbox'  value='615X - RayOne Galaxy Toric'  id='choice_11_38_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_9' id='label_11_38_9' class='gform-field-label gform-field-label--type-inline'>615X - RayOne Galaxy Toric<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.11' type='checkbox'  value='603F - RayOne Trifocal'  id='choice_11_38_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_11' id='label_11_38_11' class='gform-field-label gform-field-label--type-inline'>603F - RayOne Trifocal<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.12' type='checkbox'  value='613Z - RayOne Trifocal Toric'  id='choice_11_38_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_12' id='label_11_38_12' class='gform-field-label gform-field-label--type-inline'>613Z - RayOne Trifocal Toric<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_38_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.13' type='checkbox'  value='Sulcoflex'  id='choice_11_38_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_38_13' id='label_11_38_13' class='gform-field-label gform-field-label--type-inline'>Sulcoflex<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_40\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_40'><span class='gform-field-label__text'>100C - RayOne Spheric<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-44\">\n\t\t\t\t\tDioptrien [RayOne Spheric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-48\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-46\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-47\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f44.label, attr: { 'data-value': f44.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [RayOne Spheric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f48.label, attr: { 'data-value': f48.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f46.label, attr: { 'data-value': f46.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f47.label, attr: { 'data-value': f47.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"8\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"13\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_40\"\n                id=\"input_11_40\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_41\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_41'><span class='gform-field-label__text'>600C - RayOne Aspheric<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-121\">\n\t\t\t\t\tDioptrien [RayOne Aspheric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-125\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-123\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-124\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f121.label, attr: { 'data-value': f121.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [RayOne Aspheric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f125.label, attr: { 'data-value': f125.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f123.label, attr: { 'data-value': f123.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f124.label, attr: { 'data-value': f124.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"8\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"14\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_41\"\n                id=\"input_11_41\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_42\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_42'><span class='gform-field-label__text'>800C -  RayOne Hydrophobic<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-122\">\n\t\t\t\t\tDioptrien [RayOne Hydrophobic]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-126\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-124\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-125\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f122.label, attr: { 'data-value': f122.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [RayOne Hydrophobic]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f126.label, attr: { 'data-value': f126.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f124.label, attr: { 'data-value': f124.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f125.label, attr: { 'data-value': f125.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"8\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"15\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_42\"\n                id=\"input_11_42\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_43\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_43'><span class='gform-field-label__text'>850B - RayOne Hydrophobic BLF<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-123\">\n\t\t\t\t\tDioptrien [RayOne Hydrophobic BLF]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-127\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-125\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-126\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f123.label, attr: { 'data-value': f123.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [RayOne Hydrophobic BLF]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f127.label, attr: { 'data-value': f127.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f125.label, attr: { 'data-value': f125.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f126.label, attr: { 'data-value': f126.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"8\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"16\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_43\"\n                id=\"input_11_43\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_44\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_44'><span class='gform-field-label__text'>610T - RayOne Toric<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-120\">\n\t\t\t\t\tSph\u00e4re  [RayOne Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-45\">\n\t\t\t\t\tZylinder  [RayOne Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-124\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-122\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-123\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f120.label, attr: { 'data-value': f120.label }\"\n\t\t\t\t\tdata-heading=\"Sph\u00e4re  [RayOne Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f45.label, attr: { 'data-value': f45.label }\"\n\t\t\t\t\tdata-heading=\"Zylinder  [RayOne Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f124.label, attr: { 'data-value': f124.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f122.label, attr: { 'data-value': f122.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f123.label, attr: { 'data-value': f123.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"9\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"17\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_44\"\n                id=\"input_11_44\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_45\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_45'><span class='gform-field-label__text'>200E - RayOne EMV<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-124\">\n\t\t\t\t\tDioptrien [RayOne EMV]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-128\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-126\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-127\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f124.label, attr: { 'data-value': f124.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [RayOne EMV]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f128.label, attr: { 'data-value': f128.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f126.label, attr: { 'data-value': f126.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f127.label, attr: { 'data-value': f127.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"8\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"18\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_45\"\n                id=\"input_11_45\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_46\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_46'><span class='gform-field-label__text'>210T - RayOne EMV Toric<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-78\">\n\t\t\t\t\tSph\u00e4re  [RayOne EMV Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-79\">\n\t\t\t\t\tZylinder  [RayOne EMV Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-83\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-81\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-82\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f78.label, attr: { 'data-value': f78.label }\"\n\t\t\t\t\tdata-heading=\"Sph\u00e4re  [RayOne EMV Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f79.label, attr: { 'data-value': f79.label }\"\n\t\t\t\t\tdata-heading=\"Zylinder  [RayOne EMV Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f83.label, attr: { 'data-value': f83.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f81.label, attr: { 'data-value': f81.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f82.label, attr: { 'data-value': f82.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"9\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"19\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_46\"\n                id=\"input_11_46\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_47\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_47'><span class='gform-field-label__text'>605G - RayOne Galaxy<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-125\">\n\t\t\t\t\tDioptrien [RayOne Galaxy]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-129\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-127\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-128\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f125.label, attr: { 'data-value': f125.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [RayOne Galaxy]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f129.label, attr: { 'data-value': f129.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f127.label, attr: { 'data-value': f127.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f128.label, attr: { 'data-value': f128.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"8\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"20\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_47\"\n                id=\"input_11_47\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_48\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_48'><span class='gform-field-label__text'>615X - RayOne Galaxy Toric<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-91\">\n\t\t\t\t\tSph\u00e4re [RayOne Galaxy Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-94\">\n\t\t\t\t\tZylinder [RayOne Galaxy Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-98\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-96\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-97\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f91.label, attr: { 'data-value': f91.label }\"\n\t\t\t\t\tdata-heading=\"Sph\u00e4re [RayOne Galaxy Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f94.label, attr: { 'data-value': f94.label }\"\n\t\t\t\t\tdata-heading=\"Zylinder [RayOne Galaxy Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f98.label, attr: { 'data-value': f98.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f96.label, attr: { 'data-value': f96.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f97.label, attr: { 'data-value': f97.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"9\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"21\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_48\"\n                id=\"input_11_48\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_49\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_49'><span class='gform-field-label__text'>603F - RayOne Trifocal<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-126\">\n\t\t\t\t\tDioptrien [RayOne Trifocal]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-130\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-128\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-129\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f126.label, attr: { 'data-value': f126.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [RayOne Trifocal]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f130.label, attr: { 'data-value': f130.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f128.label, attr: { 'data-value': f128.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f129.label, attr: { 'data-value': f129.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"8\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"22\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_49\"\n                id=\"input_11_49\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_50\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_50'><span class='gform-field-label__text'>613Z - RayOne Trifocal Toric<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-7\">\n\t\t\t\t\tLinsenoptionen [RayOne]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-103\">\n\t\t\t\t\tSph\u00e4re [RayOne Trifocal Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-62\">\n\t\t\t\t\tZylinder [RayOne Trifocal Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-107\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-105\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-106\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [RayOne]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f103.label, attr: { 'data-value': f103.label }\"\n\t\t\t\t\tdata-heading=\"Sph\u00e4re [RayOne Trifocal Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f62.label, attr: { 'data-value': f62.label }\"\n\t\t\t\t\tdata-heading=\"Zylinder [RayOne Trifocal Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f107.label, attr: { 'data-value': f107.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f105.label, attr: { 'data-value': f105.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f106.label, attr: { 'data-value': f106.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"9\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"23\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_50\"\n                id=\"input_11_50\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_39\" class=\"gfield gfield--type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_39'><span class='gform-field-label__text'>Sulcoflex<\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-row_id\">\n\t\t\t\t\tZeilen-ID\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-34\">\n\t\t\t\t\tLinsenoptionen [Sulcoflex]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-127\">\n\t\t\t\t\tDioptrien [Sulcoflex Aspheric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-117\">\n\t\t\t\t\tSph\u00e4re [Sulcoflex Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-119\">\n\t\t\t\t\tZylinder [Sulcoflex Toric]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-128\">\n\t\t\t\t\tDioptrien [Sulcoflex Trifocal]\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-132\">\n\t\t\t\t\tOP-Termin:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-130\">\n\t\t\t\t\tPatienten-ID:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-131\">\n\t\t\t\t\tAchslage:\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-37\">\n\t\t\t\t\tStand by Lens\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Aktionen<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: frow_id.label, attr: { 'data-value': frow_id.label }\"\n\t\t\t\t\tdata-heading=\"Zeilen-ID\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f34.label, attr: { 'data-value': f34.label }\"\n\t\t\t\t\tdata-heading=\"Linsenoptionen [Sulcoflex]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f127.label, attr: { 'data-value': f127.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [Sulcoflex Aspheric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f117.label, attr: { 'data-value': f117.label }\"\n\t\t\t\t\tdata-heading=\"Sph\u00e4re [Sulcoflex Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f119.label, attr: { 'data-value': f119.label }\"\n\t\t\t\t\tdata-heading=\"Zylinder [Sulcoflex Toric]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f128.label, attr: { 'data-value': f128.label }\"\n\t\t\t\t\tdata-heading=\"Dioptrien [Sulcoflex Trifocal]\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f132.label, attr: { 'data-value': f132.label }\"\n\t\t\t\t\tdata-heading=\"OP-Termin:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f130.label, attr: { 'data-value': f130.label }\"\n\t\t\t\t\tdata-heading=\"Patienten-ID:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f131.label, attr: { 'data-value': f131.label }\"\n\t\t\t\t\tdata-heading=\"Achslage:\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f37.label, attr: { 'data-value': f37.label }\"\n\t\t\t\t\tdata-heading=\"Stand by Lens\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Bearbeite Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">Bearbeiten<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'L\u00f6sche Eintrag {0} wo Zeilen-ID ist {1}.'.gformFormat( $index() + 1, frow_id.label ) }\">L\u00f6schen<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"11\">\n\t\t\t\tEs gibt keine <span>Eintr\u00e4ge.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"11\"\n\t\t        data-nestedformid=\"12\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tEintrag hinzuf\u00fcgen\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximale Anzahl an eintr\u00e4ge erreicht.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_39\"\n                id=\"input_11_39\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_11_29\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_29'><span class='gform-field-label__text'>Kommentar<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_11_29' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_11_30\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_30'>\n                            \n                            <span id='input_11_30_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_30.3' id='input_11_30_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_11_30_3' class='gform-field-label gform-field-label--type-sub '>Vorname<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_30_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_30.6' id='input_11_30_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_11_30_6' class='gform-field-label gform-field-label--type-sub '>Nachname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_11_32\" class=\"gfield gfield--type-consent gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_32.1' id='input_11_32_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_11_32_1' ><span class='gform-field-label__text'>Hiermit best\u00e4tige ich, dass ich die oben genannten Artikel bestellen m\u00f6chte und im Namen meiner Klinik zur Durchf\u00fchrung dieser Bestellung bevollm\u00e4chtigt bin.<\/span><\/label><input type='hidden' name='input_32.2' value='Hiermit best\u00e4tige ich, dass ich die oben genannten Artikel bestellen m\u00f6chte und im Namen meiner Klinik zur Durchf\u00fchrung dieser Bestellung bevollm\u00e4chtigt bin.' class='gform_hidden' \/><input type='hidden' name='input_32.3' value='5' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_11' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Bestellen<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_11' value='postback' \/>\n      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