Multi-tenant insurance contracts, service coverage, versioned tariffs, invoice calculation, and insurance claims with debt reporting. - TenantInsurance: per-tenant insurance contracts (coverage/franchise/ceiling, versioning, soft-deactivate) + active guard - ServiceItem.insuranceCovered + TenantServiceCoverage per-service overrides - Tariff: versioned yearly tariffs with fallback to ServiceItem price - Billing domain: Money/ShareBreakdown VOs, BillingCalculator (unit-tested), Invoice/InvoiceItem aggregate, InvoiceService.createFromSession - Claim/ClaimItem with state machine (pending->submitted->approved/rejected->paid), ClaimService, insurance-debt report - ClaimSubmitterInterface + ManualClaimSubmitter (future insurance API ready) - Admin UI: insurance-pricing page, claims page, service tariff modal, service insurance toggle; routes + sidebar entries - Architecture doc + billing/insurance/clinic-services API docs Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
188 lines
9.0 KiB
TypeScript
188 lines
9.0 KiB
TypeScript
import { useState } from 'react';
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import { useQuery, useMutation, useQueryClient } from '@tanstack/react-query';
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import { CheckIcon, XMarkIcon, PaperAirplaneIcon, BanknotesIcon } from '@heroicons/react/24/outline';
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import { toast } from 'sonner';
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import { api } from '../lib/api';
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import { formatRial, formatNumber } from '../lib/utils';
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import PageHeader from '../components/ui/PageHeader';
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import Modal from '../components/ui/Modal';
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interface ClaimItem {
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invoice_item_id: number;
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claimed_rials: number;
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approved_rials: number | null;
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}
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interface Claim {
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uuid: string;
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insurance_id: number;
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insurance_kind: string;
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total_claimed_rials: number;
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total_approved_rials: number | null;
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total_paid_rials: number | null;
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status: string;
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reject_reason: string | null;
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items: ClaimItem[];
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}
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interface DebtRow {
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insurance_id: number;
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claimed: number;
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approved: number;
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paid: number;
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debt: number;
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}
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const STATUS_META: Record<string, { label: string; cls: string }> = {
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pending: { label: 'در انتظار', cls: 'gray' },
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submitted: { label: 'ارسالشده', cls: 'blue' },
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approved: { label: 'تأییدشده', cls: 'amber' },
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rejected: { label: 'ردشده', cls: 'red' },
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paid: { label: 'پرداختشده', cls: 'green' },
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};
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const KIND_LABEL: Record<string, string> = { base: 'پایه', supplementary: 'تکمیلی' };
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const STATUS_FILTERS = ['', 'pending', 'submitted', 'approved', 'rejected', 'paid'];
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export default function ClaimsPage() {
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const qc = useQueryClient();
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const [statusFilter, setStatusFilter] = useState('');
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const [rejectTarget, setRejectTarget] = useState<Claim | null>(null);
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const [rejectReason, setRejectReason] = useState('');
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const claimsQuery = useQuery<{ data: { data: Claim[] } }>({
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queryKey: ['claims', statusFilter],
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queryFn: () => api.get(`/api/v1/billing/claims${statusFilter ? `?status=${statusFilter}` : ''}`),
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});
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const debtQuery = useQuery<{ data: { data: DebtRow[] } }>({
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queryKey: ['insurance-debt'],
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queryFn: () => api.get('/api/v1/billing/reports/insurance-debt'),
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});
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const claims = (claimsQuery.data as any)?.data?.data ?? [];
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const debt = (debtQuery.data as any)?.data?.data ?? [];
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const transitionMut = useMutation({
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mutationFn: ({ uuid, action, body }: { uuid: string; action: string; body?: object }) =>
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api.post(`/api/v1/billing/claims/${uuid}/${action}`, body ?? {}),
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onSuccess: () => {
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toast.success('وضعیت مطالبه بهروزرسانی شد');
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setRejectTarget(null);
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setRejectReason('');
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qc.invalidateQueries({ queryKey: ['claims'] });
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qc.invalidateQueries({ queryKey: ['insurance-debt'] });
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},
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onError: (e: Error) => toast.error(e.message),
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});
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return (
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<div className="fade-in">
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<PageHeader title="مطالبات بیمه" description="پیگیری مطالبات و بدهی بیمهها" />
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<div className="card" style={{ padding: 18, marginBottom: 16 }}>
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<div style={{ display: 'flex', alignItems: 'center', gap: 8, marginBottom: 12 }}>
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<BanknotesIcon style={{ width: 18, color: 'var(--text-3)' }} />
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<h2 style={{ fontSize: 14, fontWeight: 700, margin: 0 }}>بدهی بیمهها</h2>
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</div>
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{debtQuery.isLoading ? (
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<div className="muted" style={{ fontSize: 13 }}>در حال بارگذاری...</div>
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) : debt.length === 0 ? (
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<div style={{ fontSize: 12.5, color: 'var(--text-3)' }}>بدهیای ثبت نشده است.</div>
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) : (
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<div style={{ display: 'flex', flexDirection: 'column', gap: 6 }}>
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{debt.map((d: DebtRow) => (
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<div key={d.insurance_id} style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'center', padding: '8px 12px', borderRadius: 8, border: '1px solid var(--border)', fontSize: 13 }}>
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<span style={{ fontWeight: 600 }}>بیمه #{formatNumber(d.insurance_id)}</span>
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<span style={{ color: 'var(--text-3)' }}>ادعا {formatRial(d.claimed)} · پرداخت {formatRial(d.paid)}</span>
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<span style={{ fontWeight: 700, color: d.debt > 0 ? 'var(--danger)' : 'var(--success, #16a34a)' }}>بدهی {formatRial(d.debt)}</span>
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</div>
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))}
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</div>
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)}
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</div>
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<div className="card" style={{ padding: 18 }}>
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<div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'center', marginBottom: 12 }}>
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<h2 style={{ fontSize: 14, fontWeight: 700, margin: 0 }}>مطالبات</h2>
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<select className="input" style={{ maxWidth: 160 }} value={statusFilter} onChange={(e) => setStatusFilter(e.target.value)}>
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{STATUS_FILTERS.map((s) => (
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<option key={s} value={s}>{s === '' ? 'همه وضعیتها' : STATUS_META[s]?.label}</option>
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))}
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</select>
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</div>
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{claimsQuery.isLoading ? (
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<div className="muted" style={{ fontSize: 13 }}>در حال بارگذاری...</div>
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) : claims.length === 0 ? (
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<div style={{ fontSize: 12.5, color: 'var(--text-3)', padding: '12px 0' }}>مطالبهای یافت نشد.</div>
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) : (
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<div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
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{claims.map((c: Claim) => {
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const meta = STATUS_META[c.status] ?? { label: c.status, cls: 'gray' };
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return (
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<div key={c.uuid} style={{ padding: '12px 14px', borderRadius: 10, border: '1px solid var(--border)' }}>
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<div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'flex-start', gap: 10 }}>
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<div>
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<div style={{ fontWeight: 600, fontSize: 13.5 }}>
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بیمه #{formatNumber(c.insurance_id)}
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<span className="badge gray" style={{ fontSize: 10, marginInlineStart: 6 }}>{KIND_LABEL[c.insurance_kind] ?? c.insurance_kind}</span>
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<span className={`badge ${meta.cls}`} style={{ fontSize: 10, marginInlineStart: 4 }}><span className="bdot" />{meta.label}</span>
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</div>
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<div style={{ fontSize: 11.5, color: 'var(--text-3)', marginTop: 3 }}>
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ادعا {formatRial(c.total_claimed_rials)}
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{c.total_approved_rials != null && ` · تأیید ${formatRial(c.total_approved_rials)}`}
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{c.total_paid_rials != null && ` · پرداخت ${formatRial(c.total_paid_rials)}`}
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{c.reject_reason && ` · دلیل رد: ${c.reject_reason}`}
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</div>
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</div>
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<div style={{ display: 'flex', gap: 6, flexShrink: 0 }}>
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{c.status === 'pending' && (
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<button className="btn primary sm" disabled={transitionMut.isPending} onClick={() => transitionMut.mutate({ uuid: c.uuid, action: 'submit' })}>
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<PaperAirplaneIcon style={{ width: 13 }} /> ارسال
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</button>
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)}
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{c.status === 'submitted' && (
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<>
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<button className="btn primary sm" disabled={transitionMut.isPending} onClick={() => transitionMut.mutate({ uuid: c.uuid, action: 'approve' })}>
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<CheckIcon style={{ width: 13 }} /> تأیید
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</button>
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<button className="btn danger sm" onClick={() => { setRejectTarget(c); setRejectReason(''); }}>
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<XMarkIcon style={{ width: 13 }} /> رد
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</button>
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</>
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)}
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{c.status === 'approved' && (
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<button className="btn primary sm" disabled={transitionMut.isPending} onClick={() => transitionMut.mutate({ uuid: c.uuid, action: 'pay' })}>
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<BanknotesIcon style={{ width: 13 }} /> پرداخت
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</button>
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)}
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</div>
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</div>
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</div>
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);
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})}
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</div>
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)}
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</div>
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<Modal open={!!rejectTarget} onClose={() => setRejectTarget(null)} title="رد مطالبه"
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footer={
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<>
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<button className="btn ghost sm" onClick={() => setRejectTarget(null)}>انصراف</button>
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<button className="btn danger sm" disabled={!rejectReason || transitionMut.isPending}
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onClick={() => rejectTarget && transitionMut.mutate({ uuid: rejectTarget.uuid, action: 'reject', body: { reason: rejectReason } })}>
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رد کردن
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</button>
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</>
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}
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>
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<div className="field">
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<label>دلیل رد</label>
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<textarea className="input" rows={3} dir="rtl" value={rejectReason} onChange={(e) => setRejectReason(e.target.value)} placeholder="دلیل رد را بنویسید..." />
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</div>
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</Modal>
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</div>
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);
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}
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