<html>
<head><title>Nursing Handover</title>
<link REL="stylesheet" href="include/style.css" type="text/css">
{$includes}
</head>
<body bgcolor=white {$bodyonload}>
<form name="editform" encType="multipart/form-data" method="post" action="Nursing_Handover_add.php" {$onsubmit}>
{include_if_exists file="include/header.php"}
<h1>Nursing Handover, Add new record</h1>
{doevent name="AddOnLoad"}
{$message}
<div align=left><hr width=300 noshade size=1></div>
<a href="Nursing_Handover_list.php?a=return">Back to list</a><br><br>
<table cellpadding=2>
<tr><td class=shade width=150>Ward</td><td width=250>
{build_edit_control field="Ward" mode="add" value=$value_Ward}
<img src="images/icon_required.gif">
</td></tr>
<tr><td class=shade width=150>Bed</td><td width=250>
{build_edit_control field="Bed" mode="add" value=$value_Bed}
<img src="images/icon_required.gif">
</td></tr>
<tr><td class=shade width=150>Patient Name</td><td width=250>
{build_edit_control field="Patient Name" mode="add" value=$value_Patient_Name}
<img src="images/icon_required.gif">
</td></tr>
<tr><td class=shade width=150>Date of Birth</td><td width=250>
{build_edit_control field="Date of Birth" mode="add" value=$value_Date_of_Birth}
<img src="images/icon_required.gif">
</td></tr>
<tr><td class=shade width=150>Unit Number</td><td width=250>
{build_edit_control field="Unit Number" mode="add" value=$value_Unit_Number}
<img src="images/icon_required.gif">
</td></tr>
<tr><td class=shade width=150>Sex</td><td width=250>
{build_edit_control field="Sex" mode="add" value=$value_Sex}
<img src="images/icon_required.gif">
</td></tr>
<tr><td class=shade width=150>Consultant</td><td width=250>
{build_edit_control field="Consultant" mode="add" value=$value_Consultant}
<img src="images/icon_required.gif">
</td></tr>
<tr><td class=shade width=150>Code</td><td width=250>
{build_edit_control field="Code" mode="add" value=$value_Code}
</td></tr>
<tr><td class=shade width=150>Diagnosis</td><td width=250>
{build_edit_control field="Diagnosis" mode="add" value=$value_Diagnosis}
</td></tr>
<tr><td class=shade width=150>Allergies</td><td width=250>
{build_edit_control field="Allergies" mode="add" value=$value_Allergies}
</td></tr>
<tr><td class=shade width=150>Nurses</td><td width=250>
{build_edit_control field="Nurses" mode="add" value=$value_Nurses}
</td></tr>
<tr><td class=shade width=150>Social Services</td><td width=250>
{build_edit_control field="Social Services" mode="add" value=$value_Social_Services}
</td></tr>
<tr><td class=shade width=150>Team</td><td width=250>
{build_edit_control field="Team" mode="add" value=$value_Team}
</td></tr>
<tr><td class=shade width=150>Notes</td><td width=250>
{build_edit_control field="Notes" mode="add" value=$value_Notes}
</td></tr>
<tr height=50><td colspan=2 align=center>
<input class=button type=submit value="Save" id=submit1 name=submit1>
<input class=button type=reset value="Reset">
<input type=hidden name="a" value="added">
</td></tr>
</form>
<!-- legend -->
<tr height=50><td colspan=2 align=left>
<hr width=300 noshade size=1>
<br><img src="images/icon_required.gif"> - Required field
</td></tr>
</table>
{include_if_exists file="include/footer.php"}
{$linkdata}
<script>SetToFirstControl();</script>
</body>
</html>