Location: PHPKode > projects > Clinical Handover Database > output/templates/Nursing_Handover_edit.htm
<html>
<head><title>Nursing Handover</title>
<link REL="stylesheet" href="include/style.css" type="text/css">
{$includes}
</head>

<body bgcolor=white {$bodyonload}>
<form name="editform" encType="multipart/form-data" method="post" action="Nursing_Handover_edit.php" {$onsubmit}>

{include_if_exists file="include/header.php"}

<h1>Nursing Handover, Edit record [
Primary: {$show_key1}
]
</h1>

{doevent name="EditOnLoad"}
{$message}

<div align=left><hr width=300 noshade size=1></div>

&nbsp;&nbsp;&nbsp;<a href="Nursing_Handover_list.php?a=return">Back to list</a><br><br>
<table cellpadding=2>

<input type=hidden name=editid1 value="{$key1}">

  <tr><td class=shade width=150>Ward</td><td width=250>
    {build_edit_control field="Ward" value=$value_Ward mode="edit"}
      &nbsp;<img src="images/icon_required.gif">
  </td></tr>
  <tr><td class=shade width=150>Bed</td><td width=250>
    {build_edit_control field="Bed" value=$value_Bed mode="edit"}
      &nbsp;<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" value=$value_Patient_Name mode="edit"}
      &nbsp;<img src="images/icon_required.gif">
  </td></tr>
  <tr><td class=shade width=150>Date of Birth</td><td width=250>
    {build_edit_control field="Date of Birth" value=$value_Date_of_Birth mode="edit"}
      &nbsp;<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" value=$value_Unit_Number mode="edit"}
      &nbsp;<img src="images/icon_required.gif">
  </td></tr>
  <tr><td class=shade width=150>Sex</td><td width=250>
    {build_edit_control field="Sex" value=$value_Sex mode="edit"}
      &nbsp;<img src="images/icon_required.gif">
  </td></tr>
  <tr><td class=shade width=150>Consultant</td><td width=250>
    {build_edit_control field="Consultant" value=$value_Consultant mode="edit"}
      &nbsp;<img src="images/icon_required.gif">
  </td></tr>
  <tr><td class=shade width=150>Code</td><td width=250>
    {build_edit_control field="Code" value=$value_Code mode="edit"}
    </td></tr>
  <tr><td class=shade width=150>Diagnosis</td><td width=250>
    {build_edit_control field="Diagnosis" value=$value_Diagnosis mode="edit"}
    </td></tr>
  <tr><td class=shade width=150>Allergies</td><td width=250>
    {build_edit_control field="Allergies" value=$value_Allergies mode="edit"}
    </td></tr>
  <tr><td class=shade width=150>Nurses</td><td width=250>
    {build_edit_control field="Nurses" value=$value_Nurses mode="edit"}
    </td></tr>
  <tr><td class=shade width=150>Social Services</td><td width=250>
    {build_edit_control field="Social Services" value=$value_Social_Services mode="edit"}
    </td></tr>
  <tr><td class=shade width=150>Team</td><td width=250>
    {build_edit_control field="Team" value=$value_Team mode="edit"}
    </td></tr>
  <tr><td class=shade width=150>Notes</td><td width=250>
    {build_edit_control field="Notes" value=$value_Notes mode="edit"}
    </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="edited">
 </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>
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