templates/prescription/general_send.html

   1 <html>
   2 <head>
   3 {literal}
   4  <style type="text/css" title="mystyles" media="all">
   5 <!--
   6 td {
   7         font-size:8pt;
   8         font-family:helvetica;
   9 }
  10 a {
  11         font-size:8pt;
  12         font-family:helvetica;
  13 }
  14
  15 -->
  16 </style>
  17 {/literal}
  18 </head>
  19 <body {$STYLE.BOTTOM_BG_LINE}>
  20
  21 <table>
  22 {if $process_result}
  23         <tr><td colspan="2">{$process_result}<br /><br /></td></tr>
  24 {/if}
  25 <tr><td>
  26 <form name="send_prescription" method="post" action="{$TOP_ACTION}send&id={$prescription->id}" target="_new">
  27 <input type="submit" name="submit" value="Print" style="width:85;"/>
  28 <input type="hidden" name="process" value="{$PROCESS}" />
  29 </form>
  30
  31 </td><td></td></tr>
  32 <form name="send_prescription" method="post" action="{$TOP_ACTION}send&id={$prescription->id}">
  33 <tr><td><input type="submit" name="submit" value="Email" style="width:85;" /></td><td><input type="text" name="email_to"  size="25" value="{$prescription->email_to}"></td></tr>
  34 <tr><td><input type="submit" name="submit" value="Fax" style="width:85;"/></td><td><input type="text" name="fax_to"  size="25" value="{$prescription->fax_to}" ></td></tr>
  35 <input type="hidden" name="process" value="{$PROCESS}" />
  36 </form>
  37 <form name="send_prescription" method="post" action="{$TOP_ACTION}send&id={$prescription->id}" target="_new">
  38 <tr><td><input type="submit" name="submit" value="Auto Send" style="width:85;" /></td><td>{html_options name="pharmacy_id" options=$prescription->pharmacy->utility_pharmacy_array() selected=$prescription->provider->id}</td></tr>
  39 <input type="hidden" name="process" value="{$PROCESS}" />
  40 <tr><td colspan="2" align="center"></td></tr>
  41 </table>
  42 </form>
  43 </body>
  44 </html>