1 <!-- Work
/School Note Form created by Nikolai Vitsyn
: 2004/02/13 and update
2005/03/30
2 Copyright (C
) Open Source Medical Software
4 This program is free software
; you can redistribute it
and/or
5 modify it under the terms of the GNU General
Public License
6 as published by the Free Software Foundation
; either version
2
7 of the License
, or (at your option
) any later version
.
9 This program is distributed in the hope that it will be useful
,
10 but WITHOUT ANY WARRANTY
; without even the implied warranty of
11 MERCHANTABILITY
or FITNESS
FOR A PARTICULAR PURPOSE
. See the
12 GNU General
Public License
for more details
.
14 You should have received a copy of the GNU General
Public License
15 along with this program
; if not
, write to the Free Software
16 Foundation
, Inc
., 59 Temple Place
- Suite
330, Boston
, MA
02111-1307, USA
. -->
19 include_once("../../globals.php");
22 <link rel
=stylesheet href
="<?echo $css_header;?>" type
="text/css">
24 <body
<?
echo $top_bg_line;?
> topmargin
=0 rightmargin
=0 leftmargin
=2 bottommargin
=0 marginwidth
=2 marginheight
=0>
26 include_once("$srcdir/api.inc");
27 $obj = formFetch("form_note", $_GET["id"]);
31 <form method
=post action
="<?echo $rootdir?>/forms/note/save.php?mode=update&id=<?echo $_GET["id
"];?>" name
="my_form">
32 <span
class="title">Work
/School Note
</span
><br
></br
>
34 <a href
="javascript:document.my_form.submit();" class="link_submit">[Save
]</a
>
36 <a href
="<?echo "$rootdir/patient_file
/encounter
/patient_encounter
.php
";?>" class="link" target
=Main
>[Don
't Save Changes]</a>
41 <input type=entry name="note_type" value="<?echo
42 stripslashes($obj{"note_type"});?>" size="50">
46 <span class="text">Message:</span></br>
47 <textarea name="message" cols ="67" rows="4" wrap="virtual name">
48 <?echo stripslashes($obj{"message"});?></textarea>
51 <span class=text>Doctor: </span><input type=entry name="doctor" value="<?echo stripslashes($obj{"doctor"});?>">
55 <span class=text>Date: </span><input type=entry name="date_of_signature" value="<?echo stripslashes($obj{"date_of_signature"});?>" >
58 <a href="javascript:document.my_form.submit();" class="link_submit">[Save]</a>
60 <a href="<?echo "$rootdir/patient_file/encounter/patient_encounter.php";?>" class="link" target=Main>[Don't Save Changes
]</a
>