From 4bb05c1cf1d5551c87beb9107f2e1a5a32c94d8d Mon Sep 17 00:00:00 2001 From: sunsetsystems Date: Tue, 22 Mar 2005 23:24:33 +0000 Subject: [PATCH] cosmetic update --- interface/forms/newpatient/new.php | 29 ++++++++++++++++------------- 1 file changed, 16 insertions(+), 13 deletions(-) diff --git a/interface/forms/newpatient/new.php b/interface/forms/newpatient/new.php index dfaaa7ffd..8f7431d3e 100644 --- a/interface/forms/newpatient/new.php +++ b/interface/forms/newpatient/new.php @@ -2,6 +2,10 @@ include_once("../../globals.php"); include_once("$srcdir/calendar.inc"); +$months = array("01","02","03","04","05","06","07","08","09","10","11","12"); +$days = array("01","02","03","04","05","06","07","08","09","10","11","12","13","14","15","16","17", + "18","19","20","21","22","23","24","25","26","27","28","29","30","31"); +$years = array("2004","2005","2006","2007"); ?> @@ -17,14 +21,16 @@ include_once("$srcdir/calendar.inc"); New Patient Encounter Form
+ - - + - + - - + - +
Chief Complaint:
Date Of Service:
Date Of Service: - @@ -60,9 +63,8 @@ foreach($days as $day){ } ?> - @@ -71,7 +73,7 @@ foreach($years as $year){ ?>
Date of onset or hospitalization:
Date of onset or hospitalization:
+ [Save]