contrib/forms/example/new.php

   1 <?php
   2
   3 include("../../../library/api.inc");
   4 //use the suggested header
   5 formHeader("newerpatient form");
   6 ?>
   7
   8 <--REM note that every input method has the same name as a valid column, this will make things easier in save.php -->
   9 <form method=post action="./save.php" name='newerpatient'>
  10 <span class=title>Newer Patient Encounter Form</span>
  11 <br>
  12
  13 <span class=text>Why this new visit?</span><br>
  14 <textarea name=reason cols=40 rows=6 wrap=virtual></textarea>
  15
  16 <br>
  17
  18 <span class=text>do you like cats?</span> <input type=text name=cats>
  19
  20 <br>
  21
  22 <--REM note our nifty jscript submit
  23 <a href="javascript:top.restoreSession();document.newerpatient.submit();" class="link_submit">[Save]</a>
  24 <br>
  25 </form>
  26
  27 <br><br>
  28 <hr>
  29
  30 <?php
  31 formFooter();
  32 ?>