contrib/forms/vision/view.php

   1 <!-- Forms generated from formsWiz -->
   2 <?php
   3 include_once("../../globals.php");
   4 ?>
   5 <html><head>
   6 <?php html_header_show();?>
   7 <link rel=stylesheet href="<?php echo $css_header;?>" type="text/css">
   8 </head>
   9 <body class="body_top">
  10 <?php
  11 include_once("$srcdir/api.inc");
  12 $obj = formFetch("form_vision", $_GET["id"]);
  13 ?>
  14 <form method=post action="<?php echo $rootdir?>/forms/vision/save.php?mode=update&id=<?php echo $_GET["id"];?>" name="my_form">
  15 <span class="title">Vision</span><Br><br>
  16 <span class=bold>Keratometry</span><br>
  17
  18 <table>
  19 <tr>
  20 <td><span class=text>OD K1: </span></td><td><input size=3 type=entry name="od_k1" value="<?php echo $obj{"od_k1"};?>" ></td>
  21 <td><span class=text>OD K1 Axis: </span></td><td><input size=3 type=entry name="od_k1_axis" value="<?php echo $obj{"od_k1_axis"};?>" ></td>
  22 <td><span class=text>OD K2: </span></td><td><input size=3 type=entry name="od_k2" value="<?php echo $obj{"od_k2"};?>" ></td>
  23 <td><span class=text>OD K2 Axis: </span></td><td><input size=3 type=entry name="od_k2_axis" value="<?php echo $obj{"od_k2_axis"};?>" ></td>
  24 </tr>
  25 <tr>
  26 <td colspan=8>
  27 <span class=text>OD Testing Status: </span><input type=entry name="od_testing_status" value="<?php echo $obj{"od_testing_status"};?>" >
  28 </td>
  29 </tr>
  30 </table>
  31
  32
  33 <table>
  34 <tr>
  35 <td><span class=text>OS K1: </span></td><td><input size=3 type=entry name="os_k1" value="<?php echo $obj{"os_k1"};?>" ></td>
  36 <td><span class=text>OS K1 Axis: </span></td><td><input size=3 type=entry name="os_k1_axis" value="<?php echo $obj{"os_k1_axis"};?>" ></td>
  37 <td><span class=text>OS K2: </span></td><td><input size=3 type=entry name="os_k2" value="<?php echo $obj{"os_k2"};?>" ></td>
  38 <td><span class=text>OS K2 Axis: </span></td><td><input size=3 type=entry name="os_k2_axis" value="<?php echo $obj{"os_k2_axis"};?>" ></td>
  39 </tr>
  40 <tr>
  41 <td colspan=8>
  42 <span class=text>OS Testing Status: </span><input type=entry name="os_testing_status" value="<?php echo $obj{"os_testing_status"};?>" >
  43 </td>
  44 </tr>
  45 </table>
  46
  47
  48 <span class=text>Additional Notes: </span><br><textarea cols=40 rows=8 wrap=virtual name="additional_notes" ><?php echo $obj{"additional_notes"};?></textarea>
  49 <br>
  50 <a href="javascript:top.restoreSession();document.my_form.submit();" class="link_submit">[Save]</a>
  51 <br>
  52 <a href="<?php echo $GLOBALS['form_exit_url']; ?>" class="link" onclick="top.restoreSession()">[Don't Save Changes]</a>
  53 </form>
  54 <?php
  55 formFooter();
  56 ?>