Merge pull request #957 to remove unused scripts
[openemr.git] / templates / prescription / general_send.html
blob35fd15f2c39bcb051a4d18691240892bd6bd51fa
1 <html>
2 <head>
3 {php}html_header_show();{/php}
4 <link rel="stylesheet" href="{$CSS_HEADER}" type="text/css">
5 </head>
6 <body class="body_top">
8 <span class="title"><b>{xl t='Send'}</b></span>
9 <div style="margin-top:10px;">
10 {if $process_result}
11 {$process_result}
12 <br/>
13 {/if}
15 <div style="float:left">
16 <form name="genform1" method="post" action="{$TOP_ACTION}send&id={$prescription->id}" target="_new" onsubmit="return top.restoreSession()">
17 <input type="submit" name="submit" value="{xl t='Download'} ({xl t='PDF'})" style="width:100;font-size:9pt;"/>
18 <input type="hidden" name="process" value="{$PROCESS}" />
19 </form>
20 </div>
22 <div style="float:left">
23 <form name="send_prescription" method="post" action="{$TOP_ACTION}send&id={$prescription->id}" target="_new" onsubmit="return top.restoreSession()">
24 <input type="submit" name="submit" value="{xl t='View Printable'} ({xl t='HTML'})" style="width:100;font-size:9pt;"/>
25 <input type="hidden" name="process" value="{$PROCESS}" />
26 </form>
27 </div>
29 <div style="float:none">
30 <form name="send_prescription" method="post" action="{$TOP_ACTION}send&id={$prescription->id}&print_to_fax=true" target="_new" onsubmit="return top.restoreSession()">
31 <input type="submit" name="submit" value="{xl t='Download Fax'}" style="width:100;font-size:9pt;"/>
32 <input type="hidden" name="process" value="{$PROCESS}" />
33 </form>
34 </div>
36 <div>
37 <form name="send_prescription" method="post" action="{$TOP_ACTION}send&id={$prescription->id}" onsubmit="return top.restoreSession()">
38 <input type="submit" name="submit" value="{xl t='Email'}" style="width:100;font-size:9pt;" /><input type="text" name="email_to" size="25" value="{$prescription->pharmacy->get_email()}">
39 <br/>
40 <input type="submit" name="submit" value="{xl t='Fax'}" style="width:100;font-size:9pt;"/><input type="text" name="fax_to" size="25" value="{$prescription->pharmacy->get_fax()}" >
41 <input type="hidden" name="process" value="{$PROCESS}" />
42 </form>
43 <form name="send_prescription" method="post" action="{$TOP_ACTION}send&id={$prescription->id}" target="_new" onsubmit="return top.restoreSession()">
44 <input type="submit" name="submit" value="{xl t='Auto Send'}" style="width:100;font-size:9pt;" /> {html_options name="pharmacy_id" options=$prescription->pharmacy->utility_pharmacy_array() selected=$prescription->pharmacy->id}
45 <input type="hidden" name="process" value="{$PROCESS}" />
46 </form>
47 </div>
48 </div>
50 </body>
51 </html>