contrib/forms/example/new.php

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