contrib/forms/ped_pain/view.php

   1 <!-- Form created by Andres paglayan -->
   2 <?php
   3 include_once("../../globals.php");
   4 ?>
   5 <html><head>
   6 <link rel=stylesheet href="<?echo $css_header;?>" type="text/css">
   7 </head>
   8 <body <?echo $top_bg_line;?> topmargin=0 rightmargin=0 leftmargin=2 bottommargin=0 marginwidth=2 marginheight=0>
   9
  10 <?php
  11 include_once("$srcdir/api.inc");
  12 $obj = formFetch("form_ped_pain", $_GET["id"]);
  13 ?>
  14
  15 <form method=post action="<?echo $rootdir?>/forms/ped_pain/save.php?mode=update&id=<?echo $_GET["id"];?>" name="my_form">
  16 <span class="title">Pediatric Pain Evaluation</span><br><br>
  17
  18 <a href="javascript:document.my_form.submit();" class="link_submit">[Save]</a>
  19 <br>
  20 <a href="<?echo "$rootdir/patient_file/encounter/patient_encounter.php";?>" class="link" target=Main>[Don't Save Changes]</a>
  21 <br></br>
  22 <!-- Form goes here -->
  23
  24 <?php
  25         include ('form.php');
  26 ?>
  27
  28 <!-- Form ends here -->
  29 <a href="javascript:document.my_form.submit();" class="link_submit">[Save]</a>
  30 <br>
  31 <a href="<?echo "$rootdir/patient_file/encounter/patient_encounter.php";?>" class="link" target=Main>[Don't Save Changes]</a>
  32
  33 </form>
  34 <?php
  35 formFooter();
  36 ?>