@extends 'base.html'


@block content

<form action="/patient/move" method="POST">
    {{ csrf_field }}    
  <div class="mb-3">
    <label for="MRN" class="form-label">病歷號</label>
    <input type="text" class="form-control" id="MRN" aria-describedby="MRNHelp">
    <div id="MRNHelp" class="form-text">Medical record number</div>
  </div>
  <button type="submit" class="btn btn-primary">Submit</button>
</form>

@endblock


