18 lines
430 B
HTML
Executable file
18 lines
430 B
HTML
Executable file
@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
|
|
|
|
|