{% extends 'layout.html' %} {% block content %}

Create Medical Investigation Request

Patient Details

Name: {{ patient.firstName }} {{ patient.lastName }}

Birth Date: {{ patient.birthDate }}

{{ form.hidden_tag() }}
{{ form.doctor_type.label(class="form-label h5")}} {{ form.doctor_type(class="form-control")}} {{ form.diagnosis.label(class="form-label h5") }} {{ form.diagnosis(class="form-control") }} {{ form.request_text.label(class="form-label h5") }} {{ form.request_text(class="form-control") }}
{% endblock content %}