Widget:VisitSchedulerRedux: Difference between revisions
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Tarek Nafee (talk | contribs) No edit summary |
Tarek Nafee (talk | contribs) No edit summary |
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<label for="patientID">Patient ID</label> | <label for="patientID">Patient ID</label> | ||
<input type="text" name="patientID" id="patientID" /><br /> | <input type="text" name="patientID" id="patientID" /><br /> | ||
<label for="assigned"> | <label for="assigned"> Enrolling Staff Member</label> | ||
<input type="text" name="assigned" id="assigned" /><br /> | <input type="text" name="assigned" id="assigned" /><br /> | ||
<label for="indexEvent">Index Event</label> | <label for="indexEvent">Index Event</label> |