Difference between revisions of "Form:Pathology"
m (Text replacement - "|autocomplete on category=" to "|values from category=") |
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! Parent Organisation: | ! Parent Organisation: | ||
| − | | {{{field|Parent Organisation|input type=text with autocomplete|remote autocompletion| | + | | {{{field|Parent Organisation|input type=text with autocomplete|remote autocompletion|values from category=Organisation}}} |
|- | |- | ||
! Pathology Services: | ! Pathology Services: | ||
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| {{{field|Bulk Billing|input type=radiobutton|values=Yes,Pensioners and Children Only}}} | | {{{field|Bulk Billing|input type=radiobutton|values=Yes,Pensioners and Children Only}}} | ||
|} | |} | ||
| − | '''Opening Hours:''' {{{field|Hours| | + | '''Opening Hours:''' {{{field|Hours|input type=openinghours}}} |
| − | '''Opening Hours ( | + | '''Opening Hours (other or special instructions):''' {{{field|Opening Hours|input type=textarea}}} |
<div class="col-md-6">{{Place Address Form}}</div> | <div class="col-md-6">{{Place Address Form}}</div> | ||
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{{{field|Geo Accuracy|input type=text|restricted|placeholder=Geo Accuracy}}} | {{{field|Geo Accuracy|input type=text|restricted|placeholder=Geo Accuracy}}} | ||
| − | '''Geo Coordinates:''' {{{field|Geo Coordinates|input type= | + | '''Geo Coordinates:''' {{{field|Geo Coordinates|input type=placemap|width=400|height=400}}}</div> |
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{{{field|Place Type|input type=text|hidden|default=Medical Clinic}}} | {{{field|Place Type|input type=text|hidden|default=Medical Clinic}}} | ||
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{{{end template}}} | {{{end template}}} | ||
{{{standard input|summary}}} | {{{standard input|summary}}} | ||
