##// END OF EJS Templates
modificada la instancia de la clase SessionModel
modificada la instancia de la clase SessionModel

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frm_36.php
216 lines | 6.6 KiB | text/x-php | XmlPhpLexer
<script>
$(function() {
$( ".css_date" ).datepicker({
showWeek: true,
dateFormat: 'dd/M/yy',
firstDay: 1
});
$('.shedule_time_PK').timepicker({
timeOnlyTitle: 'Choose Time',
timeText:'Time',
hourText:'Hour',
minuteText:'Minute',
secondText:'Second',
currentText:'Now',
closeText:'Done'
});
});
</script>
<style>
.box-table-a
{
font-family: "Verdana";
font-size: 10px;
margin: 0px 0 0px 0;
width: 650px;
text-align: left;
border-collapse: collapse;
}
.box-table-a th
{
font-size: 10px;
font-weight: normal;
padding: 5px 0px 5px 0px;
background: #fff;
border: 1px solid #000;
color: #333;
}
.box-table-a td
{
padding: 8px 3px 8px 5px ;
background: #fff;
border: 1px solid #000;
color: #333;
border-top: 1px solid transparent;
}
.box-table-a tr:hover td
{
background: #fff;
color: #333 ;
}
.inputxt_20{
width: 20px;
border: 0px !important;
border-bottom:1px solid #000 !important;
padding: 0 !important;
font-size: 10px !important;
text-align: center !important;
}
.inputxt_75{
width: 75px;
border: 0px !important;
border-bottom:1px dashed #000 !important;
padding: 0 !important;
font-size:10px !important;
text-align: center !important;
}
.inputxt_80{
width: 80px;
border: 0px !important;
border-bottom:1px solid #000 !important;
padding: 0 !important;
font-size:10px !important;
text-align: center !important;
}
.inputxt_40{
width: 40px;
border: 0px !important;
border-bottom:1px solid #000 !important;
padding: 0 !important;
font-size: 10px !important;
text-align: center !important;
}
.cbx_css{
width: 50px;
border: 1px solid #000;
font-size: 10px;
font-family:Verdana;
}
.cbx_css80{
width: 80px;
border: 1px solid #000;
font-size: 10px;
font-family:Verdana;
}
.css_comments{
width: 190px;
border: 0px solid #f00 !important;
font-size: 10px;
font-family:Verdana;
padding: 0 !important;
margin: 0 !important;
}
.css_textarea{
font-size: 10px;
font-family:Verdana;
width: 200px;
height: 70px;
border: 0;
}
.css_textarea2{
font-size: 10px;
font-family:Verdana;
width: 130px;
height: 70px;
border: 0;
}
</style>
<div style="display: block; width: 100%; text-align: center; font-family: Arial; font-size: 14px; font-weight: bold; padding-top: 10px; padding-bottom: 5px;">
28 Day Cycle#<input type="text" name="arr_cycle" style="width: 15px" />,<br/>Tumor Assessment<br/>
by Standard Method (MRI,CT, etc)<br />(use if labs need to be transcribed)
</div>
<div style="display: block; width: 100%; text-align: left; padding-top: 25px; margin-bottom: 45px">
<label for="txt_date" style="float: left; width: 50px;">Date:</label>
<input type="text" name="txt_date" id="txt_date" class="css_date" style="float:left; color: #666" onfocus="if(this.value=='DD/MMM/YYYY') this.value='';" onblur="if(this.value=='') this.value='DD/MMM/YYYY';" value="DD/MMM/YYYY"/>
</div>
<table class="box-table-a" width="100%">
<thead>
<tr>
<th align="center" scope="col" width="15%">Test</th>
<th align="center" scope="col" width="15%">Result</th>
<th align="center" scope="col" width="16%">Flag <br /> (Normal/Abnormal)</th>
<th align="center" scope="col" width="16%">Clinically <br />Significant? (Y/N)</th>
<th align="center" scope="col" width="15%">Repeated? (Y/N)</th>
<th align="center" scope="col" >If No, Comments</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center">
<input type="text" name="arr_test[]" class="inputxt_80">
</td>
<td align="center">
<input type="text" name="arr_test[]" class="inputxt_80">
</td>
<td align="center">
<select class="cbx_css80">
<option value="0">--Select--</option>
<option value="1">Normal</option>
<option value="1">Anormal</option>
</select>
</td>
<td align="center">
<select class="cbx_css80">
<option value="0">--Select--</option>
<option value="1">Yes</option>
<option value="1">No</option>
</select>
</td>
<td align="center">
<select class="cbx_css80">
<option value="0">--Select--</option>
<option value="1">Yes</option>
<option value="1">No</option>
</select>
</td>
<td align="center">
<textarea name="arr_comments[]" class="css_textarea2"></textarea>
</td>
</tr>
<tr>
<td align="center">
<input type="text" name="arr_test[]" class="inputxt_80">
</td>
<td align="center">
<input type="text" name="arr_test[]" class="inputxt_80">
</td>
<td align="center">
<select class="cbx_css80">
<option value="0">--Select--</option>
<option value="1">Normal</option>
<option value="1">Anormal</option>
</select>
</td>
<td align="center">
<select class="cbx_css80">
<option value="0">--Select--</option>
<option value="1">Yes</option>
<option value="1">No</option>
</select>
</td>
<td align="center">
<select class="cbx_css80">
<option value="0">--Select--</option>
<option value="1">Yes</option>
<option value="1">No</option>
</select>
</td>
<td align="center">
<textarea name="arr_comments[]" class="css_textarea2"></textarea>
</td>
</tr>
</tbody>
</table>
<div style="display:block; width: 300px; clear: both; padding-top: 120px ">
<label style="display:block; width: 150px;">Place copy of <br />Report</label>
</div>
<div style="display:block; width: 500px; clear: both; padding-top: 45px ">
<label style="float:left; width: 150px;">Disease <br />Progression?</label>
<div style="float:left; width: 50px;">
<input type="radio" name="arr_disease[]"><br /> Yes
</div>
<div style="float:left; width: 150px;">
<input type="radio" name="arr_disease[]"> <br />No
</div>
</div>