{BEGIN rtlCSS} {END rtlCSS} {BEGIN styleCSSFiles} {END styleCSSFiles}
{BEGIN body} {$header} {$locking}|
{BEGIN identifier_fieldblock}
{END identifier_fieldblock}
{BEGIN identifier_fieldblock}
{$identifier_value}
{END identifier_fieldblock}
|
{END cellblock_section_c11}
|
{BEGIN nrn_pn_fieldblock}
{END nrn_pn_fieldblock}
{BEGIN nrn_pn_fieldblock}
{$nrn_pn_value}
{END nrn_pn_fieldblock}
|
{END cellblock_section_c1}
|
{BEGIN fname_fieldblock}
{END fname_fieldblock}
{BEGIN fname_fieldblock}
{$fname_value}
{END fname_fieldblock}
|
{END cellblock_section_c}
|
{BEGIN lname_fieldblock}
{END lname_fieldblock}
{BEGIN lname_fieldblock}
{$lname_value}
{END lname_fieldblock}
|
{END cellblock_section_c2}
|
{BEGIN gender_fieldblock}
{END gender_fieldblock}
{BEGIN gender_fieldblock}
{$gender_value}
{END gender_fieldblock}
|
{END cellblock_section_c3}
|
{BEGIN date_of_birth_fieldblock}
{END date_of_birth_fieldblock}
{BEGIN date_of_birth_fieldblock}
{$date_of_birth_value}
{END date_of_birth_fieldblock}
|
{END cellblock_section_c4}
|
{BEGIN age_fieldblock}
{END age_fieldblock}
{BEGIN age_fieldblock}
{$age_value}
{END age_fieldblock}
|
{END cellblock_section_c5}
|
{BEGIN address_fieldblock}
{END address_fieldblock}
{BEGIN address_fieldblock}
{$address_value}
{END address_fieldblock}
|
{END cellblock_section_c6}
|
{BEGIN parish_fieldblock}
{END parish_fieldblock}
{BEGIN parish_fieldblock}
{$parish_value}
{END parish_fieldblock}
|
{END cellblock_section_c7}
|
{BEGIN email_fieldblock}
{END email_fieldblock}
{BEGIN email_fieldblock}
{$email_value}
{END email_fieldblock}
|
{END cellblock_section_c8}
|
{BEGIN telephone_fieldblock}
{END telephone_fieldblock}
{BEGIN telephone_fieldblock}
{$telephone_value}
{END telephone_fieldblock}
|
{END cellblock_section_c9}
|
{BEGIN org_fieldblock}
{END org_fieldblock}
{BEGIN org_fieldblock}
{$org_value}
{END org_fieldblock}
|
{END cellblock_section_c10}
|
{BEGIN req_status_fieldblock}
{END req_status_fieldblock}
|
{END cellblock_section1_c27}
{BEGIN cellblock_section1_c28}
{BEGIN req_status_fieldblock}
{$req_status_value}
{END req_status_fieldblock}
|
{END cellblock_section1_c28}
|
{BEGIN labtest_id_fieldblock}
{END labtest_id_fieldblock}
|
{END cellblock_section1_c25}
{BEGIN cellblock_section1_c26}
{BEGIN labtest_id_fieldblock}
{$labtest_id_value}
{END labtest_id_fieldblock}
|
{END cellblock_section1_c26}
|
{BEGIN comp_test_code_fieldblock}
{END comp_test_code_fieldblock}
|
{END cellblock_section1_c}
{BEGIN cellblock_section1_c22}
{BEGIN comp_test_code_fieldblock}
{$comp_test_code_value}
{END comp_test_code_fieldblock}
|
{END cellblock_section1_c22}
|
{BEGIN comp_test_name_fieldblock}
{END comp_test_name_fieldblock}
|
{END cellblock_section1_c23}
{BEGIN cellblock_section1_c24}
{BEGIN comp_test_name_fieldblock}
{$comp_test_name_value}
{END comp_test_name_fieldblock}
|
{END cellblock_section1_c24}
|
{BEGIN specimen_fieldblock}
{END specimen_fieldblock}
|
{END cellblock_section1_c3}
{BEGIN cellblock_section1_c14}
{BEGIN specimen_fieldblock}
{$specimen_value}
{END specimen_fieldblock}
|
{END cellblock_section1_c14}
|
{BEGIN test_dep_fieldblock}
{END test_dep_fieldblock}
|
{END cellblock_section1_c20}
{BEGIN cellblock_section1_c21}
{BEGIN test_dep_fieldblock}
{$test_dep_value}
{END test_dep_fieldblock}
|
{END cellblock_section1_c21}
|
{BEGIN details_fieldblock}
{END details_fieldblock}
|
{END cellblock_section1_c29}
{BEGIN cellblock_section1_c30}
{BEGIN details_fieldblock}
{$details_value}
{END details_fieldblock}
|
{END cellblock_section1_c30}
|
{BEGIN date_requested_fieldblock}
{END date_requested_fieldblock}
|
{END cellblock_section1_c6}
{BEGIN cellblock_section1_c17}
{BEGIN date_requested_fieldblock}
{$date_requested_value}
{END date_requested_fieldblock}
|
{END cellblock_section1_c17}
|
{BEGIN time_requested_fieldblock}
{END time_requested_fieldblock}
|
{END cellblock_section1_c7}
{BEGIN cellblock_section1_c18}
{BEGIN time_requested_fieldblock}
{$time_requested_value}
{END time_requested_fieldblock}
|
{END cellblock_section1_c18}
|
{BEGIN referring_doctor_fieldblock}
{END referring_doctor_fieldblock}
|
{END cellblock_section1_c8}
{BEGIN cellblock_section1_c19}
{BEGIN referring_doctor_fieldblock}
{$referring_doctor_value}
{END referring_doctor_fieldblock}
|
{END cellblock_section1_c19}
|
|
{END cellblock_section4_c1}