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|- | |- | ||
! Date: | ! Date: | ||
| {{{field|Date|mandatory|input type= | | {{{field|Date|mandatory|input type=date|default=now}}} | ||
|- | |- | ||
! Attending physician: | ! Attending physician: | ||
| Line 22: | Line 22: | ||
|- | |- | ||
! Details: | ! Details: | ||
| {{{field|Details|mandatory}}} | | {{{field|Details|input type=textarea|mandatory}}} | ||
|- | |- | ||
! Treatment: | ! Treatment: | ||
| {{{field|Treatment}}} | | {{{field|Treatment|input type=textarea|}}} | ||
|} | |} | ||
{{{end template}}} | {{{end template}}} | ||
</includeonly> | </includeonly> | ||
Latest revision as of 22:52, 8 November 2022
This is the "Medical Record" form.
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