create-test-result.blade.php 2.1 KB

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  1. <div moe normal>
  2. <a start show href="#" class="text-primary">+Create</a>
  3. <form url="/api/testResult/create">
  4. <input type="hidden" name="orderUid" value="{{ $order->uid }}">
  5. <div class="mb-2">
  6. <label>Test Name</label>
  7. <input type="text" name="testName" class="form-control form-control-sm" value="" />
  8. </div>
  9. <div class="mb-2">
  10. <label>Result Category</label>
  11. <select name="resultCategory" class="form-control form-control-sm">
  12. <option></option>
  13. <option value="Pending">Pending</option>
  14. <option value="Normal">Normal</option>
  15. <option value="Abnormal">Abnormal</option>
  16. <option value="Not Detected">Not Detected</option>
  17. </select>
  18. </div>
  19. <div class="mb-2">
  20. <label>Result Color</label>
  21. <select name="resultColor" class="form-control form-control-sm">
  22. <option></option>
  23. <option value="GREEN">Green</option>
  24. <option value="RED">Red</option>
  25. </select>
  26. </div>
  27. <div class="mb-2">
  28. <label>Numeric Value and Units</label>
  29. <input type="text" name="numericValueAndUnits" class="form-control form-control-sm" value="" />
  30. </div>
  31. <div class="mb-2">
  32. <label>Numeric Value Label</label>
  33. <input type="text" name="numericValueLabel" class="form-control form-control-sm" value="" />
  34. </div>
  35. <div class="mb-2">
  36. <label>Numeric Value Memo</label>
  37. <input type="text" name="numericValueMemo" class="form-control form-control-sm" value="" />
  38. </div>
  39. <div class="mb-2">
  40. <label>Commentary</label>
  41. <input type="text" name="commentary" class="form-control form-control-sm" value="" />
  42. </div>
  43. <div>
  44. <button submit class="btn btn-sm btn-primary me-2">Create</button>
  45. <button cancel class="btn btn-sm btn-default border">Cancel</button>
  46. </div>
  47. </form>
  48. </div>