Ejemplo n.º 1
0
  <td colspan='2' align='center'><b>Post Injury Sequelae</b></td>
 </tr>

 <tr>
  <td nowrap>Removed from<br>Play/Training<br>after Injury</td>
  <td nowrap>
   <table width='100%'>
    <tr>
     <?php 
echo rbcell('form_removed', '1', 'Immediately', 'firemoved');
?>
     <?php 
echo rbcell('form_removed', '2', 'Later', 'firemoved');
?>
     <?php 
echo rbcell('form_removed', '3', 'Not at All', 'firemoved');
?>
     <td width='25%'>&nbsp;</td>
    </tr>
   </table>
  </td>
 </tr>

</table>

<p>
<input type='submit' name='bn_save' value='Save' />
&nbsp;
<input type='button' value='Cancel' onclick="top.restoreSession();location='<?php 
echo $GLOBALS['form_exit_url'];
?>
Ejemplo n.º 2
0
function genRadios($group, &$arr)
{
    $i = 0;
    foreach ($arr as $key => $value) {
        if ($i % 4 == 0) {
            if ($i) {
                echo "    </tr>\n";
            }
            echo "    <tr>\n";
        }
        echo rbcell("form_{$group}", $key, $value, "ci{$group}");
        ++$i;
    }
    while ($i % 4) {
        echo "     <td width='25%'>&nbsp;</td>\n";
        ++$i;
    }
    if ($i) {
        echo "    </tr>\n";
    }
}
Ejemplo n.º 3
0
  <td colspan='2' align='center'><b>Post Injury Sequelae</b></td>
 </tr>

 <tr>
  <td nowrap>Removed from<br>Play/Training<br>after Injury</td>
  <td nowrap>
   <table width='100%'>
    <tr>
     <?php 
echo rbcell('removed', '1', 'Immediately', 'siremoved');
?>
     <?php 
echo rbcell('removed', '2', 'Later', 'siremoved');
?>
     <?php 
echo rbcell('removed', '3', 'Not at All', 'siremoved');
?>
     <td width='25%'>&nbsp;</td>
    </tr>
   </table>
  </td>
 </tr>

 <tr>
  <td nowrap>Medical Treatment<br>Sought from</td>
  <td nowrap>
   <table width='100%'>
    <tr>
     <?php 
echo cbcell('treat_1', 'Hospital A&amp;E Dept', 'sitreat_1');
?>