if ($ageranges) {
echo "<option value=\"0\"" . (!$entry->getAgeRangeID() ? " selected=\"selected\"" : "") . ">-- Select Age Range --</option>\n";
foreach ($ageranges as $agerange) {
echo "<option value=\"" . (int) $agerange["agerange_id"] . "\"" . ($entry->getAgeRangeID() == (int) $agerange["agerange_id"] ? " selected=\"selected\"" : "") . ">" . $agerange["agerange"] . "</option>\n";
}
}
?>
</select>
</span>
</div>
<br />
<div class="control-group row-fluid">
<label for="gender" class="form-required span3">Patient Gender</label>
<span class="controls span8">
<input type="radio" name="gender" id="gender_unknown" value="m"<?php
echo !$entry->getGender() || $entry->getGender() == "u" ? " checked=\"checked\"" : "";
?>
/> <label for="gender_unknown">Unknown</label><br />
<input type="radio" name="gender" id="gender_female" value="f"<?php
echo $entry->getGender() == "f" ? " checked=\"checked\"" : "";
?>
/> <label for="gender_female">Female</label><br />
<input type="radio" name="gender" id="gender_male" value="m"<?php
echo $entry->getGender() == "m" ? " checked=\"checked\"" : "";
?>
/> <label for="gender_male">Male</label>
</span>
</div>
<br />
<div class="control-group row-fluid">
<?php
