{% csrf_token %}
Canister: {{ replen_info.canister_serial }} Imprint Front: {{ replen_info.imprint_front }}
Replenishment Date: {{ replen_info.replenishment_date|date:"m/d/Y h:i:s A" }} Imprint Back: {{ replen_info.imprint_back }}
Drug Number: {{ replen_info.drug_number }} Quantity: {{ replen_info.quantity }}
Drug Name: {{ replen_info.drug_name }} Lot Number: {{ replen_info.lot }}
Manufacturer: {{ replen_info.manufacturer }} Lot Expiration: {{ replen_info.lot_expiration }}
Color: {{ replen_info.color }} Tech: {{ replen_info.tech_initials }}
Shape: {{ replen_info.shape }}
{% for itm in reject_form.reason %} {% endfor %}
Replenishment Rejection Reason:
{{ itm.tag }} {{ itm.choice_label }}
Rejection Notes: {{ reject_form.notes }}