{% extends "hostis-main.html" %}


{% block head %}
    {{ block.super }}
    <script>

        $(function () {
            $(document).tooltip();

        });
    </script>
{% endblock %}

{% block pagehead %}
    {% include 'hostis-pagehead.html' %}
{% endblock %}

{% block content %}
    {% if result %}
        <h2>{{ result }}</h2>
    {% endif %}
    <form name="generateScriptsForm" class="form-horizontal" id="generateScriptsForm" method="POST">
    {% csrf_token %}
        <div class="well well-small">
            <div class="control-group" style="margin-bottom: 5px;">
                <label class="control-label" for="id_total_scripts">Max Rxs to Generate: </label>
                <div class="controls">
                    {{ gen_form.total_scripts }}
                </div>
            </div>
            <div class="control-group" style="margin-bottom: 5px;">
                <label class="control-label" for="id_min_per_patient">Minimum Rxs Per Patient: </label>
                <div class="controls">
                    {{ gen_form.min_per_patient }}
                </div>
            </div>
            <div class="control-group" style="margin-bottom: 5px;">
                <label class="control-label" for="id_max_per_patient">Maximum Rxs Per Patient: </label>
                <div class="controls">
                    {{ gen_form.max_per_patient }}
                </div>
            </div>
            <div class="control-group" style="margin-bottom: 5px;">
                <label class="control-label" for="id_total_multisig">Total Multisig Rxs: </label>
                <div class="controls">
                    {{ gen_form.total_multisig }}
                </div>
            </div>
            <div class="control-group" style="margin-bottom: 5px;">
                <label class="control-label" for="id_days_supply">Days Supply: </label>
                <div class="controls">
                    {{ gen_form.days_supply }}
                </div>
            </div>
        </div>
        <button class="btn" id="gen_scripts_btn" name="gen_scripts_btn">Generate Scripts</button>
    </form>
{% endblock %}