{% if submit_multiple %}
{% endif %}
{% if not simple_mode %}
Quantity Issues:
{% for radio in error_form.quantity %}
{% endfor %}
Problem Details:
{{ error_form.has_jumpers }}
{{ error_form.is_broken }}
{{ error_form.false_empty }}
{{ error_form.has_desiccant }}
{{ error_form.other_issue }}
{% endif %}
{% if submit_multiple %}
| Workorder ID |
Type |
Rx Number |
Canister |
Drug Number |
Drug Name |
Dispense Date |
Status |
|
{% endif %}
{% if allow_refill and not submit_multiple %}
{% endif %}