{% csrf_token %}
×
{% if drugnum_type == 'NDC' %}
Drug Number:
-
-
(5-4-2, 4-4-2, 5-4-1, or 5-3-2)
{% else %}
Drug Number:
{% endif %}
Blister Card:
{% for blister in blister_list %}
{{ blister.description }}
{% endfor %}
Blisters Filled:
Pills Per Dose: