{% extends "site.html" %} {% block head %} {{ block.super }} {% endblock %} {% block pagehead %} {% include 'pagehead.html' %} {% endblock %} {% block content %}
 
{% 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 }}
{% 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 %}
{% endblock %}