X-Git-Url: https://git.plutz.net/?p=confetti;a=blobdiff_plain;f=templates%2Fedit_prescription.sh;h=b9162582b9d2bfafae735d058999c9522c925361;hp=85eeb20b3aa7051f2c9249a6ae30e2014ddeb1c5;hb=c8980226006bdd5a9d518e7d3221dc3d527be321;hpb=547778804d2beb3394ae47218d7490e6095b778c

diff --git a/templates/edit_prescription.sh b/templates/edit_prescription.sh
index 85eeb20..b916258 100755
--- a/templates/edit_prescription.sh
+++ b/templates/edit_prescription.sh
@@ -41,10 +41,15 @@ cat <<END_HTML
 
 <label for="addcontrib">$(l10n addcontrib)</label>
 <input id="addcontrib" name="addcontrib" value="${mpx[addcontrib]}" placeholder="$(l10n addcontrib)">
-<input type="checkbox" id="contribconfirm" name="contribconfirm" value="true" ${mpx[contribconfirm]:+checked}>
 <label for="contribconfirm">$(l10n contribconfirm)</label>
+<input id="contribconfirm" name="contribconfirm" value="${mpx[contribconfirm]}" placeholder="$(l10n contribconfirm)">
+<input type="checkbox" id="contribreceipt" name="contribreceipt" value="true" ${mpx[contribreceipt]:+checked}>
+<label for="contribreceipt">$(l10n contribreceipt)</label>
 </fieldset>
 
+<input type="checkbox" id="prescreviewed" name="prescreviewed" value="true" ${mpx[prescreviewed]:+checked}>
+<label for="prescreviewed">$(l10n prescreviewed)</label>
+
 <fieldset class="catalogue">
 <h2>$(l10n prescription_by_catalogue)</h2>
 <input type="radio" id="prescfirst" name="prescno" value="first" $(check "$mpx[prescno]" first)>
@@ -56,11 +61,11 @@ cat <<END_HTML
 <input type="radio" id="prescfollow2" name="prescno" value="follow2" $(check "$mpx[prescno]" follow2)>
 <label for="prescfollow2">$(l10n prescfollow2)</label>
 <br>
-<input type="radio" id="presccontinual" name="prescno" value="continual" $(check "$mpx[prescno]" continual)>
-<label for="presccontinual">$(l10n presccontinual)</label>
-<br>
 <input type="radio" id="prescother" name="prescno" value="other" $(check "$mpx[prescno]" other)>
 <label for="prescother">$(l10n prescother)</label>
+<br>
+<input type="radio" id="presccontinual" name="prescno" value="continual" $(check "$mpx[prescno]" continual)>
+<label for="presccontinual">$(l10n presccontinual)</label>
 
 <br>
 <input type="checkbox" id="grouptherapy" name="grouptherapy" value="true" ${mpx[grouptherapy]:+checked}>
@@ -96,9 +101,6 @@ cat <<END_HTML
 <input id="icd10" name="icd10" value="${mpx[icd10]}" placeholder="$(l10n icd10)">
 </fieldset>
 
-<input type="checkbox" id="prescreviewed" name="prescreviewed" value="true" ${mpx[prescreviewed]:+checked}>
-<label for="prescreviewed">$(l10n prescreviewed)</label>
-
 <fieldset class="controls">
 <button type="submit" name="action" value="save">$(l10n save)</button>
 <button type="submit" name="action" value="cancel">$(l10n cancel)</button>