<table style="width: 97%; margin-left: 17px;" border="solid">
<tr>
<td style="border-style: solid; border-width: 1px">
<b>Nurses/Tech Name: </b> <span>
<asp:dropDownList ID="Nurses" runat="server" DataValueField="Column1"
>
</asp:dropDownList>
</span>
</td>
<td>
<b>Department: <asp:DropDownList ID="departmentTextBox" runat="server">
<asp:ListItem>DHR Surgery</asp:ListItem><asp:ListItem>WHR Surgery</asp:ListItem><asp:ListItem>CVOR</asp:ListItem><asp:ListItem>Cath Lab</asp:ListItem><asp:ListItem>Radiology</asp:ListItem><asp:ListItem>Endoscopy</asp:ListItem></asp:DropDownList></b>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 1px">
<b>Physician's Name:</b>
<asp:dropdownlist ID="Physician" runat="server">
</asp:dropdownlist>
</td>
<td>
<b>Visit ID:
<asp:RequiredFieldValidator ID="RequiredFieldValidator10" runat="server"
ControlToValidate="VisitID" ErrorMessage="Visit ID" InitialValue="" Text="*"></asp:RequiredFieldValidator>
<asp:TextBox ID="VisitID" runat="server" ></asp:TextBox>
</b>
</td>
</tr>
<tr>
<td style="border-style: solid; border-width: 1px">
<b>Procedure:</b>
<span class="dropDownList">
<b>
<asp:RequiredFieldValidator ID="RequiredFieldValidator11" runat="server"
ControlToValidate="procedureTextBox" ErrorMessage="Procedure" InitialValue="" Text="*"></asp:RequiredFieldValidator>
</b>
<asp:textbox ID="procedureTextBox" runat="server" Width="300px"></asp:textbox>
</span>
</td>
<td>
<b>Date:</b>
<asp:Label ID="dateLabel" runat="server" CssClass="dateFont"></asp:Label>
</td>
</tr>
</table>
|