Imaging Order Form

Radiology Requisition

Patient's Name :

Address:
 		male female
DOB:
SS Number:
MR Number:
Room:

Source: ER OP IP Priority: Routine Stat

Diagnosis:
Exam :

Chest
Rt Hand 		Skull
Tib/Fib

forms...more forms!

The form on the right has most of the elements used in forms on the Net.
The text lines, textareas, checkboxes, radio clickers,buttons,...

The layout is an HTML issue.
Rules are many... but you will get the grip of it all after going through the steps:

  1. Names vs Values
  2. radios vs checkboxes
  3. Select and options
  4. Button controls
  5. Passing data from form to functions
  6. Putting results of functions back into form

For the moment, right click this page and study the Source codes. It is a little daunting but I think you'll get the idea after a few minutes...
cxkgrafix


MORE TO COME IN NEXT UPDATE
javascript - basic stuffs