<!-- BEGIN request/edit/single_record_data.tt -->
<table class="indent">
<tr>
<td class="label">Unit number:</td>
<td class="content">
<input type="text" name="unit_number" value="[% this_case.unit_number %]" />
[% error_unit_number %]
</td>
</tr>
<tr>
<td class="label">Location:</td>
<td class="search_bar">
<input style="width: 300px" type="text" id="location_name"
name="_location_name" value="[% this_case.referral_source.display_name %]" />
<input type="hidden" id="source_id" name="referral_source_id" />
[% IF error_referral_source_id %]
[% error_referral_source_id %]
[% ELSE %]
[ <a href="[% app_url %]/config/referral-sources">new</a> ]
[% END %]
</td>
</tr>
</table>
<!-- END request/edit/single_record_data.tt -->