<!-- BEGIN [% component.name %] -->
<tr>
<td>
<div class="no-wrap">
<a title="edit"
href="[% app_url %]/local_worklist_preregistration/edit/[%
entry.labno %]"><span class="acronym">[% entry.labno %]</span>
</a>
[% IF entry.request_form %]
<a href="[% entry.request_form %]" target="_new">
<img class="mid-align" src="/images/pdf.gif" />
</a>
[% END %]
</div>
</td>
<td></td>
<td></td>
<td>[% # empty DoB field %]</td>
<td colspan="3">[% # 3 empty haematology fields %]</td>
[% FOREACH col_name IN col_names; # BLS, TLC, PCS, etc %]
<td></td>
[% END %]
<td>[% entry.time.ymd %] [% entry.time.hms %]</td>
</tr>
<!-- END [% component.name %] -->