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<!-- BEGIN [% component.name %] -->
    [% # INCLUDE dumper.tt dump = lab_section %]

    <p class="warning">Request new lab tests:
      [% div_name = 'extraction'; INCLUDE site/snippets/toggleview.tt %]		
    </p>

    <form action="[% app_url %]/result/update/[% data.id %]" method="post" id="tests">
        <input type="hidden" name="_section_name" value="[% lab_section.name %]" />
        <input type="hidden" name="_section_id" value="[% lab_section.id %]" />
        <input type="hidden" name="retain_req_status" value="1" />
        
        <table class="itemhidden" id="[% div_name %]">
            <tr class="borderless">
                <td>
                  [% FOREACH pair IN lab_tests; # INCLUDE dumper.tt dump = pair;
                    label = pair.key;
                    test_id = pair.value;
                  %]
                    <div class="indent">
                        Request [% label %]:
                        <input type="checkbox" name="test_id" value="[% test_id %]"
                            [% 'disabled=1' IF request_lab_tests.$label %] />
                    </div>
                  [% END %]
                </td>
                <td rowspan="[% lab_tests.size %]">[% site.html.go_btn %]</td>
            </tr>
        </table>
    </form>
<!-- END [% component.name %] -->