[% META title = 'Request » Email Report' %]
<!-- BEGIN record/email_report.tt -->
[% # PROCESS dumper.tt dump = data.as_tree %]
[% # PROCESS dumper.tt dump = c.stash.errs %]
[% patient = data.patient_case.patient %]
<h2 class="header">E-mail report on
[% patient.last_name | upper %], [% patient.first_name | ucfirst %]
[ [% INCLUDE site/lab_number.tt -%] ]:
</h2>
[% IF error_mailto %]
<p class="error">[% c.cfg('msg').dfv_errors %]
[% c.cfg('msg').dfv_msgs.invalid_domain %]
</p>
[% END %]
[% PROCESS site/autosuggest.tt
varname = 'address'
# param_id = '' # for callback function - not needed here
param_name = 'mailto'
method_name = 'get_email_addresses'
watermark = 'no';
%]
<script language="JavaScript" type="text/javascript">
<!-- // Begin
function submitForm(s) {
s.value = " Sending... ";
return true;
}
// End -->
</script>
<form method="post" action="[% app_url %]/request/do_email_report/[% data.id %]"
onsubmit="return submitForm(this.mail_report)">
<p class="indent">
<strong>Destination e-mail address:<strong>
<input style="width: 300px" type="text" name="mailto" id="mailto" />
<input type="hidden" name="sender" value="[% sender %]" />
<input type="submit" name="mail_report" value="Go">
[% site.html.reset %]
</p>
</form>
<!-- END record/email_report.tt -->