<!-- BEGIN request/edit/display_case_data.tt -->
    <table class="indent">
		<tr>
            <td class="label">Unit number:</td>
            <td class="content">
				<input type="text" [% site.html.disabled %]
					value="[% data.patient_case.unit_number %]" />
			</td>
        </tr>
        <tr>
            <td class="label">Location:</td>
			<td class="content">
				<input type="text" [% site.html.disabled %]
					value="[% data.patient_case.referral_source.display_name %]" />
			</td>
        </tr>
	</table>
<!-- END request/edit/display_case_data.tt -->
