<!-- BEGIN [% component.name %] -->
      <tr>
        <td>
          <div class="no-wrap">
            <a title="edit"
                href="[% app_url %]/local_worklist_preregistration/edit/[%
                  entry.id %]"><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 %] -->
