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<input type="hidden" name="record" value="{RECORD}">
<table cellspacing="0" cellpadding="0" width="95%" border="0"  height="380px" background="{SKINS}images/bg_edges.gif">
	<tr>
		<td valign="top"  style="width:100%" align="center">	
			 <table   cellspacing="0" cellpadding="5" width="100%" border="0"   style="-moz-border-radius-10px;-webkit-border-radius:10px;border-radius:10px; border:0px solid silver; font-family:Arial; font-size :13px;color: #25383C;background-repeat:no-repeat;background-position:center">	
			 <!-- IF RECORD = "rec1" -->
				<tr>
					<td colspan="2" align="center"><font color="green" size="3"> <B>Medical Records</B></font></td>
				</tr>

				<tr>
					<td valign="top" align="left" style="width:50%">
						<table bgcolor="white" align="center" cellspacing="11" cellpadding="8"  width="85%" border="0" style="-moz-border-radius-10px;-webkit-border-radius:10px;border-radius:10px; border:0px solid #46C7C7;" >
							<font color="white" size="4">{ERROR1}</font>

							<ul class="pane-list">

								<!-- IF OPTMR11 = "11" && OPTMR11 != "" -->

								<li>
									<a href="?module=medrec&action=ipactivitylist"><h3><font color="#3366CC">MRF01.</font>  &nbsp;In Patient Activity Record</h3></a>		
								</li>

								<!-- ENDIF -->

								<!-- IF OPTMR15 = "15" && OPTMR15 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF02.</font>  &nbsp; Clinical Notes</h3></a>		
								</li>

								<!-- ENDIF -->

								<!-- IF OPTMR9 = "9" && OPTMR9 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF03.</font>  &nbsp;Consent Form For Surgery</h3></a>		
								</li>

								<!-- ENDIF -->

								<!-- IF OPTMR12 = "12" && OPTMR12 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF04.</font>  &nbsp;The Aneasthesia Record</h3></a>		
								</li>

								<!-- ENDIF -->

								<!-- IF OPTMR13 = "13" && OPTMR13 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF05.</font>  &nbsp;Preanaesthetic Record</h3></a>		
								</li>

								<!-- ENDIF -->

								<!-- IF OPTMR14 = "14" && OPTMR14 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF06.</font>  &nbsp;Operation Notes</h3></a>		
								</li>

								<!-- ENDIF -->							

								<!-- IF OPTMR16 = "16" && OPTMR16 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF07.</font>  &nbsp;Daily Progress Sheet</h3></a>		
								</li>

								<!-- ENDIF -->

								<!-- IF OPTMR17 = "17" && OPTMR17 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF08.</font>  &nbsp;Nurse's Medication Sheet</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR18 = "18" && OPTMR18 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF09.</font>  &nbsp;Doctors Orders</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR19 = "19" && OPTMR19 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF010.</font>  &nbsp;Vital Data</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR20 = "20" && OPTMR20 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF011.</font>  &nbsp;Chemotherapy Chart</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR21 = "21" && OPTMR21 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF012.</font>  &nbsp;Pre-Op Instruction Chart</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR22 = "22" && OPTMR22 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF013.</font>  &nbsp;Brought Dead Certificate</h3></a>		
								</li>
							
								<!-- ENDIF -->
				
						</ul>		
						</table>
					</td>	

					<td valign="top" align="left" style="width:50%">
						<table bgcolor="white" align="center" cellspacing="11" cellpadding="8"  width="85%" border="0" style="-moz-border-radius-10px;-webkit-border-radius:10px;border-radius:10px; border:0px solid #46C7C7;" >
							<font color="white" size="4">{ERROR1}</font>

							<ul class="pane-list">
								<!-- IF OPTMR23 = "23" && OPTMR23 != "" -->

								<li>
									<a href="#"><h3><font color="#3366CC">MRF014.</font>  &nbsp;Death Certificate</h3></a>		
								</li>
							
								<!-- ENDIF -->	

								<!-- IF OPTMR24 = "24" && OPTMR24 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF015.</font>  &nbsp;Diabetic Chart</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR25 = "25" && OPTMR25 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF016.</font>  &nbsp;TPR Chart</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR8 = "8" && OPTMR8 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF017.</font>  &nbsp;Consent Form For Chemotherapy</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR29 = "29" && OPTMR29 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF018.</font>  &nbsp;Complaints and Duration</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR7 = "7" && OPTMR7 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF019.</font>  &nbsp;High Risk Consent Form for Anaesthesia</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR3 = "3" && OPTMR3 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF020.</font>  &nbsp;Clinical Summary For New Admission</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR4 = "4" && OPTMR4 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF021.</font>  &nbsp;Discharge Summary</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR26 = "26" && OPTMR26 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF022.</font>  &nbsp;Doctor Slip</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR27 = "27" && OPTMR27 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF023.</font>  &nbsp;Hospital Based Cancer Registries</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR28 = "28" && OPTMR28 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF024.</font>  &nbsp;Core Performa of NCRP</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR5 = "5" && OPTMR5 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF025.</font>  &nbsp;Chemo - Discharge Summary</h3></a>		
								</li>
							
								<!-- ENDIF -->

								<!-- IF OPTMR6 = "6" && OPTMR6 != "" -->
								<li>
									<a href="#"><h3><font color="#3366CC">MRF026.</font>  &nbsp;Out Patient Registration / Continuation Card</h3></a>		
								</li>
							
								<!-- ENDIF -->
							
							</ul>		
						</table>
					</td>	
				</tr>
				<!-- ENDIF -->
			</table>
		</td>
	</tr>
	</table><br>