{% extends 'base_print.html.twig' %}

{% block title %}Referral Letter for {{ case_ref.case }}{% endblock %}

{% block styles %}
	{% if action_type == 'print' %}
		{{ parent() }}

		<style>
			@media print {
				@page {
					size: A4 portrait;
				}
			}

			thead th { font-weight: bold !important; }
		</style>
	{% endif %}
{% endblock %}

{% block content %}
	{% if action_type == 'print' %}
		<script>
			window.onload = function() {
				window.print();
			};
		</script>
	{% endif %}

	<div class="page-title">
		<h1 style="text-align: center;">{{ case_ref.case.hospital }}, Dist. {{ case_ref.case.hospital.district }}</h1>

		<p style="text-align: center;">
			Email: {{ case_ref.case.hospital.email }}, Phone: {{ case_ref.case.hospital.phone }}
		</p>
	</div>

	<section>
		<h3 style="text-align: center;"><u>Referral Letter</u></h3>

		<table class="mb-2">
			<thead></thead>
			<tbody>
				<tr>
					<th width="25%" style="text-align: left;">Name of the Patient</th>
					<td>{{ case_ref.case.patient.firstName }} {{ case_ref.case.patient.middleName }} {{ case_ref.case.patient.lastName }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Age</th>
					<td>{{ case_ref.case.patient.age }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Gender</th>
					<td>{{ case_ref.case.patient.gender }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Registration No.</th>
					<td>{{ case_ref.case.patient.uhId }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Address</th>
					<td>{{ case_ref.case.patient.address }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Taluka</th>
					<td>{{ case_ref.case.patient.village.taluka }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">District</th>
					<td>{{ case_ref.case.patient.village.taluka.district }}</td>
				</tr>
				<tr>
					<th style="text-align: left; vertical-align: top;">Observations by referring Medical Officer</th>
					<td>
						<b>Temparature (f):</b> {{ case_ref.case.temparature }}<br>
						<b>CNS:</b> {{ case_ref.case.cns ? case_ref.case.cns : '&mdash;' }}<br>
						<b>Endrocine:</b> {{ case_ref.case.endrocine ? case_ref.case.endrocine : '&mdash;' }}<br>
						<b>Excretory:</b> {{ case_ref.case.excretory ? case_ref.case.excretory : '&mdash;' }}<br>
						<b>Pulse:</b> {{ case_ref.case.pulse ? case_ref.case.pulse : '&mdash;' }}<br>
						<b>BP:</b> {{ case_ref.case.bpUpper ~ ' / ' ~ case_ref.case.bpLower }}<br>
						<b>Respiration:</b> {{ case_ref.case.respiration ? case_ref.case.respiration : '&mdash;' }}<br>
						<b>Auscultation:</b> {{ case_ref.case.auscultation ? case_ref.case.auscultation : '&mdash;' }}<br>
					</td>
				</tr>
				<tr>
					<th style="text-align: left;">Provisional Diagnosis</th>
					<td>{{ prov_diags }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Provisional Examination</th>
					<td>{{ prov_exam }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Treatment Given</th>
					<td>{{ treatment_given|raw }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Name of the Hospital where referred</th>
					<td>{{ case_ref.hospital }}</td>
				</tr>
				<tr>
					<th style="text-align: left;">Purpose of Reference</th>
					<td>{{ case_ref.notes }}</td>
				</tr>
			</tbody>
		</table>

		{% if action_type == 'print' %}
			<hr style="border-top: 1px solid; #000" class="mb-5">

			<div class="row">
				<div class="col-3">Date: {{ "now"|date('d/m/Y g:i a') }}</div>
				<div class="col-6">Place:</div>
			</div>

			<div class="mt-5 text-right mr-5 pr-5">Sign</div>
		{% endif %}
	</section>
{% endblock %}