</div>
</div>
<div class="mb-2 row">
- <label class="form-label col-sm-3">Status</label>
+ <label class="form-label col-sm-3">Comorbidity</label>
<div class="col-sm-9">
- <input name="status" placeholder="Clinical status / comorbidity" class="form-control" value="{{data["status"]}}">
+ <input name="status" placeholder="Comorbidity" class="form-control" value="{{data["status"]}}">
</div>
</div>
<button type="submit" class="btn btn-primary">Save</button>
<tr><th>Contact</th><td>{{data["contact"]}}</td></tr>
<tr><th>ID Proof</th><td>{{data["idproof"]}}</td></tr>
<tr><th>ID Proof Number</th><td>{{data["idnum"]}}</td></tr>
- <tr><th>Status</th><td>{{data["status"]}}</td></tr>
+ <tr><th>Comorbidity</th><td>{{data["status"]}}</td></tr>
</table>
<a href="/card/{{data["pid"]}}" class="btn btn-success">Card</a>