if(!empty($_GET["sample"])){
$sample="value='".$_GET["sample"]."'";
}
+ $labid="";
$organism="";
}
else{
$labid="";
$organism="";
}
- $form=$form."<tr><td>Date</td><td colspan='3'><input type='date' class='form-control' name='date' ".$date." form='antibiogram'></td></tr>";
+ $form=$form."<tr><td>Sample Date</td><td colspan='3'><input type='date' class='form-control' name='date' ".$date." form='antibiogram'></td></tr>";
+ $form=$form."<tr><td>Report Date</td><td colspan='3'><input type='date' class='form-control' name='rdate' form='antibiogram'></td></tr>";
$form=$form."<tr><td>Sample</td><td colspan='3'><input type='text' class='form-control' name='sample' ".$sample." form='antibiogram' required></td></tr>";
$form=$form."<tr><td>Lab ID</td><td colspan='3'><input type='text' class='form-control' name='labid' ".$labid." form='antibiogram'></td></tr>";
$form=$form."<tr><td>Organism</td><td colspan='3'><input type='text' class='form-control' name='organism' ".$organism." form='antibiogram' required></td></tr>";