105 lines
8.2 KiB
XML
105 lines
8.2 KiB
XML
<Window x:Class="PWAPPv2.MainWindow"
|
|
xmlns="http://schemas.microsoft.com/winfx/2006/xaml/presentation"
|
|
xmlns:x="http://schemas.microsoft.com/winfx/2006/xaml"
|
|
xmlns:d="http://schemas.microsoft.com/expression/blend/2008"
|
|
xmlns:mc="http://schemas.openxmlformats.org/markup-compatibility/2006"
|
|
xmlns:local="clr-namespace:PWAPPv2"
|
|
mc:Ignorable="d"
|
|
Title="Quick Referral" Height="537" Width="800">
|
|
<Grid>
|
|
<Grid.ColumnDefinitions>
|
|
<ColumnDefinition Width="9*"/>
|
|
<ColumnDefinition Width="13*"/>
|
|
</Grid.ColumnDefinitions>
|
|
<GroupBox Header="Patient" HorizontalAlignment="Left" Height="332" Margin="10,10,0,0" VerticalAlignment="Top" Width="309">
|
|
<Grid HorizontalAlignment="Left" Height="307" VerticalAlignment="Top" Width="289">
|
|
<Grid.ColumnDefinitions>
|
|
<ColumnDefinition Width="1*"/>
|
|
<ColumnDefinition Width="1*"/>
|
|
</Grid.ColumnDefinitions>
|
|
<Grid.RowDefinitions>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
<RowDefinition Height="1*"/>
|
|
|
|
</Grid.RowDefinitions>
|
|
<Label Content="Last Name:" HorizontalAlignment="Left" VerticalAlignment="Top"/>
|
|
<Label Content="First Name:" HorizontalAlignment="Left" Grid.Row="1" VerticalAlignment="Top"/>
|
|
<Label Content="Middle Name:" HorizontalAlignment="Left" Grid.Row="2" VerticalAlignment="Top"/>
|
|
<Label Content="Data of Birth:" HorizontalAlignment="Left" Grid.Row="3" VerticalAlignment="Top"/>
|
|
<Label Content="State:" HorizontalAlignment="Left" Grid.Row="6" VerticalAlignment="Top"/>
|
|
<Label Content="Street Address:" HorizontalAlignment="Left" Grid.Row="4" VerticalAlignment="Top"/>
|
|
<Label Content="City:" HorizontalAlignment="Left" Grid.Row="5" VerticalAlignment="Top"/>
|
|
<Label Content="Zip Code:" HorizontalAlignment="Left" Grid.Row="7" VerticalAlignment="Top"/>
|
|
<Label Content="Home Phone" HorizontalAlignment="Left" Margin="1,0,0,0" Grid.Row="8" VerticalAlignment="Top"/>
|
|
<Label Content="Work Phone" HorizontalAlignment="Left" Margin="1,0,0,0" Grid.Row="9" VerticalAlignment="Top"/>
|
|
<Label Content="Wireless Phone" HorizontalAlignment="Left" Margin="1,0,0,0" Grid.Row="10" VerticalAlignment="Top"/>
|
|
<Label Content="Email" HorizontalAlignment="Left" Margin="1,0,0,0" Grid.Row="11" VerticalAlignment="Top"/>
|
|
|
|
<Label x:Name="txtLName" Content="{Binding Path=txtLName}" Grid.Column="1" HorizontalAlignment="Left" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtFName" Content="{Binding Path=txtFName}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="1" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtMName" Content="{Binding Path=txtMName}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="2" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtDob" Content="{Binding Path=txtDob}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="3" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtStreet" Content="{Binding Path=txtStreet}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="4" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtCity" Content="{Binding Path=txtCity}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="5" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtState" Content="{Binding Path=txtState}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="6" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtZip" Content="{Binding Path=txtZip}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="7" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtHomePhone" Content="{Binding Path=txtHomePhone}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="8" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtWorkPhone" Content="{Binding Path=txtWorkPhone}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="9" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtWirelessPhone" Content="{Binding Path=txtWirelessPhone}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="10" VerticalAlignment="Top"/>
|
|
<Label x:Name="txtEmail" Content="{Binding Path=txtEmail}" Grid.Column="1" HorizontalAlignment="Left" Grid.Row="11" VerticalAlignment="Top"/>
|
|
|
|
</Grid>
|
|
</GroupBox>
|
|
<GroupBox Header="Referral Type" HorizontalAlignment="Left" Height="55" Margin="0,10,0,0" VerticalAlignment="Top" Width="458" Grid.Column="1">
|
|
<ComboBox x:Name="boxReferType" HorizontalAlignment="Left" Margin="0,10,-2,0" VerticalAlignment="Top" Width="448" SelectionChanged="boxReferType_SelectionChanged"/>
|
|
</GroupBox>
|
|
<GroupBox Header="Refer From" HorizontalAlignment="Left" Height="55" Margin="0,65,0,0" VerticalAlignment="Top" Width="458" Grid.Column="1">
|
|
<ComboBox x:Name="boxReferFrom" HorizontalAlignment="Left" Margin="0,10,-2,0" VerticalAlignment="Top" Width="448"/>
|
|
</GroupBox>
|
|
<GroupBox Header="Refer To" HorizontalAlignment="Left" Height="55" Margin="0,120,0,0" VerticalAlignment="Top" Width="458" Grid.Column="1">
|
|
<ComboBox x:Name="boxReferTo" HorizontalAlignment="Left" Margin="0,10,-2,0" VerticalAlignment="Top" Width="448"/>
|
|
</GroupBox>
|
|
<CheckBox x:Name="contact" Content="Contact Patient" HorizontalAlignment="Left" Margin="0,175,0,0" VerticalAlignment="Top" Grid.Column="1" Checked="CheckBox_Checked" Height="15" Width="101"/>
|
|
<GroupBox Header="Remarks" HorizontalAlignment="Left" Height="150" Margin="10,347,0,0" VerticalAlignment="Top" Width="309">
|
|
<RichTextBox x:Name="fieldRemakrs" HorizontalAlignment="Left" Height="127" VerticalAlignment="Top" Width="299" Margin="0,0,-2,0">
|
|
<FlowDocument>
|
|
<Paragraph>
|
|
<Run x:Name="fieldRemakrsText" Text=""/>
|
|
</Paragraph>
|
|
</FlowDocument>
|
|
</RichTextBox>
|
|
</GroupBox>
|
|
<Button Content="Send" HorizontalAlignment="Left" Margin="383,476,0,0" VerticalAlignment="Top" Width="75" Grid.Column="1" Height="20" Click="Button_Click_1"/>
|
|
<Button Content="Cancel" HorizontalAlignment="Left" Margin="303,476,0,0" VerticalAlignment="Top" Width="75" Grid.Column="1" Height="20" Click="Button_Click"/>
|
|
<GroupBox Header="Images" HorizontalAlignment="Left" Height="281" Margin="1,190,0,0" VerticalAlignment="Top" Width="457" Grid.Column="1">
|
|
<Grid HorizontalAlignment="Left" Height="258" VerticalAlignment="Top" Width="447" Margin="0,0,-2,0">
|
|
<Grid.RowDefinitions>
|
|
<RowDefinition Height="4*"/>
|
|
<RowDefinition Height="39*"/>
|
|
|
|
</Grid.RowDefinitions>
|
|
<Grid HorizontalAlignment="Left" Height="21" VerticalAlignment="Top" Width="447" RenderTransformOrigin="0.486,2.034">
|
|
<Grid.ColumnDefinitions>
|
|
<ColumnDefinition Width="290*"/>
|
|
<ColumnDefinition Width="80*"/>
|
|
<ColumnDefinition Width="77*"/>
|
|
</Grid.ColumnDefinitions>
|
|
<Button x:Name="AddImageButton" Content="Add Image" Grid.Column="2" HorizontalAlignment="Left" VerticalAlignment="Top" Width="75" Height="20" Click="Button_Click_2"/>
|
|
<Button Content="Remove" Grid.Column="1" Margin="0,0,5,1" HorizontalAlignment="Right" Width="75" Click="Button_Click_3"/>
|
|
</Grid>
|
|
<ListBox x:Name="ImageList" HorizontalAlignment="Left" Height="234" Grid.Row="1" VerticalAlignment="Top" Width="447"/>
|
|
</Grid>
|
|
</GroupBox>
|
|
</Grid>
|
|
</Window>
|