{% extends 'user_base.html' %}
{% block title %}Write|COVID-19 Detector {% endblock %}
{% block specific_info %}

{% set doctor = User.query.get(appointment.doc_id) %}
<div class="container">
    <div class="block-title" style="margin-top: 30px;margin-bottom: 50px;">
        <h3 style="font-size: 40px;text-align: center;">{{appointment.date}}日诊断报告单</h3>
    </div><!-- /.block-title -->
    <div class="row" style="margin-left: 30px;">
        <div class="col-lg-4" style="padding-bottom: 40px">
            <div class="row">
                <img src="{{ url_for('static', filename='images/upload_img/' ~ current_user.id ~ '/' ~ file) }}" height="370px" width="370px"
                    style="margin-top: -20px;margin-left: -50px;" alt="">
            </div>
            <div class="row">
                <h5 class="col-lg-12">ct诊断结果</h5>
            </div>
        </div>
        <div class="col-lg-8">
            <div class="row" style="margin-top: -20px;margin-bottom: 10px;">
                <h5 class="col-lg-6"">医院：<span class=" send_info-label">{{doctor.location}}</span></h5>
                <h5 class=" col-lg-6"">科室：<span class=" send_info-label">感染科</span></h5>
            </div>
            <div class="row">
                <h5 class="col-lg-4">姓名：<span class="send_info-label" style="width: 150px;">{{appointment.name}}</span>
                </h5>
                <h5 class="col-lg-4">性别：<span class="send_info-label"
                        style="width: 150px;">{{appointment.gender}}</span></h5>
                <h5 class="col-lg-4">年龄：<span class="send_info-label" style="width: 150px;">{{appointment.age}}</span>
                </h5>
            </div>
            <form method="POST" action="/send_report">
                <div class="row">
                    <div class="col-lg-6" style="margin-bottom: 10px;">
                        <span>诊断结果：</span>
                        <input type="text"
                            style="border: none; border-bottom: 1px solid black; outline: none; width: 200px;background: transparent;"
                            name="diagnosis_result" required>
                    </div>
                    <div class="col-lg-6" style="margin-bottom: 10px;">
                        <span>开具日期：</span>
                        <input type="text"
                            style="border: none; border-bottom: 1px solid black; outline: none; width: 200px;background: transparent;"
                            name="diagnosis_date" required>
                    </div>
                </div>
                <div class="row">
                    <div class="col-lg-12">
                        诊断建议：
                    </div>
                </div>
                <div class="row">
                    <div class="col-lg-12">
                        <textarea class="form-control" rows="6" name="diagnosis_advice" required></textarea>
                    </div>
                </div>
                <hr style="border-top: 1px solid rgba(0,0,0,0.8)">
                <div class="row">
                    <div class="col-lg-6" style="margin-bottom: 10px;">
                        <span style="font-weight: bold;">医生签名：</span>
                        <input type="text"
                            style="border: none; border-bottom: 1px solid black; outline: none; width: 200px;background: transparent;"
                            name="diagnosis_sign" required>

                    </div>
                    <div class="col-lg-6" style="margin-bottom: 10px;">
                        <input type="hidden" name="appointment" value="{{ appointment.id }}">
                        <button type="submit" class="datebtn btn-light">发送报告</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>
{% endblock %}