{# signature_box_patient.html #} {% comment %} template parameters: patient_lookup: PatientLookup {% endcomment %}
Signed: | Date: | ||
Name: | {{ patient_lookup.pt_forename_surname }} | ||
Date of birth: | {{ patient_lookup.pt_dob|date }} | ||
Identifiers: | NHS number: {{ patient_lookup.nhs_number }}. {% if patient_lookup.pt_local_id_description %} {{ patient_lookup.pt_local_id_description}}: {{ patient_lookup.pt_local_id_number }}. {% endif %} |